Social Networks and Its Impact on Women's Awareness, Interest, and Uptake of HIV Pre-exposure Prophylaxis (PrEP): Implications for Women Experiencing Intimate Partner Violence

Willie, Tiara C.; Stockman, Jamila K.; Keene, Danya E.; Calabrese, Sarah K.; Alexander, Kamila A.; Kershaw, Trace

doi:10.1097/qai.0000000000001935

Cited by 31 publications

(12 citation statements)

References 27 publications

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“…We purposively recruited women experiencing IPV who participated in a prospective cohort study examining factors influencing engagement in the PrEP care continuum (Willie et al, 2019;Willie et al, 2018d). Women were invited via phone using a standard script to complete a qualitative interview.…”

Section: Sampling and Recruitmentmentioning

confidence: 99%

“…The PrEP background information included details on dosing, efficacy, and side effects. More details on the quantitative survey procedures can be found at Willie et al (2019); Willie et al (2018d). For the qualitative interview, participants were asked about their romantic and/or sexual relationships, challenges associated with communicating about HIV prevention, experiences in the PrEP care continuum (i.e., interest, uptake), and barriers and facilitators of PrEP uptake.…”

Section: Qualitative Data Collection Proceduresmentioning

confidence: 99%

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“You Never Know What Could Happen”: Women’s Perspectives of Pre-Exposure Prophylaxis in the Context of Recent Intimate Partner Violence

Willie

Keene

Kershaw

et al. 2020

Women's Health Issues

Self Cite

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Background: Vulnerability to human immunodeficiency virus (HIV) infection is a significant public health issue for women experiencing intimate partner violence (IPV). Despite the increased risk of human immunodeficiency virus infection, women only represent 4.6% of pre-exposure prophylaxis (PrEP) users in the United States. IPV may present additional difficulties to PrEP access. In this qualitative study, we examined how IPV and the relational context shaped women's decisions, attitudes, and engagement in the PrEP care continuum. Methods: We conducted semistructured interviews with 19 women residing in Connecticut who participated in a prospective cohort study. We purposively recruited our sample to include women who reported physical and/or sexual IPV in the past 6 months, and used a grounded theory approach to analyze the qualitative data. Results: Our findings suggest multiple ways that the relational context can affect women's decisions, attitudes, and engagement in the PrEP care continuum. We identified five aspects of women's relationships that can shape women's interest, intentions, and access to PrEP: 1) relationship power struggles, 2) infidelity, 3) trust and monogamy, 4) male partner's reactions, and 5) "season of risk" (i.e., PrEP use only during times of perceived human immunodeficiency virus risk). Collectively, these findings suggest that women experiencing IPV might face additional relational challenges that need to be adequately addressed in settings administering PrEP. Conclusions: Communication on sexual risk reduction strategies should address relational factors and promote women's autonomy. Future research on long-acting and invisible forms of PrEP may help to circumvent some of the relational barriers women experiencing IPV may face when considering PrEP care.

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Section: Sampling and Recruitmentmentioning

confidence: 99%

Section: Qualitative Data Collection Proceduresmentioning

confidence: 99%

“You Never Know What Could Happen”: Women’s Perspectives of Pre-Exposure Prophylaxis in the Context of Recent Intimate Partner Violence

Willie

Keene

Kershaw

et al. 2020

Women's Health Issues

Self Cite

View full text Add to dashboard Cite

show abstract

“…These results are fairly consistent with existing research. Among 191 U.S. women recruited through online and community flyers, a quarter (25%) of those who reported IPV within the past 6 months were aware of PrEP, 45% were interested in learning more, and 42% intended to take PrEP (Willie et al, 2019). Braksmajer et al’s (2019) study involving in-depth interviews with 26 U.S. women disclosing recent IPV found that approximately half of the participants expressed interest in taking PrEP.…”

Section: Discussionmentioning

confidence: 99%

Intersection of Intimate Partner Violence and Pre-Exposure Prophylaxis: Exploring HIV Worry and PrEP Acceptability Among Women

O’Malley

Egan

Hawk

et al. 2020

Violence Against Women

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This article examines the prevalence of recent and lifetime intimate partner violence (IPV) and association with pre-exposure prophylaxis (PrEP) acceptability among women seeking care at an urban family planning clinic ( N = 145). We found high prevalence of recent (40%) and lifetime IPV (71%). Almost a third of participants reported being worried about HIV risk, 70% were willing to take PrEP, and 71% of women who disclosed recent IPV were willing to take PrEP. Findings provide direction for research, practice, and policy attention needed around the context of IPV to focus development of a woman-centered PrEP intervention.

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“…Evaluations can help both in understanding which types of interventions can assist in navigating the continuum, as well as the spatial [47,48] and network characteristics [49,50] of well-functioning continuums in specific contexts.…”

Section: Implications For Evaluation Of Continuum Of Carementioning

confidence: 99%

“… What are solutions to enhance the connectivity of especially disadvantaged clients across the continuum? Evaluations can help both in understanding which types of interventions can assist in navigating the continuum, as well as the spatial [ 47 , 48 ] and network characteristics [ 49 , 50 ] of well-functioning continuums in specific contexts. …”

Section: Quality Of Care Frameworkmentioning

confidence: 99%

The role of evaluation in iterative learning and implementation of quality of care interventions

Shah

Mathew

Pereira

et al. 2021

Global Health Action

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Background:The Lancet Global Health Commission (LGHC) has argued that quality of care (QoC) is an emergent property that requires an iterative process to learn and implement. Such iterations are required given that health systems are complex adaptive systems. Objective: This paper explores the multiple roles that evaluations need to play in order to help with iterative learning and implementation. We argue evaluation needs to shift from a summative focus toward an approach that promotes learning in complex systems. A framework is presented to help guide the iterative learning, and includes the dimensions of clinical care, person-centered care, continuum of care, and 'more than medicine. Multiple roles of evaluation corresponding to each of the dimensions are discussed. Methods: This paper is informed by reviews of the literature on QoC and the roles of evaluation in complex systems. The proposed framework synthesizes the multiple views of QoC. The recommendations of the roles of evaluation are informed both by review and experience in evaluating multiple QoC initiatives. Results: The specific roles of different evaluation approaches, including summative, realist, developmental, and participatory, are identified in relationship to the dimensions in our proposed framework. In order to achieve the potential of LGHC, there is a need to discuss how different evaluation approaches can be combined in a coherent way to promote iterative learning and implementation of QoC initiatives. Conclusion:One of the implications of the QoC framework discussed in the paper is that time needs to be spent upfront in recognizing areas in which knowledge of a specific intervention is not complete at the outset. This, of course, implies taking stock of areas of incompleteness in knowledge of context, theory of change, support structures needed in order for the program to succeed in specific settings. The role of evaluation should not be limited to only providing an external assessment, but an important goal in building evaluation capacity should be to promote adaptive management among planners and practitioners. Such iterative learning and adaptive management are needed to achieve the goals of sustainable development goals.

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Social Networks and Its Impact on Women's Awareness, Interest, and Uptake of HIV Pre-exposure Prophylaxis (PrEP): Implications for Women Experiencing Intimate Partner Violence

Cited by 31 publications

References 27 publications

“You Never Know What Could Happen”: Women’s Perspectives of Pre-Exposure Prophylaxis in the Context of Recent Intimate Partner Violence

“You Never Know What Could Happen”: Women’s Perspectives of Pre-Exposure Prophylaxis in the Context of Recent Intimate Partner Violence

Intersection of Intimate Partner Violence and Pre-Exposure Prophylaxis: Exploring HIV Worry and PrEP Acceptability Among Women

The role of evaluation in iterative learning and implementation of quality of care interventions

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