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Educating, demystifying, destigmatising’

Black women’s perspectives on effective PrEP messaging in the USA

Bibliographic Data

ID15099799
AuthorsWhitney Sewell (0000-0002-8228-7206, Boston College, corresponding author), Michael Terry (0009-0002-0918-7468, New York Proton Center), Maya Terry (New York, NY, USA), Oluwabukola Apata (Community Wellness Project), O M Apata (St Louis Community College), Jazmyne V Simmons (0000-0003-3595-3816, Florida Department of Health), Jazmyne Simmons (University of Miami), Sannisha K Dale (0000-0002-9516-239X, University of Miami), Julia L Marcus (0000-0002-8552-414X, Department of Population Medicine, Harvard Medical School), Oni J Blackstock (0000-0002-2787-1661, City Bar Justice Center), Oni Blackstock (Health Justice Co)
Year2025
Pages1-12
Publication date2025-07-30
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2025.2538213
PMID40737018
OpenAlexW4412749801
LanguageEN
Citations received1
References cited28

Black cisgender women in the USA are disproportionately affected by HIV but remain underrepresented in HIV-related pre-exposure prophylaxis (PrEP) messaging. Despite PrEP's efficacy in preventing HIV, uptake among Black cisgender in the USA women remains low. This qualitative study explored how PrEP messaging can better resonate with Black women's interests and needs by focusing on their experiences and preferences. We conducted semi-structured interviews with 30 Black cisgender women in the Midwest region of the USA between October and December 2022, capturing a diverse sample (US-born, African-born, and first-generation women of African descent). Thematic analysis developed four key themes: (1) the need for culturally tailored PrEP messaging strategies; (2) the importance of an empowering, inclusive tone and language; (3) challenging the perception that current PrEP advertising is primarily aimed at men who have sex with men and transgender women; and (4) the vital role of trusted voices, particularly Black women and community leaders, in promoting PrEP. Participants stressed that hearing about PrEP from individuals who share their racial, cultural, and gender identities would increase their comfort and engagement. Public health initiatives should prioritise culturally specific messaging that reflects Black women's lived experiences in the USA to reduce HIV disparities and promote equitable PrEP access

Family medicine · Sociology · Gender Studies · Gender, Feminism, and Media · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Media and Politics

  • Formative Development of a Sex-Positive Animated eHealth Video to Promote Pre-exposure prophylaxis (PrEP) Among Young Black Women

    Open Access•Keosha T Bond, Porche Williams et al.•Journal of Racial and Ethnic…•2026

  • Fostering Parasocial Relationships with Celebrities on Social Media

    Open Access•Siyoung Chung, Hichang Cho•Psychology and Marketing•2017

  • Racial and ethnic differences in women’s HIV risk and attitudes towards pre-exposure prophylaxis (PrEP) in the context of the substance use, violence, and depression syndemic

    Tiara C Willie, T Kershaw et al.•AIDS Care•2021

  • Social and structural factors associated with interest in HIV preexposure prophylaxis among Black women in the United States

    Whitney Sewell, Sarah K Calabrese et al.•AIDS Care•2024

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    Open Access•Jelani Kerr, Suur Ayangeakaa et al.•Journal of Racial and Ethnic…•2021

  • Mapping Implementation Science with Expert Recommendations for Implementing Change (MIS-Eric)

    Open Access•Trisha Arnold, Laura Whiteley et al.•Journal of Racial and Ethnic…•2022

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    Open Access•Mandy J Hill, Sarah G H Sapp et al.•International Journal of…•2024

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    Open Access•R Chandler, Shawnika J Hull et al.•BMC Public Health•2020

  • Correlates of PrEP Uptake Among Young Sexual Minority Men and Transgender Women in New York City

    Open Access•Jessica Jaiswal, Caleb LoSchiavo et al.•AIDS and Behavior•2021

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    Open Access•Vanessa Boudewyns, Jennifer D Uhrig et al.•AIDS and Behavior•2023

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  • Communicative appeals and messaging frames in visual media for HIV pre-exposure prophylaxis promotion to cisgender and transgender women

    Joseph G Rosen, Teagan Toomre et al.•Culture Health & Sexuality•2023

  • Using an Intersectional Framework to Understand the Challenges of Adopting Pre-exposure Prophylaxis (PrEP) Among Young Adult Black Women

    Open Access•Keosha T Bond, Alana Gunn et al.•Sexuality Research and Social…•2021

  • Using thematic analysis in psychology

    Open Access•Braun, Virginia Braun et al.•Qualitative Research in Psychology•2006

Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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