Scholarlink

Background <p>The lack of engagement and use of pre-exposure prophylaxis (PrEP) among Black women in the Southern United States is an enduring health disparity. Guided by an integrated theoretical framework and the PrEP Cascade, this qualitative inquiry aimed to explore Black women’s motivation and decision-making regarding PrEP engagement and identify strategies to enhance PrEP messaging and uptake for those with indication(s) for PrEP use.</p> Materials and Methods <p>Twelve semi-structured Zoom interviews were conducted between February 2020 and March 2022. Participants were sampled from a larger pool in an online survey study about factors associated with PrEP uptake among Black women. Interviews explored whether women started PrEP (or not) within 3&#xa0;months after learning about PrEP in the survey and explored their reasoning. Data analysis included quantitative descriptive statistics and directed content analysis.</p> Results <p>None of the 12 women had started PrEP at the time of the interview. Two were in discussions with their provider about PrEP (stage 3: PrEParation), and one intended to initiate PrEP within the next 3&#xa0;months (i.e., thinking about it). Two main themes emerged as their reasons for not starting PrEP: current relationship status and PrEP information (awareness, knowledge, and literacy). Participants expressed a lack of trust in PrEP due to insufficient information while anticipated challenges in obtaining PrEP included cost and the patient-provider relationship (engagement and communication).</p> Conclusion <p>The findings highlight missed opportunities to improve PrEP use among Black women within the PrEP contemplation phase, emphasizing the need for improved PrEP messaging and tailored PrEP programs and/or interventions for this group.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Understanding PrEP Contemplation Among Black Women: Insights from a Qualitative Analysis

  • 期刊论文

  • 发表日期：

    2025年4月16日

查看全文
  • Amber I. Sophus,
  • Kathryn L. Braun,
  • Jason W. Mitchell,
  • Julie Barroso,
  • Jessica M. Sales,
  • Natalie M. LeBlanc

摘要

Background

The lack of engagement and use of pre-exposure prophylaxis (PrEP) among Black women in the Southern United States is an enduring health disparity. Guided by an integrated theoretical framework and the PrEP Cascade, this qualitative inquiry aimed to explore Black women’s motivation and decision-making regarding PrEP engagement and identify strategies to enhance PrEP messaging and uptake for those with indication(s) for PrEP use.

Materials and Methods

Twelve semi-structured Zoom interviews were conducted between February 2020 and March 2022. Participants were sampled from a larger pool in an online survey study about factors associated with PrEP uptake among Black women. Interviews explored whether women started PrEP (or not) within 3 months after learning about PrEP in the survey and explored their reasoning. Data analysis included quantitative descriptive statistics and directed content analysis.

Results

None of the 12 women had started PrEP at the time of the interview. Two were in discussions with their provider about PrEP (stage 3: PrEParation), and one intended to initiate PrEP within the next 3 months (i.e., thinking about it). Two main themes emerged as their reasons for not starting PrEP: current relationship status and PrEP information (awareness, knowledge, and literacy). Participants expressed a lack of trust in PrEP due to insufficient information while anticipated challenges in obtaining PrEP included cost and the patient-provider relationship (engagement and communication).

Conclusion

The findings highlight missed opportunities to improve PrEP use among Black women within the PrEP contemplation phase, emphasizing the need for improved PrEP messaging and tailored PrEP programs and/or interventions for this group.