PrEParing Women to Prevent HIV: An Integrated Theoretical Framework to PrEP Black Women in the United States

Lambert, Crystal Chapman; Marrazzo, Jeanne; Amico, K. Rivet; Mugavero, Michael J.; Elopre, Latesha

doi:10.1016/j.jana.2018.03.005

Cited by 56 publications

(34 citation statements)

References 50 publications

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“…Furthermore, barriers that prevent uptake are not universal, and can be population-specific, exacerbated by co-prevalent syndemic conditions such as racism, homophobia, poverty, inadequate education, and behavioral health issues. The findings presented here have also been identified by others, who have noted similar common barriers overall [102][103][104] and in population groups at highest risk [105][106][107][108][109][110][111][112].…”

Section: Potential Solutions To Barrierssupporting

confidence: 89%

Barriers to the Wider Use of Pre-exposure Prophylaxis in the United States: A Narrative Review

2020

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Antiretroviral pre-exposure prophylaxis (PrEP) to prevent HIV transmission was first approved by the US Food and Drug Administration in 2012. Despite correlations of decreases in new HIV infections being greatest where PrEP has been deployed, the uptake of PrEP is lagging, particularly among populations with disproportionate HIV burden. This narrative review seeks to identify individual and systemic barriers to PrEP usage in the USA. A comprehensive search of recent literature uncovered a complex array of structural, social, clinical, and behavioral barriers, including knowledge/awareness of PrEP, perception of HIV risk, stigma from healthcare providers or family/partners/friends, distrust of healthcare providers/systems, access to PrEP, costs of PrEP, and concerns around PrEP side effects/medication interactions. Importantly, these barriers may have different effects on specific populations at risk. The full potential of PrEP for HIV prevention will not be realized until these issues are addressed. Strategies to achieve this goal should include educational interventions, innovative approaches to delivery of HIV care, financial support, and destigmatization of PrEP and PrEP users. Until then, PrEP uptake will continue to be suboptimal, particularly among those who need it most.

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Section: Potential Solutions To Barrierssupporting

confidence: 89%

Barriers to the Wider Use of Pre-exposure Prophylaxis in the United States: A Narrative Review

2020

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“…pill). (14,26,27,45) In addition, we determined that our education intervention was feasible and acceptable in both modalities (online and in-person). Though, the in-person vehicle for intervention delivery was more positively received relative to online delivery.…”

Section: Discussionmentioning

confidence: 99%

“…Due to disproportionate HIV rates among Black women, especially in geographic areas with a high HIV prevalence, they are important priority populations to inform about PrEP. However, limited data exist from PrEP investigations that focus on women, especially Black women living in the U.S (12,14,(25)(26)(27). Generally, women reported that: a) they were unaware of PrEP --and angry about not knowing or being taught-but found the option attractive; b) they would be likely to seek information about PrEP from their Obstetricians, Primary Care Providers, or Community-based Organizations, Media, schools, peer-to-peer/friend-to-friend; and c) PrEP was seen as additional, not substitute, protection to condoms (14).…”

Section: Focus Populations and Prep As Hiv Preventionmentioning

confidence: 99%

PrEPed or Failed? The Pre-Exposure Prophylaxis (PrEP) Consciousness of Black College Women and the Perceived Hesitancy of Public Health institutions to Curtail HIV in Black Women

Chandler¹,

Hernandez²,

Paul³

et al. 2019

Preprint

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Background Consistent use of Pre-Exposure Prophylaxis (PrEP), a biomedical intervention for HIV seronegative persons, has been shown to significantly decrease HIV acquisition. Black women are a viable population segment to consider for PrEP use as their HIV incidence is overwhelmingly higher than all other women groups.Methods We developed and piloted a cultural- and age- appropriate PrEP education intervention to determine Black college women’s: 1) perceptions of and receptivity to PrEP use; and 2) preferences for PrEP information delivery.Results We recruited N=43 Black college women. Most of our sample were sophomore and Juniors of whom identified as heterosexual (83%) and single (67%). Over 50% of young women had never been HIV tested and only 28% had been tested in the last 6 months; however, 100% of the women believed their HIV status was negative. Prior to participating in the study, most Black college women (67%) had not heard about PrEP and were unsure or apprehensive (72%) to initiate PrEP. The Black college women indicated that our educational intervention was extremely helpful (67%) for understanding and learning about PrEP. Post participating in our PrEP education module, regardless of delivery modality, participants reported being likely (62.55-70%) to initiate PrEP in the future.Conclusions Results indicate that Black college women would strongly consider PrEP when provided with basic knowledge, regardless of delivery modality. Participants also showed greater appreciation for in-person delivery and found it to be significantly more helpful and of greater quality for learning about PrEP; comprehension or perceived usefulness of PrEP-related content was relatively the same between groups. PrEP content delivery -- via in-person or online methods – is contingent on learning style and presentation.

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“…Terapi dan pengobatan pada penyakit HIV memerlukan proses yang lama, sehinga pasien harus rajin untuk kontrol (Chenneville, Machacek, St. John Walsh, Emmanuel, & Rodriguez, 2017). Namun di Indonesia masih banyak pasien yang tidak kembali kontrol dalam waktu minimal 3 bulan bahkan lebih secara terus menerus (lost to follow up) yang dapat berdampak pada proses pengobatan pasien dan monitoring tenaga kesehatan terhadap pasien dengan HIV AIDS (Chapman Lambert, Marrazzo, Amico, Mugavero, & Elopre, 2018).…”

Section: Pendahuluanunclassified

“…Sama hal hanya dengan hasil penelitian tentang perceived benefit yang juga responden menganggap bahwa manfaat dari obat ARV kurang memberikan manfaat besar. Namun dalam hal ini perilaku lost to follow-up yang baik dapat disebabkan karena dukungan dari keluarga yang besar sehingga responden tidak melakukan lost to follow up dan menjalani pengobatan dengan obat ARV (Chapman Lambert et al, 2018).…”

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Perception of People Living With HIV/AIDS Affecting Lost to Follow-Up of ARV Therapy

Manowati

Purwaningsih

Bakar

2019

CMSNJ

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ABSTRAKPendahuluan: Penderita HIV / AIDS harus mengonsumsi ARV setiap hari dan rutin kontrol setiap bulannya untuk mengambil ARV di rumah sakit yang membuat penderita beresiko memiliki perilaku lost to follow up. Tujuan dari penelitian ini adalah untuk mengetahui faktor -faktor yang mempengaruhi perilaku lost follow-up pada pasien HIV/AIDS dengan terapi ARV di RSUD Dr Soetomo Surabaya.Metode: Penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan cross-sectional. Populasi sebanyak 135 pasien dan didapatkan 100 pasien dengan consequtive sampling. Variabel independen adalah perceived susceptability, perceived severity, perceived barrier to action, perceived benefit of action, cues to action, dan selfefficacy. Variabel dependen adalah perilaku lost to follow up. Data diperoleh dengan kuesioner dan dianalisis dengan Spearman's Rho.Hasil: Terdapat hubungan antara perceived susceptability (p=0,002), perceived severity (p=0,025), perceived barrier to action (p=0,022), cues to action (p=0,011) dengan perilaku lost to follow up. Tidak terdapat hubungan antara perceived benefit of action (p=0,196) dan self-efficacy (p=0,071) dengan perilaku lost to follow up.Kesimpulan: Pengetahuan tentang pentingnya manfaat dari ARV perlu ditingkat kepada pasien dengan ARV serta kesadaran diri pasien untuk rutin kontrol dan mengonsumsi obat ARV. Peneliti selanjutnya disarankan untuk melakukan penelitian secara mendalam (penelitian kualitatif) terkait penyebab pasien memilih untuk melakukan lost to follow up, serta dapat menemukan kebaharuan atau aplikasi sebagai pengingat dan monitoring jadwal pasien untuk melakukan kontrol ke rumah sakit. ABSTRACTIntroduction: People Living With HIV/AIDS (PLWHA) must consume antiretrovirals every day and control routinely each month to take ARVs in the hospital. The condition makes patients having a risk of lost to follow up behavior. The purpose of this study was to determine the factors related to the behavior of lost to follow-up on people living with hiv/aids with arv therapy at rsud Dr. Soetomo Surabaya. Method:This study used descriptive correlation design with a cross-sectional approach. The population were 135 patients and 100 patients were required as research participant with consequtive sampling. Independent variables were perceived susceptibility, perceived severity, perceived barrier to action, perceived benefits of action, cues to action, and self-efficacy. The dependent variable was lost to follow up behavior. Data were obtained by questionnaire and analyzed using Spearman's Rho.Result: People Living With HIV/AIDS (PLWHA) must consume antiretrovirals every day and control routinely each month to take ARVs in the hospital. The condition makes patients having a risk of lost to follow up behavior. The purpose of this study was to

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PrEParing Women to Prevent HIV: An Integrated Theoretical Framework to PrEP Black Women in the United States

Cited by 56 publications

References 50 publications

Barriers to the Wider Use of Pre-exposure Prophylaxis in the United States: A Narrative Review

Barriers to the Wider Use of Pre-exposure Prophylaxis in the United States: A Narrative Review

PrEPed or Failed? The Pre-Exposure Prophylaxis (PrEP) Consciousness of Black College Women and the Perceived Hesitancy of Public Health institutions to Curtail HIV in Black Women

Perception of People Living With HIV/AIDS Affecting Lost to Follow-Up of ARV Therapy

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