School of Public Health and Health Professions, University at Buffalo, State University of New York, Buffalo, New York.
School of Nursing, University at Buffalo, State University of New York, Buffalo, New York.
AIDS Educ Prev. 2022 Jun;34(3):209-225. doi: 10.1521/aeap.2022.34.3.209.
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 ( = 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.
美国的非洲移民在 HIV 发病率方面存在差异。暴露前预防（PrEP）可以有效预防 HIV 感染，但在少数族裔中使用率较低。为了更好地了解非洲移民对 PrEP 的接受程度，我们于 2020 年 3 月对加纳移民进行了访谈（=40），以探讨接受 PrEP 时面临的障碍和克服这些障碍的方法。参与者描述了几种障碍（例如，HIV 知识和风险认知水平低、对社会评判的恐惧、文化价值观和规范），这些障碍可能会阻碍 PrEP 的采用。我们根据社会生态模型（个体、人际、社区和组织/结构因素）的各个层面来对这些障碍进行分类。参与者还确定了克服障碍的策略，例如提供关于 HIV 和 PrEP 的综合教育。我们的研究提供了基础性的知识，可用于加纳和其他非洲移民的未来 PrEP 研究，并为可能影响该人群中 PrEP 采用的因素提供了重要的见解。
