IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i8p1084-d1458064.html
   My bibliography  Save this article

An Examination of Perceptions among Black Women on Their Awareness of and Access to Pre-Exposure Prophylaxis (PrEP)

Author

Listed:
  • Mandy J. Hill

    (Department of Emergency Medicine, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth Houston), Houston, TX 77030, USA)

  • Sarah Sapp

    (Department of Emergency Medicine, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth Houston), Houston, TX 77030, USA)

  • Shadawn McCants

    (Allies in Hope Houston, Houston, TX 77030, USA)

  • Jeffrey Campbell

    (Allies in Hope Houston, Houston, TX 77030, USA)

  • Akeria Taylor

    (Department of Emergency Medicine, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth Houston), Houston, TX 77030, USA)

  • Jamila K. Stockman

    (Department of Medicine, University of California, La Jolla, San Diego, CA 92093, USA)

  • Diane Santa Maria

    (Department of Research, Cizik School of Nursing, University of Texas Health Science Center at Houston (UTHealth Houston), Houston, TX 77030, USA)

Abstract

Cisgender Black women (CBW) experience 67% of new HIV diagnoses among women in the South. Progress toward ending the HIV epidemic requires researchers to explore perceptions of factors related to the decision to initiate pre-exposure prophylaxis (PrEP) among CBW. Qualitative methods were used to explore how social and structural constructs influence individual decisions to use PrEP among 20 CBW through focus groups. The thematic data analysis identified how facilitators and barriers to PrEP uptake aligned with an external locus of control (LOC) [e.g., media influences on understanding of PrEP] or an internal LOC (e.g., awareness of personal vulnerability to HIV). Several participants highlighted that their PrEP knowledge was rooted in an external LOC, such as media campaigns. A participant stated, ‘ But even with the commercial, it wasn’t representation for me. ’ Another participant described her personal HIV vulnerability in her sexual relationship as an internal LOC, stating, ‘ Not ignorance, it’s maybe just not accepting the true reality of this can be contracted even from someone that you believe that you trust. ’ Due to gaps in media marketing, healthcare providers should be aware that some female patients may perceive that PrEP is not for them. Provider-led sexual health discussions are urgently needed to bridge the gap between PrEP eligibility and initiation.

Suggested Citation

  • Mandy J. Hill & Sarah Sapp & Shadawn McCants & Jeffrey Campbell & Akeria Taylor & Jamila K. Stockman & Diane Santa Maria, 2024. "An Examination of Perceptions among Black Women on Their Awareness of and Access to Pre-Exposure Prophylaxis (PrEP)," IJERPH, MDPI, vol. 21(8), pages 1-27, August.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:8:p:1084-:d:1458064
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/8/1084/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/21/8/1084/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    2. Kesavayuth, Dusanee & Ko, Kaung Myat & Zikos, Vasileios, 2018. "Locus of control and financial risk attitudes," Economic Modelling, Elsevier, vol. 72(C), pages 122-131.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Emmanuel Songsore & Michael Buzzelli, 2016. "Ontario’s Experience of Wind Energy Development as Seen through the Lens of Human Health and Environmental Justice," IJERPH, MDPI, vol. 13(7), pages 1-18, July.
    2. Ana Cristina Lindsay & Sherrie F. Wallington & Faith D. Lees & Mary L. Greaney, 2018. "Exploring How the Home Environment Influences Eating and Physical Activity Habits of Low-Income, Latino Children of Predominantly Immigrant Families: A Qualitative Study," IJERPH, MDPI, vol. 15(5), pages 1-13, May.
    3. Borch, Kristian & Munk, Anders K. & Dahlgaard, Vibeke, 2020. "Mapping wind-power controversies on social media: Facebook as a powerful mobilizer of local resistance," Energy Policy, Elsevier, vol. 138(C).
    4. Caro Wolfner & Corilyn Ott & Kalani Upshaw & Angela Stowe & Lisa Schwiebert & Robin Gaines Lanzi, 2023. "Coping Strategies and Help-Seeking Behaviors of College Students and Postdoctoral Fellows with Disabilities or Pre-Existing Conditions during COVID-19," Disabilities, MDPI, vol. 3(1), pages 1-25, February.
    5. Christopher Mulwanda & Vincent R. Nyirenda & Ngawo Namukonde, 2024. "Traditional ecological knowledge, perceptions and practices on insect pollinator conservation: A case of the smallholder farmers in Murundu ward of Mufulira mining district of Zambia," Journal of Environmental Studies and Sciences, Springer;Association of Environmental Studies and Sciences, vol. 14(1), pages 24-35, March.
    6. Rebecca A. Johnson & David L. Albright & James R. Marzolf & Jessica L. Bibbo & Hayley D. Yaglom & Sandra M. Crowder & Gretchen M. Carlisle & Karen Grindler & Nathan Harms & Amy Willard & Marita Wassma, 2021. "Experiences of Military Veterans in a Therapeutic Horseback Riding Program," Clinical Nursing Research, , vol. 30(7), pages 923-933, September.
    7. Oliver Laasch & Dirk C. Moosmayer & Frithjof Arp, 2020. "Responsible Practices in the Wild: An Actor-Network Perspective on Mobile Apps in Learning as Translation(s)," Journal of Business Ethics, Springer, vol. 161(2), pages 253-277, January.
    8. Grazia Salvo & Bonnie M. Lashewicz & Patricia K. Doyle-Baker & Gavin R. McCormack, 2018. "Neighbourhood Built Environment Influences on Physical Activity among Adults: A Systematized Review of Qualitative Evidence," IJERPH, MDPI, vol. 15(5), pages 1-21, May.
    9. Chilombo, Andrew & Van Der Horst, Dan, 2021. "Livelihoods and coping strategies of local communities on previous customary land in limbo of commercial agricultural development: Lessons from the farm block program in Zambia," Land Use Policy, Elsevier, vol. 104(C).
    10. Sandra Carrasco & David O’Brien, 2023. "Build Back Safely: Evaluating the Occupational Health and Safety in Post-Disaster Reconstruction," Sustainability, MDPI, vol. 15(9), pages 1-18, May.
    11. Maslina Mansor & Mohamad Fazli Sabri & Mustazar Mansur & Muslimah Ithnin & Amirah Shazana Magli & Abd Rahim Husniyah & Nurul Shahnaz Mahdzan & Mohd Amim Othman & Roza Hazli Zakaria & Nurulhuda Mohd Sa, 2022. "Analysing the Predictors of Financial Stress and Financial Well-Being among the Bottom 40 Percent (B40) Households in Malaysia," IJERPH, MDPI, vol. 19(19), pages 1-23, September.
    12. Borja García-Lorenzo & Ania Gorostiza & Nerea González & Igor Larrañaga & Maider Mateo-Abad & Ana Ortega-Gil & Janika Bloemeke & Oliver Groene & Itziar Vergara & Javier Mar & Sarah N. Lim Choi Keung &, 2023. "Assessment of the Effectiveness, Socio-Economic Impact and Implementation of a Digital Solution for Patients with Advanced Chronic Diseases: The ADLIFE Study Protocol," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    13. Diego De Leo & Benedetta Congregalli & Annalisa Guarino & Josephine Zammarrelli & Anna Valle & Stefano Paoloni & Sabrina Cipolletta, 2022. "Communicating Unexpected and Violent Death: The Experiences of Police Officers and Health Care Professionals," IJERPH, MDPI, vol. 19(17), pages 1-14, September.
    14. Alvisa Palese & Erica Visintini & Valentina Bressan & Federico Fonda & Stefania Chiappinotto & Luca Grassetti & Maddalena Peghin & Carlo Tascini & Matteo Balestrieri & Marco Colizzi, 2023. "Using Metaphors to Understand Suffering in COVID-19 Survivors: A Two Time-Point Observational Follow-Up Study," IJERPH, MDPI, vol. 20(2), pages 1-13, January.
    15. Ahtisham Younas & Subia P. Rasheed & Amara Sundus & Shahzad Inayat, 2020. "Nurses' perspectives of self‐awareness in nursing practice: A descriptive qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(2), pages 398-405, June.
    16. Emily Williams & Natisha Sands & Stephen Elsom & Roshani Kanchana Prematunga, 2015. "Mental health consumers' perceptions of quality of life and mental health care," Nursing & Health Sciences, John Wiley & Sons, vol. 17(3), pages 299-306, September.
    17. Yasser Yahya Al-Ashmori & Idris Othman & Al-Hussein M. H. Al-Aidrous, 2022. "“Values, Challenges, and Critical Success Factors” of Building Information Modelling (BIM) in Malaysia: Experts Perspective," Sustainability, MDPI, vol. 14(6), pages 1-18, March.
    18. Broqvist, Mari & Sandman, Lars & Garpenby, Peter & Krevers, Barbro, 2018. "The meaning of severity – do citizenś views correspond to a severity framework based on ethical principles for priority setting?," Health Policy, Elsevier, vol. 122(6), pages 630-637.
    19. Hales, Jan & Kemper, Joya & White, Samantha K. & Veer, Ekant, 2024. "Reflections on food policy in the context of healthy and sustainable diets," Food Policy, Elsevier, vol. 128(C).
    20. Maša Filipovič Hrast & Richard Sendi & Boštjan Kerbler, 2023. "Person–Environment Fit in Urban Neighbourhoods in Slovenia: Challenges and Coping Strategies," IJERPH, MDPI, vol. 20(6), pages 1-14, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:8:p:1084-:d:1458064. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.