Knowledgeable, aware / interested: Young black women's perceptions of pre-exposure prophylaxis.
Knowledgeable, aware / interested: Young black women's perceptions of pre-exposure prophylaxis.
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DOI：
10.3389/frph.2022.671009
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发表时间：
2022
影响因子：
--
通讯作者：
Johnson, Amy K
中科院分区：
文献类型：
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作者：
Haider, Sadia;Friedman, Eleanor E;Ott, Emily;Moore, Amy;Pandiani, Agustina;Desmarais, Catherine;Johnson, Amy K
在美国，艾滋病毒对年轻黑人妇女的影响不成比例。暴露前预防（PrEP）是一种有效的艾滋病毒预防选择，有可能降低艾滋病毒易感人群的艾滋病毒发病率。然而，关于妇女的认识，开始的兴趣，以及对PrEP的可接受性或耻辱感的数据仍然有限，特别是在青少年和年轻黑人妇女中。一项横断面调查进行了100个性活跃的年轻黑人妇女年龄13-24岁参加妇女健康诊所在芝加哥，IL。描述性统计被用来描述样本的特征，并确定更多关于PrEP的需求和障碍是在这个社区。使用逻辑回归和双变量和多变量模型的95%置信区间对关联进行建模。在我们的调查（N = 100）中，一半的研究参与者（50%）表示有兴趣在未来三个月内开始PrEP，大多数（80%）的年轻女性相信他们可以获得PrEP。怀孕的年轻女性比非怀孕女性更有兴趣开始PrEP [OR 2.3 95% CI（1.0，5.4）]，p = 0.05），然而，这种关联在调整后的模型中并不显著。这项研究提供了一个更完整的了解，在青少年和年轻的黑人妇女参加妇女健康诊所的认识，兴趣和可接受性的准备。研究结果表明，持续的兴趣开始准备，减少耻辱，并提高认识的准备年轻的黑人妇女。这些研究结果表明，将PrEP纳入妇女健康诊所是一项很有前途的战略，可以提高对PrEP的认识和利用，并减少高危青年中的艾滋病毒传播。
HIV in the United States disproportionately affects young Black women. Pre-exposure prophylaxis (PrEP) is an effective HIV prevention option that has the potential to reduce HIV incidence among HIV-vulnerable populations. However, data regarding women's awareness, interest in starting, and feelings of acceptability or stigma about PrEP remains limited, particularly among adolescent and young Black women. A cross-sectional survey was conducted with 100 sexually active young Black women ages 13–24 years attending women's health clinics in Chicago, IL. Descriptive statistics were used to characterize the sample and determine more about what the PrEP needs and barriers are in this community. Associations were modeled using logistic regression and 95% confidence intervals for both bivariate and multivariable models. In our survey (N = 100), half of study participants (50%) expressed interest in starting PrEP in the next three months and a majority (80%) of young women were confident they could obtain PrEP. Pregnant young women were significantly more interested in starting PrEP than non-pregnant women [OR 2.3 95% CI (1.0, 5.4)], p = 0.05), however, this association did not remain significant in adjusted models. This study provides a more complete understanding of awareness, interest in, and acceptability of PrEP among adolescent and young Black women attending women's health clinics. Findings indicate sustained interest in starting PrEP, reduced stigma, and increased awareness of PrEP among young Black women. These findings suggest that integrating PrEP into women's health clinics is a promising strategy to increase awareness and utilization of PrEP and decrease HIV transmission among youth at highest risk.