The HIP LADIES

Chandler, Rasheeta; Ross, Henry; Paul, Sudeshna; Shittu, Adedoyin; Lescano, Celia M.; Hernandez, Natalie; Morrison‐Beedy, Dianne

doi:10.1097/jnc.0000000000000058

Cited by 4 publications

(4 citation statements)

References 30 publications

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“…This finding mirrors the results of other studies that have evaluated the use of mHealth to address Black women's sexual and reproductive health needs, in which Black women have demonstrated relatively high rates of acceptability [19][20][21]. One study that involved interviewing Black college women about their perceptions toward and knowledge of HIV showed that participants overwhelmingly described using the internet as their primary source of information [22]. These findings suggest that there is ample opportunity to promote digital strategies to support HIV prevention and to endorse positive health outcomes within this key community.…”

Section: Principal Findingssupporting

confidence: 78%

“…Given the high incompletion rate, significance testing was not conducted because we were not adequately powered to detect a moderate or high effect size. However, our mixed methods study design and thorough investigation of survey responses allowed us to triangulate the quantitative and qualitative data, which was a strength of our study [15,19,22,31,32].…”

Section: Limitationsmentioning

confidence: 99%

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Mobile Phone Apps for HIV Prevention Among College-Aged Black Women in Atlanta: Mixed Methods Study and User-Centered Prototype

et al. 2023

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Background Black women in college are disproportionately affected by HIV diagnoses. Mobile apps can facilitate the innovative delivery of accurate HIV and sexual and reproductive health information. However, mobile health interventions are severely underused in this population. Objective We aimed to quantitatively and qualitatively explore the perspectives of college-aged Black women on using a mobile health app for HIV prevention and sexual and reproductive health. The data obtained from Black women were used to design preliminary mobile app wireframes and features. Methods This explanatory, sequential mixed methods study took place from 2019 to 2020 and targeted Black women who were enrolled in college or who had recently graduated from college. Convenience sampling was used during the quantitative phase, followed by purposive sampling in the qualitative phase. A cross-sectional web-based survey evaluating the willingness to use a mobile app for HIV prevention was conducted in the quantitative phase. Descriptive statistics were used for all variables. A separate focus group discussion was conducted with Black women in college to expand on the quantitative results. Focus group discussions explored their perceptions on HIV and health content delivered through a mobile app along with potential features that participants desired within the app. Using the data obtained, we selected the primary features for the app prototype. Results In total, we enrolled 34 participants in the survey, with 6 participating in focus group discussions. Over half of the respondents reported a willingness to use an app that contained pre-exposure prophylaxis content. Women who claimed recent sexual activity reported being more likely to use an app feature that would allow them to order an at-home HIV testing kit than their non–sexually active counterparts. The emerging themes from the focus group session were Black women’s health concerns, HIV risk, sources of health information, and preferred app features. The content in our prototype included speaking with a specialist, HIV and pre-exposure prophylaxis information, holistic wellness, and features promoting engagement and retention. Conclusions The results of our study guided the design of wireframes for an app prototype targeting HIV prevention in college-aged Black women. The rapid growth of mobile devices in Black communities, coupled with high rates of smartphone ownership among Black youth, makes mobile health interventions a promising strategy for addressing sexual and reproductive health disparities. Participants in our sample were willing to use a culturally appropriate and gender-considerate app for their sexual health needs. Our findings indicate that Black women in college may be excellent candidates for mobile app–based interventions.

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Section: Principal Findingssupporting

confidence: 78%

Section: Limitationsmentioning

confidence: 99%

Mobile Phone Apps for HIV Prevention Among College-Aged Black Women in Atlanta: Mixed Methods Study and User-Centered Prototype

et al. 2023

Self Cite

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“…Other studies also found that participants preferred injectable PrEP versus a daily oral pill (Bekker et al, 2020 ; Philbin et al, 2020 , 2021 ; Tolley et al, 2019 ). While there are numerous behavioral HIV prevention interventions (e.g., Abrams et al, 2020 ; Campbell et al, 2011 ; Chandler et al, 2019 ; Daniel-Ulloa et al, 2016 ; Jones et al, 2008 ; Sapiano et al, 2013 ), future clinical trials on different PrEP administration methods should include BLCW to advance research, similar to other empirical HIV-related literature focused on BLCW.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Exploration of PrEP Interests, Barriers, and Interventions Among Black and Latina Cisgender Women in the U.S.

Nydegger,

Kidane,

Benitez

et al. 2023

Arch Sex Behav

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Black and Latina cisgender women (BLCW) are disproportionally affected by HIV, particularly in the southern U.S. In Austin, Texas, Black women contract HIV 18.4 times more and Latinas 2.6 times more compared to White women. Pre-exposure prophylaxis (PrEP) is a medication that prevents contracting HIV; however, PrEP adoption among women is low. The current qualitative study aimed to explore PrEP awareness, interest, preferred PrEP administration methods, barriers to PrEP adoption, and future programs to increase PrEP adoption and adherence among BLCW. A total of 18 BLCW at high risk for HIV were enrolled. Participants completed 3 semi-structured interviews across 3 months. Interviews were transcribed verbatim, coded, and analyzed using thematic content analysis. Results demonstrated that BLCW had low PrEP awareness, high initial PrEP interest, and were interested in a long-acting injectable form of PrEP. Barriers to PrEP adoption included concerns regarding side effects, concerns about adherence to the currently available daily pill, and difficulty with insurance. Participants proposed different ideas for interventions, including support groups, education, community-level programs, and structural interventions. Future studies should focus on increasing PrEP awareness and HIV risk, consider alternative forms of PrEP, educate providers and medical staff on PrEP, and consider tailored interventions to reduce HIV risk among BLCW.

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“…Further, there is a growing body of HIV prevention literature on sexual scripts, condom negotiation, and sexual power dynamics among Black heterosexual couples (Billings et al, 2015; Bowleg et al, 2004; Painter et al, 2014). Exploring partner dynamics and teaching condom negotiation skills have become central to HIV prevention programs designed for Black women (Billings et al, 2015; Brawner et al, 2019; Chandler et al, 2019; Painter et al, 2014; Widman et al, 2017). However, it remains to be seen how PrEP alters sexual scripts and condom negotiation between partners, because these data are not yet available, representing a key gap in the literature that future research should seek to fill.…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators to Pre-exposure Prophylaxis Uptake Among Black Women: A Qualitative Analysis Guided by a Socioecological Model

D’Angelo

Ewart

Koken

et al. 2021

J Assoc Nurses AIDS Care

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Black women experience disparities in HIV incidence. Pre-exposure prophylaxis (PrEP) is a once-daily pill that can prevent HIV transmission. To enhance PrEP uptake among Black women, it is essential to examine their perceptions of PrEP. In 2018, 33 Black women in New York City completed interviews about their attitudes, knowledge, and perceived barriers and facilitators to PrEP use. Emergent themes were organized using a socioecological model. Participants identified barriers at the sociocultural level, including stigma, medical mistrust, and health care avoidance. At the community level, health care access issues and limited community knowledge were reported. Partner-level barriers included trust in partners and meaning attributed to PrEP use within the context of monogamy. Individual-level barriers included low perceived risk and concerns about PrEP's safety and efficacy. Our findings can inform future PrEP research with Black women, as well as PrEP implementation efforts aimed at increasing uptake among this population.

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The HIP LADIES

Cited by 4 publications

References 30 publications

Mobile Phone Apps for HIV Prevention Among College-Aged Black Women in Atlanta: Mixed Methods Study and User-Centered Prototype

Mobile Phone Apps for HIV Prevention Among College-Aged Black Women in Atlanta: Mixed Methods Study and User-Centered Prototype

A Qualitative Exploration of PrEP Interests, Barriers, and Interventions Among Black and Latina Cisgender Women in the U.S.

Barriers and Facilitators to Pre-exposure Prophylaxis Uptake Among Black Women: A Qualitative Analysis Guided by a Socioecological Model

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