Linking High-Risk Jail Detainees to HIV Pre-Exposure Prophylaxis: PrEP-LINK

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• Potential participants unable to provide informed consent, including people with severe mental illness requiring immediate treatment or with mental illness limiting their ability to participate (e.g., dementia), will be excluded.

• Age greater than or equal to 18 at study enrollment
• Able to understand and speak English and to provide written and verbal informed consent.
• Able to provide reliable pieces of locator information (e.g. mailing address, phone number, email address, places frequently visited, etc.)
• HIV negative confirmed through an on-site rapid HIV test;
• Recently released from the Pulaski County Regional Detention Facility into the community and not into another detention facility or recently released (within 30 days) from a correctional facility and residing in Central Arkansas.
• At substantial risk for HIV as determined by CDC/WHO PrEP guidelines, which includes engaging in any of the following behaviors in the last six months:
  • Having condomless vaginal or anal sex with more than one partner,
  • Having a sex partner with one or more HIV risk (e.g. PWID, a sex worker),
  • Being diagnosed with a STI,
  • Reporting history of sharing injection material/equipment, or
  • Having a sexual partner who is HIV positive.