Communication Between Middle SES Black Women and Healthcare Providers About HIV Testing

Fray, Niasha; Caldwell, Kia Lilly

doi:10.1016/j.jnma.2016.11.005

Cited by 10 publications

(8 citation statements)

References 33 publications

(47 reference statements)

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“…However, the high socioeconomic status of the sample may have important implications that are reflected in the body of data obtained. Very few studies have focused on HIV/AIDS risk among African American women with higher socioeconomic statuses and the challenges that they may face in their environment that are similar to women of color with lower socioeconomic statuses [59,60].…”

Section: Discussionmentioning

confidence: 99%

Utilization of an Animated Electronic Health Video to Increase Knowledge of Post- and Pre-Exposure Prophylaxis for HIV Among African American Women: Nationwide Cross-Sectional Survey

Bond¹,

Ramos²

2019

JMIR Form Res

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Background Despite renewed focus on biomedical prevention strategies since the publication of several clinical trials highlighting the efficacy of pre-exposure prophylaxis (PrEP), knowledge of postexposure prophylaxis (PEP) and PrEP continues to remain scarce among women, especially among African American women who are disproportionally affected by HIV. In an effort to address this barrier and encourage uptake of PEP and PrEP, an electronic health (eHealth) video was created using an entertainment-education format. Objective The study aimed to explore the feasibility, acceptability, and preference of an avatar-led, eHealth video, PEP and PrEP for Women, to increase awareness and knowledge of PEP and PrEP for HIV in a sample of African American women. Methods A cross-sectional, Web-based study was conducted with 116 African American women aged 18 to 61 years to measure participants’ perceived acceptability of the video on a 5-point scale: poor, fair, good, very good, and excellent. Backward stepwise regression was used to the find the outcome variable of a higher rating of the PEP and PrEP for Women video. Thematic analysis was conducted to explore the reasons for recommending the video to others after watching the eHealth video. Results Overall, 89% of the participants rated the video as good or higher. A higher rating of the educational video was significantly predicted by: no current use of drugs/alcohol (beta=−.814; P =.004), not having unprotected sex in the last 3 months (beta=−.488; P =.03), higher income (beta=.149; P =.03), lower level of education (beta=−.267; P =.005), and lower exposure to sexual assault since the age of 18 years (beta=−.313; P =.004). After watching the eHealth video, reasons for recommending the video included the video being educational, entertaining, and suitable for women. Conclusions Utilization of an avatar-led eHealth video fostered education about PEP and PrEP among African American women who have experienced insufficient outreach for biomedical HIV strategies. This approach can be leveraged to increase awareness and usage among African American women.

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Section: Discussionmentioning

confidence: 99%

Utilization of an Animated Electronic Health Video to Increase Knowledge of Post- and Pre-Exposure Prophylaxis for HIV Among African American Women: Nationwide Cross-Sectional Survey

Bond¹,

Ramos²

2019

JMIR Form Res

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“…Social status, education, and income make middle-class Black women perceived as being less susceptible to HIV compared with Black women of lower socioeconomic status [9,14]. As a result, this may have an effect on the presented opportunities for HIV and STI testing within health care settings due to Black women of higher education levels and socioeconomic status perceiving themselves as low risk, together with health care providers also perceiving them as low risk [14], thus reducing the likelihood of screening for HIV and STIs.…”

Section: Higher Education Levels and Hiv Riskmentioning

confidence: 99%

“…The large majority of studies that assess HIV risk and perceptions along with HIV prevention efforts among Black women primarily focus on Black women of low socioeconomic status [11][12][13]. Although this sub-group of Black women is at great risk for HIV, the experiences of Black women of higher socioeconomic status have been remarkably overlooked in HIV/ AIDS prevention and research efforts [14]. The National HIV/AIDS Strategy for the USA [15] has placed an increased emphasis on reducing new HIV infections through testing along with increased implementation of programs to reduce health-related disparities and inequities.…”

Section: Introductionmentioning

confidence: 99%

“…The National HIV/AIDS Strategy for the USA [15] has placed an increased emphasis on reducing new HIV infections through testing along with increased implementation of programs to reduce health-related disparities and inequities. Thus, expanding on HIV prevention research for this population is both important and timely in discerning the needs and risk perceptions of Black women in relation to gender and socioeconomic status [14]. The dearth of literature examining HIV and STI knowledge, along with the sexual experiences of Black women in college, is concerning given that Black women in college between the ages of 18 and 24 are at high risk of adverse sexual health outcomes [16].…”

Section: Introductionmentioning

confidence: 99%

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Social and Environmental Influences on Sexual Behaviors of College Black Women: Within Group Diversity Between HBCU vs. PWI Experiences

Chandler

Guillaume

Tesema

et al. 2020

J. Racial and Ethnic Health Disparities

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Black women carry a disproportionate number of new HIV infections in the USA. Studies that have assessed HIV risk perception along with HIV prevention interventions for Black women have primarily focused on Black women of low socioeconomic status. Few studies have assessed HIV risk perceptions and sexual behavior among college-educated Black women of higher socioeconomic status despite their high risk of HIV. College-educated Black women are most likely to acquire HIV while in college, and there has been a marked absence of research assessing the environmental and cultural influences present throughout collegecampuses, coupled with evaluating how these factors shape sexual behaviors. We conducted surveys with Black female students attending a historically Black college and Black female students attending a predominately White university, and compared baseline differences in sexual behaviors among both populations. Results showed that for participants attending the historically Black college certain sociocultural elements, such as music and media, had a significantly stronger influence on sexuality and sexual behaviors compared with students attending predominately White universities. The development of future HIV prevention interventions for Black women necessitates an understanding of the diverse microcultures that Black women come from. This research is high priority for college-educated Black women given this population's lack of inclusion in HIV prevention research.

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“…Very few studies have focused on HIV/AIDS risk among African American women with high socioeconomic statuses and the challenges that they may face in their environment that are similar to women of color with lower socioeconomic statuses. [36,37] The high acceptability of the video could be attributed to its focus on providing educational messages in an entertainment content to raise awareness and increase knowledge of two novel HIV prevention strategies, PEP and PrEP.…”

Section: This Intervention Aimed To Increase Knowledge and Initiationmentioning

confidence: 99%

Utilization of an Animated Electronic Health Video to Increase Knowledge of Post- and Pre-Exposure Prophylaxis for HIV Among African American Women: Nationwide Cross-Sectional Survey (Preprint)

Bond¹,

Ramos²

2018

Preprint

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Background: EHealth technology has significantly impacted HIV prevention strategies, but reach to African American women has been scarce. Objectives:To explore the feasibility, acceptability, and preference of an avatar-led, eHealth video to increase awareness and knowledge of HIV post and pre-exposure prophylaxis (PEP and PrEP) in a sample of African American women. Methods:A cross-sectional, descriptive, online study was conducted with 116 African American women ages 18 to 61. We explored: 1) consumer-awareness, 2) intention to use, and 3) preference for post and pre-exposure prophylaxis after watching the eHealth video.Results: Eighty-nine percent rated the video as good or higher. A higher rating of the educational video was significantly predicted by: no current use of drugs/alcohol (β = -.814, p = .004); not having unprotected sex in the last 3 months (β =-.488, p = .025); higher income (β =.149, p = . 026); lower level of education (β =-.267, p = .005); and, a lower exposure to sexual assault since age 18 (β =-.313, p = .004). After watching the eHealth video, interest in both, PEP and PrEP was high, with intentions to use PEP and PrEP being 96.7% and 75.6% respectively. Ninety-three percent reported recommending PEP and 90.1% PrEP to other women. Conclusions:Utilization of an avatar-led, eHealth, online video fostered education about PEP and PrEP. We can leverage this approach to increase awareness and usage among African American women.

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Communication Between Middle SES Black Women and Healthcare Providers About HIV Testing

Cited by 10 publications

References 33 publications

Utilization of an Animated Electronic Health Video to Increase Knowledge of Post- and Pre-Exposure Prophylaxis for HIV Among African American Women: Nationwide Cross-Sectional Survey

Utilization of an Animated Electronic Health Video to Increase Knowledge of Post- and Pre-Exposure Prophylaxis for HIV Among African American Women: Nationwide Cross-Sectional Survey

Social and Environmental Influences on Sexual Behaviors of College Black Women: Within Group Diversity Between HBCU vs. PWI Experiences

Utilization of an Animated Electronic Health Video to Increase Knowledge of Post- and Pre-Exposure Prophylaxis for HIV Among African American Women: Nationwide Cross-Sectional Survey (Preprint)

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