Department of Family Medicine, University of California, Los Angeles, USA.
Center for HIV Identification, Prevention, and Treatment Services (CHIPTS), University of California, Los Angeles, USA.
AIDS Care. 2024 Aug;36(8):1162-1171. doi: 10.1080/09540121.2024.2354223. Epub 2024 Jun 29.
Women of color are disproportionately impacted by HIV. Although PrEP effectively prevents HIV infection, PrEP coverage and knowledge remain low in this population. To address barriers to PrEP, we implemented women-centered and culturally appropriate Information Sessions (IS) delivered by staff from the population they serve to increase knowledge, awareness, and use of PrEP through telemedicine (e.g., PlushCare). Our analysis focuses on Latina women (LW) participants, given the dearth of literature dedicated to the needs of LW. We partnered with a woman-led community-based organization (CBO) to implement the strategy with LW clients. Health educators conducted 26 IS with 94 LW (20 in Spanish and 6 in English). Participants who completed the IS were invited for interviews to assess the acceptability and appropriateness of the IS to increase knowledge and awareness of PrEP and PlushCare. Four themes emerged from the thematic analysis: (1) IS increased knowledge and awareness of PrEP and PlushCare; (2) perceived acceptability and appropriateness of IS; (3) insufficient reasons to warrant use of PrEP; and (4) positive attitudes about PlushCare. Our findings suggest that a women-centered and culturally appropriate IS implemented through a trusted, woman-led CBO is an acceptable and appropriate implementation strategy to inform LW about PrEP.
有色人种女性受到 HIV 的影响不成比例。尽管 PrEP 可以有效预防 HIV 感染,但在该人群中,PrEP 的覆盖率和知晓率仍然很低。为了解决 PrEP 的障碍,我们实施了以女性为中心且文化上适宜的信息会议(IS),由来自服务人群的员工提供,通过远程医疗(例如 PlushCare)来增加知识、提高认识并促进 PrEP 的使用。由于针对拉丁裔女性(LW)需求的文献很少,我们的分析重点放在 LW 参与者身上。我们与一家由女性领导的社区组织(CBO)合作,与 LW 客户一起实施该策略。健康教育工作者为 94 名 LW 举办了 26 次 IS(20 次西班牙语和 6 次英语)。参加完 IS 的参与者被邀请接受访谈,以评估 IS 对增加 PrEP 和 PlushCare 知识和认识的可接受性和适宜性。主题分析得出了四个主题:(1)IS 提高了对 PrEP 和 PlushCare 的知识和认识;(2)对 IS 的可接受性和适宜性的看法;(3)没有足够的理由证明需要使用 PrEP;(4)对 PlushCare 的积极态度。我们的研究结果表明,通过值得信赖的、由女性领导的 CBO 实施以女性为中心且文化上适宜的 IS,是一种可以接受且适宜的实施策略,可以向 LW 传达关于 PrEP 的信息。