Barriers to PrEP uptake among Black female adolescents and emerging adults

Crooks, Natasha; Singer, Randi; Smith, Ariel; Ott, Emily; Donenberg, Geri R.; Matthews, Alicia K.; Patil, Crystal L.; Haider, Sadia; Johnson, Amy K.

doi:10.1016/j.pmedr.2022.102062

Cited by 10 publications

(2 citation statements)

References 39 publications

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“…Although PrEP has very few side effects (Centers for Disease Control and Prevention, 2022), the perceived side effects are still a major barrier to PrEP use among people who use drugs (Mustanski et al, 2013; Shrestha & Copenhaver, 2016) and Black women (Willie et al, 2022). In addition, stigma and concerns about being perceived as HIV-positive serve as a barrier to PrEP uptake among these two populations (Bond & Gunn, 2016; Crooks et al, 2023; Shrestha & Copenhaver, 2016). Moreover, some studies reported that people who use drugs perceive physicians to be treatment gatekeepers, stating that physicians are reluctant to prescribe PrEP because they do not believe that people who misuse opioids would adhere to the use guidelines (Ni et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Correlates of Transactional Sex Among Black Men and Women Who Misuse Opioids

Thorpe,

Orphé,

Pitcher

et al. 2024

Health Educ Behav

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The rise in opioid misuse coincides with increased sexually transmitted infection (STI) and HIV incidence. Transactional sex is an under-researched phenomenon among Black Americans who misuse opioids, and may increase their risk of STI or HIV transmission. Given the disproportionate impact of the opioid epidemic on Black Americans and the risks associated with opioid misuse, the current study aims to investigate sociostructural factors, history of violence, and sexual risk factors associated with transactional sex among Black men and women. A sample of n = 375 Black adult Kentuckians reporting opioid misuse completed a survey including transactional sex, sociostructural, violence history, and sexual risk measures. Results of chi-squares and independent samples t-tests revealed that compared to men who did not report engaging in transactional sex, men who engaged in transactional sex were less educated, reported being sexually assaulted or having an unwanted sexual experience in their lifetime, and were more likely to use opioids or cocaine before or during sex in the last year. Women who engaged in transactional sex had a history of violence, more structural barriers, higher psychological distress, and engaged in more sexual risk behaviors compared to women who did not engage in transactional sex. Implications for future research and interventions with this population are discussed.

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Section: Discussionmentioning

confidence: 99%

Correlates of Transactional Sex Among Black Men and Women Who Misuse Opioids

Thorpe,

Orphé,

Pitcher

et al. 2024

Health Educ Behav

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“…The report of [6] explained how government policy creates a barrier to HIV treatment. Several factors have been identified as barriers to HIV treatment (see [7][8][9][10]).…”

Section: Introductionmentioning

confidence: 99%

Understanding the Transmission Dynamics and Control of HIV Infection: A Mathematical Model Approach

Ajao

Olopade²,

Akinwumi

et al. 2023

J. Nig. Soc. Phys. Sci.

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New challenges like the outbreak of new diseases, government policies, war and insurgency etc. present distortion, delay and denial of persons’ access to ART, thereby fuelling the spread and increasing the burden of HIV/AIDS. A mathematical model is presented to study the transmission dynamics and control of HIV infection. The qualitative and quantitative analyses of the model are carried out. It is shown that the disease-free equilibrium of the model is globally asymptotically stable whenever the basic reproduction number is less than unity. It is also shown that a unique endemic equilibrium exists whenever the basic reproduction number exceeds unity and that the model exhibits a forward bifurcation. Furthermore, the Lyapunov function is used to show that the endemic equilibrium is globally asymptotically stable for a special case of the model whenever the associated basic reproduction number is greater than unity. The model is calibrated to the data on HIV/AIDS prevalence in Nigeria from 1990 to 2019 and it represents reality. The numerical simulations on the global stability of disease-free equilibrium and endemic equilibrium justify the analytic results. The fraction of the detected individuals who stays in the treatment class plays a significant role as it influences the population of the latently-infected individuals and AIDS class by preventing individuals from progressing into the AIDS class.

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