The Impact of Providers as Health Discussants on Black Women's Interest in PrEP for HIV Prevention.

IF 2.2 Q3 INFECTIOUS DISEASES
Whitney C Irie, Merriah A Croston, Anais Mahone
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Abstract

This study sought to examine the role of providers as health discussants (HD) on interest in preexposure prophylaxis for HIV prevention in a national sample of adult Black cisgender women (N = 315). Health discussant networks, a type of social network, may be influential in HIV prevention efforts. These networks, often composed of individuals' families, have improved health utilization outcomes in other disciplines. However, health discussants in HIV prevention are understudied, especially when considering providers as network members. We conducted a cross-sectional online survey and collected socio-demographic information, sexual history, HIV concerns, PrEP attitudes, healthcare utilization, mistrust, social support, and HD information. We used descriptive statistics and logistic regression to analyze data. Associations between PrEP interest and variables were examined. We found that older, partnered, who had recent healthcare visits or health insurance were more likely to involve healthcare providers as discussants. Anticipated PrEP stigma decreased provider involvement. Among participants listing providers as discussants, there was a greater likelihood of interest in using PrEP. Our findings indicate that healthcare provider support and social factors are crucial in promoting PrEP engagement among Black women. Integrating social dynamics and positive provider-patient interactions is essential for successful PrEP implementation.

医疗服务提供者作为健康讨论者对黑人女性对 PrEP 预防艾滋病兴趣的影响》(The Impact of Providers as Health Discussants on Black Women's Interest in PrEP for HIV Prevention)。
本研究试图研究作为健康讨论者(HD)的医疗服务提供者在全国成年黑人顺性别女性样本(N = 315)中对暴露前预防艾滋病的兴趣所起的作用。健康讨论者网络是一种社会网络,可能会对艾滋病预防工作产生影响。这些网络通常由个人的家庭组成,在其他学科中改善了健康利用的结果。然而,人们对艾滋病预防中的健康讨论者研究不足,尤其是将医疗服务提供者视为网络成员时。我们进行了一项横断面在线调查,收集了社会人口信息、性史、对 HIV 的关注、对 PrEP 的态度、医疗保健利用率、不信任、社会支持和 HD 信息。我们使用描述性统计和逻辑回归分析数据。我们研究了 PrEP 的兴趣与变量之间的关联。我们发现,年龄较大、有伴侣、最近就诊过或购买过医疗保险的人更有可能让医疗服务提供者参与讨论。预期的 PrEP 耻辱感会降低医疗服务提供者的参与度。在将医疗服务提供者列为讨论者的参与者中,更有可能对使用 PrEP 感兴趣。我们的研究结果表明,医疗服务提供者的支持和社会因素对于促进黑人女性参与 PrEP 至关重要。整合社会动力和医疗服务提供者与患者之间的积极互动对于成功实施 PrEP 至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.50
自引率
0.00%
发文量
43
审稿时长
13 weeks
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