Perceptions of and preferences for PrEP use among African American women and providers in the U.S. South: a qualitative study.

IF 2.4 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2024-03-05 DOI:10.1080/08870446.2024.2322079

Elizabeth M Waldron, Georgia R Goodman, Alexa M Rivas, Corilyn Ott, Abigail Blyler, Victoria W McDonald, Marquetta Campbell, Eric Underwood, Aharisi Bonner, Jenni M Wise, Latesha Elopre, Kachina Kudroff, Douglas Krakower, Kenneth Sherr, Mirjam-Colette Kempf, Christina Psaros

{"title":"Perceptions of and preferences for PrEP use among African American women and providers in the U.S. South: a qualitative study.","authors":"Elizabeth M Waldron, Georgia R Goodman, Alexa M Rivas, Corilyn Ott, Abigail Blyler, Victoria W McDonald, Marquetta Campbell, Eric Underwood, Aharisi Bonner, Jenni M Wise, Latesha Elopre, Kachina Kudroff, Douglas Krakower, Kenneth Sherr, Mirjam-Colette Kempf, Christina Psaros","doi":"10.1080/08870446.2024.2322079","DOIUrl":null,"url":null,"abstract":"Objective: African American (AA) women in the U.S. South experience significant HIV incidence, and efforts to support antiretroviral pre-exposure prophylaxis (PrEP) uptake and maintenance among this group have been insufficient. This study aimed to explore perceptions, attitudes, and implementation preferences surrounding PrEP use for AA women in the U.S. South.Methods and measures: The study team conducted qualitative interviews with AA cisgender women clients (n = 21) and their providers (n = 20) in Federally Qualified Health Centers and HIV clinics in Alabama. The research team employed directed qualitative content analysis to analyze interview data.Results: Five themes emerged: a) inconsistent access to PrEP and PrEP knowledge, b) need for improving low PrEP awareness, c) managing hesitancy to prescribe or use PrEP, d) perceived HIV vulnerability and inherent stigma, and e) normalizing PrEP as part of routine sexual healthcare to increase uptake and maintenance. Interviews revealed an openness towards PrEP as an HIV prevention strategy for AA, cisgender women in Alabama.Conclusion: Improving PrEP uptake and maintenance among AA women in the U.S. South must go beyond increasing awareness to improving PrEP access and trust through visibility of AA women's PrEP use and incorporating PrEP education and services into routine sexual healthcare.","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1-20"},"PeriodicalIF":2.4000,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11374930/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology & Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08870446.2024.2322079","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: African American (AA) women in the U.S. South experience significant HIV incidence, and efforts to support antiretroviral pre-exposure prophylaxis (PrEP) uptake and maintenance among this group have been insufficient. This study aimed to explore perceptions, attitudes, and implementation preferences surrounding PrEP use for AA women in the U.S. South.

Methods and measures: The study team conducted qualitative interviews with AA cisgender women clients (n = 21) and their providers (n = 20) in Federally Qualified Health Centers and HIV clinics in Alabama. The research team employed directed qualitative content analysis to analyze interview data.

Results: Five themes emerged: a) inconsistent access to PrEP and PrEP knowledge, b) need for improving low PrEP awareness, c) managing hesitancy to prescribe or use PrEP, d) perceived HIV vulnerability and inherent stigma, and e) normalizing PrEP as part of routine sexual healthcare to increase uptake and maintenance. Interviews revealed an openness towards PrEP as an HIV prevention strategy for AA, cisgender women in Alabama.

Conclusion: Improving PrEP uptake and maintenance among AA women in the U.S. South must go beyond increasing awareness to improving PrEP access and trust through visibility of AA women's PrEP use and incorporating PrEP education and services into routine sexual healthcare.

查看原文本刊更多论文

美国南部非洲裔美国妇女和医疗服务提供者对使用 PrEP 的看法和偏好：一项定性研究。

目的：美国南部非洲裔美国人（AA）妇女的艾滋病发病率很高，而支持该群体接受和维持抗逆转录病毒暴露前预防疗法（PrEP）的努力却不够。本研究旨在探讨美国南部 AA 妇女对使用 PrEP 的看法、态度和实施偏好：研究小组对阿拉巴马州联邦合格医疗中心和 HIV 诊所中的 AA 顺性别女性客户（21 人）及其医疗服务提供者（20 人）进行了定性访谈。研究小组采用定向定性内容分析来分析访谈数据：访谈中出现了五个主题：a) PrEP 获取途径和 PrEP 知识不一致；b) 需要提高对 PrEP 的低认知度；c) 处理对开具或使用 PrEP 的犹豫不决；d) 感知到的艾滋病易感性和固有的耻辱感；e) 将 PrEP 作为常规性医疗保健的一部分，使其正常化，以提高接受率和维持率。访谈显示，阿拉巴马州的 AA 顺性别女性对 PrEP 作为艾滋病预防策略持开放态度：结论：要提高美国南部 AA 族女性对 PrEP 的使用率和维持率，除了提高对 PrEP 的认识外，还必须通过提高 AA 族女性使用 PrEP 的能见度以及将 PrEP 教育和服务纳入常规性医疗保健，来提高 PrEP 的使用率和信任度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.