Boston College School of Social Work, Chestnut Hill, MA, USA.
The Fenway Institute, Fenway Health, Boston, MA, USA.
AIDS Care. 2024 May;36(5):672-681. doi: 10.1080/09540121.2023.2299338. Epub 2024 Jan 4.
In a nationwide sample of cisgender Black women in the US, we assessed the associations between social and structural factors and interest in using HIV preexposure prophylaxis (PrEP). Among 315 respondents, 62.2% were interested in PrEP if it were provided for free. Positive social norms surrounding PrEP, including injunctive norms (perceived social acceptability of PrEP use) and descriptive norms (perceived commonality of PrEP use), were positively associated with interest in using PrEP. Concerns about HIV infection, recently visiting a health care provider, and comfort discussing PrEP with a provider were also positively associated with interest in using PrEP. Anticipating PrEP disapproval from others was negatively associated with interest in PrEP. Although PrEP can promote autonomy and personal discretion, Black women's PrEP-related decisions occur in a complex social environment. Black women may benefit from interventions to promote positive norms and attitudes surrounding PrEP at the community level and empower them in discussions with their providers about PrEP.
在美国，我们对全国范围内的顺性别黑人女性进行了抽样调查，评估了社会和结构性因素与使用 HIV 暴露前预防 (PrEP) 的兴趣之间的关联。在 315 名受访者中，有 62.2%的人如果 PrEP 是免费提供的，他们有兴趣使用。围绕 PrEP 的积极社会规范，包括约束性规范（对 PrEP 使用的可接受性的感知）和描述性规范（对 PrEP 使用的普遍性的感知），与使用 PrEP 的兴趣呈正相关。对 HIV 感染的担忧、最近访问医疗保健提供者以及与提供者讨论 PrEP 的舒适度也与使用 PrEP 的兴趣呈正相关。预期他人对 PrEP 的不赞成与使用 PrEP 的兴趣呈负相关。尽管 PrEP 可以促进自主和个人酌处权，但黑人女性的 PrEP 相关决策是在复杂的社会环境中做出的。干预措施可以促进社区层面围绕 PrEP 的积极规范和态度，增强黑人女性与提供者讨论 PrEP 的能力，使她们受益。
