{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T15:13:50Z","timestamp":1780326830003,"version":"3.54.1"},"reference-count":14,"publisher":"Guilford Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AIDS Education and Prevention"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>This qualitative study explores barriers to and facilitators of pre-exposure prophylaxis (PrEP) use among individuals involved in the criminal legal system (CLS) in the Southern U.S. Through in-depth interviews with 72 participants on probation or parole across Florida, Kentucky, and North Carolina, we identified five key themes: (1) depersonalization of HIV risk, where participants acknowledged PrEP's value but excluded themselves as candidates; (2) stigma, including internalized, interpersonal, and structural barriers; (3) financial and insurance constraints, exacerbated in non-Medicaid expansion states; (4) medical mistrust stemming from negative carceral health care experiences; and (5) the unexpected role of research participation as a primary source of PrEP education. Findings align with and extend existing literature on marginalized populations, highlighting the need for tailored interventions addressing systemic, institutional, and community-level barriers. This study underscores the urgency of centering lived experience and policy innovation to improve PrEP access for this high-risk population.<\/jats:p>","DOI":"10.1521\/aeap.2026.38.3.239","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T14:22:47Z","timestamp":1780323767000},"page":"239-251","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of Attitudes, Barriers, and Facilitators of Pre-exposure Prophylaxis (PrEP) Use Among Individuals Involved in the Criminal Legal System in the Southern U.S."],"prefix":"10.1521","volume":"38","author":[{"given":"Hannah","family":"Camp","sequence":"first","affiliation":[{"name":"Department of Population Health Sciences, Duke University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Rocket","sequence":"additional","affiliation":[{"name":"School of Social Medicine, University of North Carolina at Chapel Hill."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujung","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, Duke University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Krajewski","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, Duke University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie","family":"Oser","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Kentucky."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Nowotny","sequence":"additional","affiliation":[{"name":"College of Arts and Sciences, University of Miami."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Brinkley-Rubinstein","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, Duke University."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-6304-x"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3181f9c0f7"},{"issue":"12","key":"ref3","doi-asserted-by":"crossref","first-page":"e0205593","DOI":"10.1371\/journal.pone.0205593","volume":"3","author":"Brinkley-Rubinstein L.","year":"2018","journal-title":"PLoS One, 1"},{"key":"ref4","volume-title":"Preventing HIV with PrEP.","author":"Centers for Disease Control and Prevention","year":"2024"},{"key":"ref5","unstructured":"Centers for Medicare and Medicaid Services. (2023). State waivers list. https:\/\/www.medicaid.gov\/medicaid\/section-1115-demo\/demonstration-and-waiver-list\/"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofaf284"},{"key":"ref7","unstructured":"Kaiser Family Foundation. (2024). Status of state Medicaid expansion decisions: Interactive map. Retrieved June 26,2024, from https:\/\/www.kff.org\/affordable-care-act\/issue-brief\/status-of-state-medicaid-expansion-decisions-interactive-map\/"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-047340"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2013.07.035"},{"key":"ref10","volume-title":"HIV in prisons, 2023\u2014 Statistical tables","author":"Maruschak L. M.","year":"2025"},{"key":"ref11","unstructured":"Maruschak, L. M., Bronson, J. & Alper, M. (2021). Medical problems reported by prisoners: Survey of prison inmates, 2016. U.S. Department of Justice, Bureau of Justice Statistics. https:\/\/www.ojp.gov\/library\/publications\/medical-problems-reported-prisoners-survey-prison-inmates-2016"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1177\/1098214005283748"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1177\/15579883221107192"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0b013e32835c1dd0"}],"container-title":["AIDS Education and Prevention"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T14:23:04Z","timestamp":1780323784000},"score":1,"resource":{"primary":{"URL":"https:\/\/guilfordjournals.com\/doi\/10.1521\/aeap.2026.38.3.239"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1521\/aeap.2026.38.3.239"],"URL":"https:\/\/doi.org\/10.1521\/aeap.2026.38.3.239","relation":{},"ISSN":["0899-9546"],"issn-type":[{"value":"0899-9546","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]}}}