Preferences for HIV Preexposure Prophylaxis Products Among Black Women in the U.S.

Irie, Whitney C.; Calabrese, Sarah K.; Patel, Rupa; Mayer, Kenneth H.; Geng, Elvin; Marcus, Julia L.

doi:10.1007/s10461-021-03571-8

Cited by 24 publications

(11 citation statements)

References 56 publications

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“… 7 A nationwide study of Black women's preferences for PrEP products found that 32% of 315 respondents were aware of PrEP, and 41% were interested in using it. 8 Despite interest in PrEP, only 2% of women with PrEP indications were prescribed the medication in 2016, 7 and less than one fifth of all PrEP prescriptions are prescribed to those ages 12-24, with <2% to those under 18 years of age. 9 A recent analysis of 429 adolescents at an adolescent primary care center in urban Alabama found 45% were eligible for PrEP based on the Centers for Disease Control and Prevention (CDC) Guidelines from 2018, 10 77% were female and 95% identified as heterosexual, 11 but zero eligible adolescents received prescriptions.…”

Section: Introductionmentioning

confidence: 99%

“We Feel Like Everybody's Going to Judge us”: Black Adolescent Girls’ and Young Women's Perspectives on Barriers to and Opportunities for Improving Sexual Health Care, Including PrEP, in the Southern U.S

Pratt

Jeffcoat

Hill

et al. 2022

J Int Assoc Provid AIDS Care

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Black adolescent girls and young women (AGYW) are disproportionately affected by HIV in the southern U.S.; however, PrEP prescriptions to Black AGYW remain scarce. We conducted in-depth interviews (IDIs) with Black AGYW ages 14-24 in Alabama to explore opportunities for and barriers to sexual health care including PrEP prescription. Twelve AGYW participated in IDIs with median age 20 (range 19-24). All reported condomless sex, 1-3 sexual partners in the past 3 months, and 6 reported prior STI. Themes included: 1) Stigma related to sex contributes to inadequate discussions with educators, healthcare providers, and parents about sexual health; 2) Intersecting stigmas around race and gender impact Black women's care-seeking behavior; 3) Many AGYW are aware of PrEP but don't perceive it as an option for them. Multifaceted interventions utilizing the perspectives, voices, and experiences of Black cisgender AGYW are needed to curb the HIV epidemic in Alabama and the U.S. South.

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Section: Introductionmentioning

confidence: 99%

“We Feel Like Everybody's Going to Judge us”: Black Adolescent Girls’ and Young Women's Perspectives on Barriers to and Opportunities for Improving Sexual Health Care, Including PrEP, in the Southern U.S

Pratt

Jeffcoat

Hill

et al. 2022

J Int Assoc Provid AIDS Care

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“…These findings reinforce the importance of bolstering a more diverse healthcare workforce and addressing racism and structural determinants as an integral component of provider PrEP training [ 45 , 47 ]. Finally, although this analysis focused on provider perspectives, integrating patients’ voices must also be central to implementation efforts and research [ 45 , 47 , 48 ].…”

Section: Discussionmentioning

confidence: 99%

Human Immunodeficiency Virus Pre-Exposure Prophylaxis Knowledge, Attitudes, and Self-Efficacy Among Family Planning Providers in the Southern United States: Bridging the Gap in Provider Training

Ramakrishnan

Sales

McCumber

et al. 2022

Open Forum Infectious Diseases

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Background PrEP is an effective HIV prevention intervention, but its access and use are suboptimal, especially for women. Healthcare providers provision of PrEP is a key component of the Ending the HIV Epidemic initiative. Though training gaps are an identified barrier, evidence is lacking regarding how to tailor trainings for successful implementation. Title X family planning clinics deliver safety net care for women and are potential PrEP delivery sites. To inform provider training, we assessed PrEP knowledge, attitudes, and self-efficacy in the steps of PrEP care among Title X providers in the Southern US. Methods We used data from providers in clinics that did not currently provide PrEP from a web-based survey administered to Title X clinic staff in 18 Southern states from February-June 2018. We developed generalized linear mixed models to evaluate associations between provider-, clinic-, and county-level variables with provider knowledge, attitudes, and self-efficacy in PrEP care, guided by the Consolidated Framework for Implementation Research. Results Among 351 providers from 193 clinics, 194 (55%) were non-prescribing and 157 (45%) were prescribing providers. Provider ability to prescribe medications was significantly associated PrEP knowledge, attitudes, and self-efficacy. Self-efficacy was lowest in the PrEP initiation step of PrEP care and was positively associated with PrEP attitudes, PrEP knowledge, and contraception self-efficacy. Conclusion Our findings suggest that PrEP training gaps for family planning providers may be bridged by addressing unfavorable PrEP attitudes, integrating PrEP and contraception training, tailoring training by prescribing ability, and focusing on the initiation steps of PrEP care.

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“…Similar findings have been reported from a nationally representative sample of Black women. 10 However, Elopre and colleagues 11 found that among Black women in Alabama expressing a willingness to use PrEP, injectable PrEP was preferred, especially among those living in urban settings. This suggests that geographic differences and related healthcare access may influence PrEP preferences, which, to our knowledge, have not been studied among cisWWID.…”

mentioning

confidence: 99%

A Note on Pre-exposure prophylaxis (PrEP) preferences among women who inject drugs

et al. 2023

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Preferences for HIV Preexposure Prophylaxis Products Among Black Women in the U.S.

Cited by 24 publications

References 56 publications

“We Feel Like Everybody's Going to Judge us”: Black Adolescent Girls’ and Young Women's Perspectives on Barriers to and Opportunities for Improving Sexual Health Care, Including PrEP, in the Southern U.S

“We Feel Like Everybody's Going to Judge us”: Black Adolescent Girls’ and Young Women's Perspectives on Barriers to and Opportunities for Improving Sexual Health Care, Including PrEP, in the Southern U.S

Human Immunodeficiency Virus Pre-Exposure Prophylaxis Knowledge, Attitudes, and Self-Efficacy Among Family Planning Providers in the Southern United States: Bridging the Gap in Provider Training

A Note on Pre-exposure prophylaxis (PrEP) preferences among women who inject drugs

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