A Longitudinal, Qualitative Exploration of Perceived HIV Risk, Healthcare Experiences, and Social Support as Facilitators and Barriers to PrEP Adoption Among Black Women

被引：0
作者：
Liesl A. Nydegger
Julia Dickson-Gomez
Thant Ko Ko
机构：
[1] University of Texas at Austin,Department of Kinesiology and Health Education
[2] Medical College of Wisconsin,Department of Epidemiology
[3] Institute for Health and Equity,undefined
[4] Medical College of Wisconsin,undefined
来源：
AIDS and Behavior | 2021年 / 25卷
关键词：
Black/African-American women; HIV/AIDS; PrEP barriers; Medical mistrust; Perceived HIV risk;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Black women contract HIV at much higher rates than White or Hispanic women. Pre-exposure prophylaxis (PrEP) is an underutilized prevention tool among this population. We sought to determine participants’ interest in PrEP and facilitators and barriers to PrEP adoption. This longitudinal, qualitative study included 30 Black women (Mage = 32.2) interviewed 4 times over 6 months. Most participants had never heard of PrEP and a majority expressed initial interest. Barriers to PrEP initiation included low perceived HIV risk, medical mistrust, provider experiences and knowledge, negative reactions from family and friends, low perceived efficacy to adherence, and transportation. This study demonstrated actual, rather than hypothetical, PrEP interest and attitudes among Black women, and the barriers that arose over time during the study. PrEP awareness needs to be promoted among Black women and medical providers. Future research should address individual risk perception, medical mistrust, increasing social support, and decreasing transportation barriers.
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页码：582 / 591
页数：9
相关论文
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