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<p>Women who have migrated from Sub-Saharan Africa (WMSSA) account for a disproportionate share of new HIV diagnoses in France yet remain underserved by prevention strategies, including pre-exposure prophylaxis (PrEP). We conducted a cross-sectional survey of 151 HIV-negative WMSSA attending two family planning centers (FPCs) in Greater Paris (2023–2024) to assess knowledge, attitudes, and perspectives regarding PrEP delivery. PrEP eligibility was determined using clinical criteria, and logistic regression identified factors associated with willingness to use PrEP. PrEP awareness was low (11.3%), yet 62.2% reported willingness to initiate PrEP after receiving information, and 51.0% met eligibility criteria. Most participants (80.1%) identified FPCs as their preferred location for PrEP services. Willingness to initiate PrEP was higher among women meeting eligibility criteria (aOR = 2.37, 95%CI [1.13–4.96]) and decreased with longer time living in France (aOR = 0.91/year, 95%CI [0.83–0.99]). Integrating PrEP into FPCs could be a key strategy to reduce HIV disparities in this population.</p>

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Trusted Spaces, New Services: Family Planning Centers and PrEP Acceptability Among Women Who Have Migrated from Sub-Saharan Africa in France

  • 期刊论文

  • 发表日期：

    2026年4月17日

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  • Andrés Ramírez Zamudio,
  • Victoria Manda,
  • Joseph A. Mason,
  • Julie Castaneda,
  • Jean Guilleminot,
  • Fati Abdou,
  • Samantha A. Devlin,
  • Eleanor Friedman,
  • Jessica P. Ridgway,
  • Amy K. Johnson,
  • Geoffroy Liegeon

摘要

Women who have migrated from Sub-Saharan Africa (WMSSA) account for a disproportionate share of new HIV diagnoses in France yet remain underserved by prevention strategies, including pre-exposure prophylaxis (PrEP). We conducted a cross-sectional survey of 151 HIV-negative WMSSA attending two family planning centers (FPCs) in Greater Paris (2023–2024) to assess knowledge, attitudes, and perspectives regarding PrEP delivery. PrEP eligibility was determined using clinical criteria, and logistic regression identified factors associated with willingness to use PrEP. PrEP awareness was low (11.3%), yet 62.2% reported willingness to initiate PrEP after receiving information, and 51.0% met eligibility criteria. Most participants (80.1%) identified FPCs as their preferred location for PrEP services. Willingness to initiate PrEP was higher among women meeting eligibility criteria (aOR = 2.37, 95%CI [1.13–4.96]) and decreased with longer time living in France (aOR = 0.91/year, 95%CI [0.83–0.99]). Integrating PrEP into FPCs could be a key strategy to reduce HIV disparities in this population.