Journal
SEXUALITY RESEARCH AND SOCIAL POLICY
Volume 19, Issue 1, Pages 180-193Publisher
SPRINGER
DOI: 10.1007/s13178-021-00533-6
Keywords
HIV; Sexual reproductive health; Pre-exposure prophylaxis; Cisgender women; Young adult; Black; African American; Intersectionality
Categories
Funding
- T32 Behavioral Science Training at New York University Rory Meyers College of Nursing postdoctoral fellowship [T32DA007233-33]
- Center for Drug Use and HIV Research [CDUHR-P30 DA011041]
- National Institute of Mental Health of the National Institutes of Health [R25MH087217]
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The study found that multi-level strategies are needed to address barriers for young Black women to integrate HIV prevention into sexual and reproductive healthcare.
Introduction There is limited functional knowledge and utilization of pre-exposure prophylaxis (PrEP) among young adult Black cisgender women (YBW). Methods We conducted four focus groups with YBW using an intersectional framework to explore multiple levels of factors that impede YBW awareness, interest, and utilization of PrEP in conjunction with their sexual and reproductive healthcare needs. Results Influences at the cultural-environmental level included a lack of information and resources to access to PrEP and medical mistrust in the healthcare system. At the social normative level, influences included attitudes towards the long-term effects on sexual and reproductive health and self-efficacy to follow the PrEP regimen. At the proximal intrapersonal level, influences included anticipated HIV stigma from family and peers along with the fear of rejection from their main partners. Conclusions Translation of these results indicated that interventions to increase PrEP utilization and adherence among YBW will require multi-level strategies to address barriers to integrating HIV prevention into sexual and reproductive healthcare.
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