Barriers to HIV Pre-Exposure Prophylaxis Uptake and Ways to Mitigate Them: Perspectives of Ghanaian Immigrants in the United States.

IF 1.6 4区 医学 Q2 EDUCATION & EDUCATIONAL RESEARCH
G. Aidoo-Frimpong, R. Collins, Kafuli Agbemenu, H. Orom, G. Morse, LaRon E Nelson
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引用次数: 2

Abstract

African immigrants in the United States experience disparities in HIV incidence. Pre-exposure prophylaxis (PrEP) effectively prevents HIV infection, yet uptake is low among racial and ethnic minorities. To better understand PrEP adoption among African immigrants, in March 2020, we conducted interviews with Ghanaian immigrants (N = 40) to explore the barriers and ways to overcome these barriers to PrEP adoption. Participants described several barriers (e.g., low HIV knowledge and risk perception, fear of social judgment, cultural values, and norms), which may impede PrEP adoption. We categorized these barriers according to the levels of the socioecological model (individual, interpersonal, community, and organizational/structural factors). Participants also identified strategies to overcome the barriers, such as providing comprehensive education on HIV and PrEP. Our research provides foundational knowledge that can inform future PrEP research with Ghanaian and other African immigrants and offers important insights into factors that may impact PrEP adoption in this population.
艾滋病毒暴露前预防吸收的障碍和减轻它们的方法:美国加纳移民的观点。
在美国的非洲移民在艾滋病发病率方面存在差异。暴露前预防(PrEP)可有效预防艾滋病毒感染,但少数种族和少数民族的使用率较低。为了更好地了解PrEP在非洲移民中的采用情况,我们于2020年3月对加纳移民(N = 40)进行了访谈,以探讨PrEP采用的障碍和克服这些障碍的方法。与会者描述了可能阻碍PrEP采用的几个障碍(例如,艾滋病毒知识和风险认知不足、对社会评判的恐惧、文化价值观和规范)。我们根据社会生态模型(个人、人际、社区和组织/结构因素)的水平对这些障碍进行了分类。与会者还确定了克服障碍的策略,例如提供有关艾滋病毒和PrEP的全面教育。我们的研究提供了基础知识,可以为未来与加纳和其他非洲移民进行PrEP研究提供信息,并为可能影响该人群采用PrEP的因素提供重要见解。
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来源期刊
CiteScore
2.20
自引率
5.60%
发文量
30
期刊介绍: Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.
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