Structural and syndemic barriers to PrEP adoption among Black women at high risk for HIV
A qualitative exploration
Bibliographic Data
| ID | 15098684 |
|---|---|
| Authors | Liesl A Nydegger (0000-0003-3035-3125, The University of Texas at Austin, corresponding author), Julia Dickson‐gómez (0000-0002-9388-847X, Medical College of Wisconsin), Julia Dickson-Gómez, Thant Ko Ko (Medical College of Wisconsin) |
| Year | 2021 |
| Volume | 23 |
| Issue | 5 |
| Pages | 659-673 |
| Publication date | 2021-05-04 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Culture Health & Sexuality (JOURNAL) |
| Journal identifiers | ISSN: 1369-1058 • E-ISSN: 1464-5351 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/13691058.2020.1720297 |
| PMID | 32212993 |
| OpenAlex | W3013755404 |
| Language | EN |
| Citations received | 38 |
| References cited | 36 |
In the USA, Black women are at disproportionately higher risk for HIV compared to women of other races/ethnicities, which can be explained by the Substance Abuse, Violence and AIDS (SAVA) syndemic. Disparities in HIV, substance use and violence are driven by multiple influences, including structural factors (e.g. housing and poverty), which exacerbate social- and individual-level factors leading to more sex partners, engaging in unprotected sex, having sex for money, experiencing forced sex from an intimate partner or increased substance use, all of which increase HIV risk. Pre-exposure prophylaxis (PrEP), a pill that can prevent HIV, is a discreet and underutilised method that Black women experiencing syndemics can use to decrease their risk. This study explored Black women's interest in, and barriers to adopting PrEP over 6 months. Thirty Black women (age M = 32.2) who experienced multiple substance use, violence and HIV-related syndemic factors were interviewed four times over a 6-month period. Results demonstrated that experiencing intimate partner violence, substance use, community violence and other structural factors (poor access to social services, transport and childcare) all acted as barriers to PrEP adoption. Future research should consider multi-level interventions that include methods such as media campaigns, providing PrEP or referrals where women who experience syndemic and structural factors seek help, and implement a PrEP adherence programmes and interventions in support group settings
Domestic violence · Environmental health · Family medicine · Human immunodeficiency virus (HIV · Men who have sex with men · Poison control · Political science · Poverty · Pre-exposure prophylaxis · Psychiatry · Psychological intervention · Qualitative research · Sociology · Substance abuse · Suicide prevention · Syndemic · Syphilis · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Sex work and related issues
Roll-out of HIV pre-exposure prophylaxis
Examining Interprofessional Collaboration across case managers, peer educators, and counselors in New York City
A Qualitative Exploration of PrEP Interests, Barriers, and Interventions Among Black and Latina Cisgender Women in the U.S
A qualitative examination of substance use disorder treatment-seeking among women with opioid use disorders
Barriers, beliefs, and biomedical prevention
SeCuRE Pilot Trial
Assessing the Feasibility and Acceptability of a Mobile Medical Unit Program—(IFE4Her) to Enhance PrEP Awareness and Access Among Cis-gender Women in Low-Income Southeastern Communities
Individual, social and structural factors influencing PrEP uptake among cisgender women
Applying the Transtheoretical Model and the Motivating PrEP Cascade to Better Understand the Correlates of Preexposure Prophylaxis (PrEP) Readiness Among Cisgender Black Women
HIV Pre-exposure Prophylaxis Use and Persistence among Black Ciswomen
Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Young and Older Adult Women in Baltimore
Cognitive dissonance as a reason for low perceived HIV risk among Black women
Highlighting the Need for Representation of Black Women in PrEP Marketing and Educational Efforts
Examining Perceptions Among Healthcare Providers on Their Awareness of and Experience with Prescribing and/or Referring Pre-Exposure Prophylaxis to Eligible Cisgender Black Female Patients
Housing Insecurity and Other Syndemic Factors Experienced by Black and Latina Cisgender Women in Austin, Texas
Systemic inequities, dignity, and trust in the context of HIV care
Perspectives on long-acting formulations of pre-exposure prophylaxis (PrEP) among men who have sex with men who are non-adherent to daily oral PrEP in the United States
Empowering women at risk
Sociocultural and structural influences on HIV Pre-Exposure Prophylaxis (PrEP) Engagement and Uptake among African American Young adults
Superwoman schema
Examining HIV Diagnosis and Linkage to PrEP Prescription Among Members at An Integrated Health System in the Southeast United States
Considerations for the Design of Pre-exposure Prophylaxis (PrEP) Interventions for Women
The Influence of Housing Status and Food Insecurity on a Behavioral HIV/STI Prevention Intervention for Black Women under Community Supervision in New York City
PrEP Prescription Lengths
Preferences for HIV Preexposure Prophylaxis Products Among Black Women in the U.S
What Is the Effect of Medicaid Expansions on Preexposure Prophylaxis for HIV Prevention Use among Women
A Longitudinal, Qualitative Exploration of Perceived HIV Risk, Healthcare Experiences, and Social Support as Facilitators and Barriers to PrEP Adoption Among Black Women
Factors Associated with Planned Future Use of PrEP in the Next 3 Months and Likelihood to Use PrEP Among Black Cisgender HIV-negative Women in Texas
Examining Covid-19 and HIV
Barriers and Facilitators to Acceptability and Uptake of Pre-Exposure Prophylaxis (PrEP) Among Black Women in the United States
Women’s perspectives on barriers to potential PrEP uptake for HIV prevention
Women’s views on communication with health care providers about pre-exposure prophylaxis (PrEP) for HIV prevention
I’m Trusting You with My Body”
Considerations of HIV PrEP Among Heterosexually Active Women and Men
From hope to risk
Understanding PrEP Contemplation Among Black Women
Visualizing Pathways to HIV Prevention for Black Women in Orange County, Florida
Structural Racism and HIV Pre-exposure Prophylaxis Use in the Nationwide US
Intimate Partner Violence
Substance Abuse, Violence, and HIV in Women
Is There an Association Between Alcohol Consumption and Sexually Transmitted Diseases? A Systematic Review
Sex related HIV risk behaviors
Drug abuse and aggression between intimate partners
A Short Form of the Revised Conflict Tactics Scales, and Typologies for Severity and Mutuality
Targeting the Sava (Substance Abuse, Violence, and Aids) Syndemic Among Women and Girls
Neighborhood Environment and Intimate Partner Violence
Predictors of HIV-related risk perception and PrEP acceptability among young adult female family planning patients
Differences in Medical Mistrust Between Black and White Women
The Effects of Housing Status, Stability and the Social Contexts of Housing on Drug and Sexual Risk Behaviors
Syndemics and Health Disparities
Associations Among Perceived HIV Risk, Behavioral Risk and Interest in PrEP Among Black Women in the Southern US
Intimate Partner Violence and PrEP Acceptability Among Low-Income, Young Black Women
Partner Violence and Sexual HIV Risk Behaviors Among Women in Methadone Treatment
Interest in Pre-exposure Prophylaxis (PrEP) for HIV is Limited Among Women in a General Obstetrics & Gynecology Setting
Alcohol Use as a Marker for Risky Sexual Behaviors and Biologically Confirmed Sexually Transmitted Infections Among Young Adult African-American Women
Aids and the health crisis of the U.S. urban poor; the perspective of critical medical anthropology
Promotion of Latina Health
Fear, Trust, and Negotiating Safety
Prevalence and Correlates of Emotional, Physical, Sexual, and Financial Abuse and Potential Neglect in the United States
| Unique citing works | 38 |
|---|---|
| Citations per year | 6,33 |
| Citation span | 2020 - 2026 (7) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 38 |