Bond Keosha T, Gunn Alana, Williams Porche, Leonard Noelle R
Department of Community Health and Social Medicine, CUNY School of Medicine, New York, New York, United States.
Department of Criminology, Law, and Justice, University of Illinois At Chicago, Chicago, Illinois, United States.
Sex Res Social Policy. 2022 Mar;19(1):180-193. doi: 10.1007/s13178-021-00533-6. Epub 2021 Jan 13.
There is limited functional knowledge and utilization of pre-exposure prophylaxis (PrEP) among young adult Black cisgender women (YBW).
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.
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.
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.
年轻成年黑人顺性别女性（YBW）对暴露前预防（PrEP）的功能知识了解有限，且PrEP的使用率较低。
我们使用交叉性框架对年轻成年黑人顺性别女性开展了四个焦点小组讨论，以探讨阻碍她们对PrEP的认知、兴趣和使用的多层次因素，以及她们的性健康和生殖健康需求。
文化环境层面的影响因素包括缺乏获取PrEP的信息和资源，以及对医疗保健系统的不信任。社会规范层面的影响因素包括对性健康和生殖健康长期影响的态度，以及遵循PrEP方案的自我效能感。在近端个人层面，影响因素包括来自家人和同伴预期的艾滋病毒污名化，以及担心被主要伴侣拒绝。
这些结果的转化表明，提高年轻成年黑人顺性别女性对PrEP的使用率和依从性的干预措施需要采取多层次策略，以解决将艾滋病毒预防纳入性健康和生殖健康保健的障碍。
