Irie Whitney, Mahone Anais, Nakka Raja, Ghebremichael Musie
Boston College School of Social Work, Chestnut Hill, Massachusetts, and The Fenway Institute, Fenway Health, Boston, Massachusetts.
School of Social Work, Rutgers University, New Brunswick, New Jersey.
AIDS Educ Prev. 2023 Oct;35(5):333-346. doi: 10.1521/aeap.2023.35.5.333.
This study explored the factors associated with Black women's confidence in their ability to engage male sexual partners in discussions about PrEP. Communication about PrEP with male partners is an important, yet minimally explored, outcome in PrEP research among Black women in heterosexual partnerships. Among 315 respondents, results show significant differences in anticipated stigma and interest in PrEP between a binary outcome variable being confident and not-confident discussing PrEP with sexual partners. Further, factors such as employment, worrying about HIV infection, interest in taking oral PrEP, subjective norms, injunctive norms, and descriptive norms were associated with Black women's higher odds of confidence in their ability to engage sexual partners about PrEP. Conversely, PrEP disapproval and stigma resulted in lower odds of Black women's confidence in their ability to engage sexual partners about PrEP. Results indicate the need for continued investigation of confidence and, relatedly, communication about PrEP among heterosexual couples and communitylevel interventions normalizing PrEP discussions and uptake.
本研究探讨了与黑人女性自信地与男性性伴侣讨论暴露前预防(PrEP)能力相关的因素。在异性恋伴侣关系的黑人女性中,与男性伴侣就PrEP进行沟通是PrEP研究中一个重要但极少被探讨的结果。在315名受访者中,结果显示,在与性伴侣讨论PrEP时自信与否这一二元结果变量之间,预期的耻辱感和对PrEP的兴趣存在显著差异。此外,就业、担心感染艾滋病毒、对口服PrEP的兴趣、主观规范、指令性规范和描述性规范等因素与黑人女性更有信心与性伴侣讨论PrEP的较高几率相关。相反,对PrEP的不赞成和耻辱感导致黑人女性对与性伴侣讨论PrEP的能力更缺乏信心。结果表明,需要继续研究自信问题,以及与之相关的异性恋伴侣之间关于PrEP的沟通,以及使PrEP讨论和采用常态化的社区层面干预措施。