Perceptions of African American Women and Health Care Professionals Related to Pre-Exposure Prophylaxis to Prevent HIV

Pearson, Triniece Nicole; Chandler, Rasheeta; McCreary, Linda L.; Patil, Crystal L.; McFarlin, Barbara L.

doi:10.1016/j.jogn.2020.07.003

Cited by 6 publications

(7 citation statements)

References 20 publications

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“…Furthermore, insufficient communication between patients and health care providers may limit PrEP uptake among Black cisgender women. Studies have demonstrated that PrEP prescribing tends to be low amongst primary health physicians; and even when support for PrEP among health care providers is high, the actual prescribing of PrEP remains low [17][18][19]. It is imperative to understand Black women's perspectives about PrEP to support the development of tailored interventions that promote Black women's PrEP uptake, as there are unique cultural, social, and behavioral influences that impact PrEP adoption in this population [19].…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, exploring health care provider's knowledge, attitudes, and perspectives towards PrEP is also imperative in meeting targets for PrEP initiation among Black women, as perceptions of PrEP among providers can influence whether Black women receive a prescription for PrEP [18,20]. HIV prevention interventions involving the use of mobile health (mHealth) technology tailored towards the needs, preferences, and lived experiences of Black cisgender women may be effective in increasing PrEP uptake in this population.…”

Section: Introductionmentioning

confidence: 99%

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Let Me Prep You to PREP Me: Amplifying the Voices of Black Women and Their Providers to Consider PrEP as an HIV Prevention Option

Chandler

Guillaume

Wells

et al. 2022

IJERPH

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Despite the high efficacy of pre-exposure prophylaxis (PrEP) in preventing HIV acquisition, PrEP uptake among Black cisgender women remains low. Our qualitative study assessed Black cisgender women’s perspectives, attitudes, and acceptability towards PrEP, in addition to exploring PrEP-related attitudes, facilitators, and barriers to PrEP access among health care staff. This study was conducted to ascertain data to inform the development of our HIV prevention app—Savvy HER—which is being designed for Black cisgender women. Our findings indicated that Black women had low levels of PrEP acceptability and high levels of misconceptions, inaccurate knowledge, and stigma towards PrEP. Health care providers in our sample confirmed barriers of stigma, misconceptions, and knowledge among their patients coupled with difficulty accessing PrEP due to structural barriers. Our study indicated that there is a critical need to heighten Black cisgender women’s PrEP knowledge and HIV risk perception in order to increase PrEP acceptability and uptake.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Let Me Prep You to PREP Me: Amplifying the Voices of Black Women and Their Providers to Consider PrEP as an HIV Prevention Option

Chandler

Guillaume

Wells

et al. 2022

IJERPH

Self Cite

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“…Nine (15%) articles focused on supply-side issues. 36,57,[62][63][64][65][66][67][68] The themes identified for the supply-side phase were as follows: (4) provider-patient communication and (5) provider knowledge and referral. Finally, seven (12%) articles [69][70][71][72][73][74][75] focused on adherence and retention.…”

Section: Resultsmentioning

confidence: 99%

US Black cisgender women and pre-exposure prophylaxis for human immunodeficiency virus prevention: A scoping review

Conley

Johnson

Bond

et al. 2022

Womens Health (Lond Engl)

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Background: Black cisgender women in the United States experience a disproportionate burden of human immunodeficiency virus acquisition. Pre-exposure prophylaxis is an effective oral daily medication that reduces the risk of human immunodeficiency virus through sex by 99% when taken as prescribed. However, less than 2% of eligible Black cisgender women take pre-exposure prophylaxis. The purpose of this scoping review was to describe the types of research studies done in this area, gaps in knowledge, and potential areas of research needed to increase pre-exposure prophylaxis use among Black cisgender women in the United States. Methods: We conducted our search in MEDLINE (PubMed), Embase (Elsevier), CINAHL (EBSCOhost), PsycINFO (EBSCOhost), and Scopus (Elsevier) using a combination of keywords and database-specific subject headings for the following concepts: pre-exposure prophylaxis, African American/Black or minority, and women. We used the Joanna Briggs Institute’s Reviewers’ Manual process for Scoping Reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews to ensure comprehensive and standardized reporting of each part of the review. Results: Fifty-nine studies were included in the final review. Results of the study were classified according to the three phases of the Human Immunodeficiency Virus Prevention Cascade—demand side, supply side, and adherence and retention. The majority of studies ( n = 24, 41%) were cross-sectional quantitative surveys and 43 (34%) focused on the demand-side phase of the Human Immunodeficiency Virus Prevention Cascade. Fifty-eight percent of studies either assessed women’s pre-exposure prophylaxis knowledge, attitudes, and intentions to use, or assessed perceived barriers and facilitators. Seven studies (12%) tested pre-exposure prophylaxis uptake and adherence among Black cisgender women. Conclusion: This review found multiple missed opportunities to increase women’s demand for pre-exposure prophylaxis and health care provider screening and referral for pre-exposure prophylaxis. Additional studies are needed to effectively assess pre-exposure prophylaxis uptake and adherence among Black cisgender women.

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“…Our finding that none of the women in our study initiated PrEP in the subsequent year suggests that the barriers to PrEP that they perceived ultimately outweighed perceived benefits. Previous research has identified concerns about side effects and safety, out-of-pocket costs, lack of PrEP knowledge, misinformation from healthcare providers, medical mistrust, discomfort communicating with healthcare providers, stigma, pharmacy-related challenges, complexity/burden of the PrEP regimen, and low perceived risk of HIV acquisition to be among the barriers to PrEP that women may experience [ 19 – 26 ]. Perceived barriers to PrEP can contribute to persistent “PrEP rumination,” or ongoing thoughtful deliberation that delays or prevents uptake [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…Beyond addressing perceived barriers, PrEP interventions should underscore the prospective benefits of PrEP, which may be similarly or more influential to individuals’ assessment of their own PrEP candidacy [ 28 ]. For example, messaging that focuses on autonomy and self-care may be more likely to resonate with women than risk-focused messaging intended to provoke fear [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Electronic Dissemination of a Web-Based Video Promotes PrEP Contemplation and Conversation Among US Women Engaged in Care at Planned Parenthood

et al. 2021

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We evaluated the acceptability and impact of a web-based PrEP educational video among women ( n = 126) by comparing two Planned Parenthood centers: one assigned to a Web Video Condition and one to a Standard Condition. Most women reported the video helped them better understand what PrEP is (92%), how PrEP works (93%), and how to take PrEP (92%). One month post-intervention, more women in the Web Video Condition reported a high level of comfort discussing PrEP with a provider (82% vs. 48%) and commonly thinking about PrEP (36% vs. 4%). No women with linked medical records initiated PrEP during 1-year follow-up. Supplementary Information The online version contains supplementary material available at 10.1007/s10461-021-03210-2.

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Perceptions of African American Women and Health Care Professionals Related to Pre-Exposure Prophylaxis to Prevent HIV

Cited by 6 publications

References 20 publications

Let Me Prep You to PREP Me: Amplifying the Voices of Black Women and Their Providers to Consider PrEP as an HIV Prevention Option

Let Me Prep You to PREP Me: Amplifying the Voices of Black Women and Their Providers to Consider PrEP as an HIV Prevention Option

US Black cisgender women and pre-exposure prophylaxis for human immunodeficiency virus prevention: A scoping review

Electronic Dissemination of a Web-Based Video Promotes PrEP Contemplation and Conversation Among US Women Engaged in Care at Planned Parenthood

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