U.S. Black Women and Human Immunodeficiency Virus Preexposure Prophylaxis Implementation

Hoover, Karen W.; Kourtis, Athena P.; Smith, Dawn K.

doi:10.1097/aog.0000000000004829

Cited by 1 publication

(2 citation statements)

References 10 publications

(18 reference statements)

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“…Furthermore, the use of community-to-clinic models with women-serving community-based organizations providing education and referral to PrEP services and co-location of HIV testing and PrEP clinical services could support increasing PrEP use among Black women. 30 The THRIVE project and the data we used in this analysis are subject to limitations. We may have underestimated the proportion of Black women prescribed PrEP if they received PrEP services from a clinician not included in the THRIVE collaborative.…”

Section: Resultsmentioning

confidence: 99%

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Inequities Along the Human Immunodeficiency Virus (HIV) Pre-exposure Prophylaxis Services Continuum for Black Women in the United States, 2015–2020

Townes,

Tanner,

et al. 2023

Obstetrics &Amp; Gynecology

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OBJECTIVE: To estimate the number of women who received human immunodeficiency virus (HIV) and sexually transmitted infection (STI) testing and HIV pre-exposure prophylaxis (PrEP) services by race and ethnicity in seven THRIVE (Targeted Highly Effective Interventions to Reverse the HIV Epidemic)–funded jurisdictions and to estimate associations of age and syphilis and gonorrhea diagnoses with receipt of HIV PrEP services. METHODS: We analyzed data collected from 2015 to 2020 in Birmingham, Alabama; Baltimore City, Maryland; Washington, DC, New Orleans, Louisiana; Brooklyn, New York; Philadelphia, Pennsylvania; and Hampton Roads, Virginia. We compared Black women and women of additional racial and ethnic groups by age, HIV status at enrollment, receipt of STI testing and test positivity, and steps in the PrEP continuum (screened, eligible, referred, linked, and prescribed). We also examined the association of age, syphilis, or gonorrhea with the following steps in the PrEP continuum: screened, referred, linked, and prescribed. RESULTS: Black women made up 69.2% (8,758/12,647) of women served in THRIVE. Compared with non-Black women, Black women were more likely to have a positive test result for syphilis (3.3% vs 2.1%), gonorrhea (4.9% vs 3.5%), chlamydia (5.1% vs 1.9%), or more than one STI (1.4% vs 0.3%). Among women with negative HIV test results or unknown HIV status, Black women were more likely to be screened for PrEP eligibility (88.4% vs 64.9%). Among Black women, the proportion screened for PrEP was higher among those diagnosed with syphilis (97.3%) or gonorrhea (100%) than among those without an STI (88.1% and 87.8%, respectively). Among 219 Black women who presented with syphilis, only 10 (4.6%) were prescribed PrEP; among 407 with gonorrhea, only 11 (2.7%) were prescribed PrEP. CONCLUSION: Although most Black women seeking services received STI testing, the proportion of Black women who were eligible for PrEP and prescribed PrEP was low. To achieve national HIV-prevention goals, it is imperative that Black women have access to PrEP information and services.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Inequities Along the Human Immunodeficiency Virus (HIV) Pre-exposure Prophylaxis Services Continuum for Black Women in the United States, 2015–2020

Townes,

Tanner,

et al. 2023

Obstetrics &Amp; Gynecology

Self Cite

View full text Add to dashboard Cite

show abstract

U.S. Black Women and Human Immunodeficiency Virus Preexposure Prophylaxis Implementation

Abstract: Black women are disproportionately affected by human immunodeficiency virus, but preexposure prophylaxis uptake for prevention remains low among women.

Cited by 1 publication

References 10 publications

Inequities Along the Human Immunodeficiency Virus (HIV) Pre-exposure Prophylaxis Services Continuum for Black Women in the United States, 2015–2020

Inequities Along the Human Immunodeficiency Virus (HIV) Pre-exposure Prophylaxis Services Continuum for Black Women in the United States, 2015–2020

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