Facilitators and Barriers to Pre-Exposure Prophylaxis Uptake Willingness for Full-Service Sex Workers
A Social-Ecological Approach
Bibliographic Data
| ID | 2292173 |
|---|---|
| Authors | Stephen D Ramos (0000-0002-6061-6400, University of California San Diego, corresponding author), Steve N Du Boi (0000-0001-5304-390X, Illinois Institute of Technology), Steff Du Bois (Illinois Institute of Technology) |
| Year | 2024 |
| Volume | 94 |
| Issue | 4 |
| Pages | 890-909 |
| Publication date | 2024-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociological Inquiry (JOURNAL) |
| Journal identifiers | ISSN: 0038-0245 • E-ISSN: 1475-682X |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/soin.12589 |
| PMID | 39831188 |
| OpenAlex | W4389858793 |
| Language | EN |
| Citations received | 1 |
| References cited | 70 |
Full-service sex workers (FSSWs) are at heightened risk of contracting HIV due to facing multi-level challenges to sexual health. This study investigated factors associated with willingness to use Pre-Exposure Prophylaxis (PrEP)-a daily HIV preventative medication, among FSSWs. Using social-ecological theory, an online survey was developed with initial guidance from a local sex worker advocacy organization to assess barriers and facilitators to PrEP uptake willingness. The survey was disseminated with the assistance of local and national sex work advocacy organizations. In our sample of FSSWs (n = 83), two barriers and two facilitators initially were associated with PrEP uptake. However, in adopting a more conservative analysis, only anticipating stigmatizing disapproval from others for using PrEP and providing others with PrEP knowledge maintained statistical significance. These two variables collectively explained nearly 30% of the variance in PrEP uptake willingness. Implications for both future research and clinical work with FSSWs are discussed
Advertising · Business · Service (business · Chemistry · Food Science · HIV, Drug Use, Sexual Risk · Marketing · Medicine · Sex work and related issues · Sexuality, Behavior, and Technology
Barriers to the Wider Use of Pre-exposure Prophylaxis in the United States
From Efficacy to Effectiveness
Social Exchange Theory
Comparing two sampling methods to engage hard-to-reach communities in research priority setting
Health Behavior Change Models for HIV Prevention and Aids Care
Improving Engagement in the HIV Care Cascade
Quick and Easy Implementation of the Benjamini-Hochberg Procedure for Controlling the False Positive Rate in Multiple Comparisons
Associations between sex work laws and sex workers’ health
Brief Report
Knowledge, Attitudes, and Likelihood of Pre-Exposure Prophylaxis (PrEP) Use Among US Women at Risk of Acquiring HIV
HIV Pre-Exposure Prophylaxis Stigma as a Multidimensional Barrier to Uptake Among Women Who Attend Planned Parenthood
The Socio-Ecological Model Approach to Understanding Barriers and Facilitators to the Accessing of Health Services by Sex Workers
Combination HIV prevention for female sex workers
Sex Work Research
PrEP Stigma
Awareness and willingness to use HIV pre‐exposure prophylaxis among men who have sex with men in low‐ and middle‐income countries
Detecting, Preventing, and Responding to “Fraudsters” in Internet Research
Statistical notes for clinical researchers
Dimensional Reduction in Barriers and Facilitators to Pre-exposure Prophylaxis (PrEP) Uptake Willingness for Full-Service Sex Workers
Street-involved youth engaged in sex work at increased risk of syringe sharing
Acceptability and willingness of HIV pre-exposure prophylaxis amongst female sex workers in China
Development of sexual assertiveness and its function for human sexuality
PrEP stigma, HIV stigma, and intention to use PrEP among women in New York City and Philadelphia
Resilience and depression in young Black men who have sex with men
Applying the social ecological model to explore HIV-related stigma in Florida
I am not a man’
HIV awareness, pre-exposure prophylaxis perceptions and experiences among people who exchange sex
Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Individuals in the United States
The “Safe Sex” Conundrum
Experiences with HPTN 067/Adapt Study-Provided Open-Label PrEP Among Women in Cape Town
Acceptability of Daily Use of Free Oral Pre-exposure Prophylaxis (PrEP) Among Transgender Women Sex Workers in Shenyang, China
Geographic and Individual Associations with PrEP Stigma
Willingness to Take PrEP and Potential for Risk Compensation Among Highly Sexually Active Gay and Bisexual Men
Barriers to Pre-Exposure Prophylaxis Uptake Among Online Male Sex Workers in the US
Stigma and Conspiracy Beliefs Related to Pre-exposure Prophylaxis (PrEP) and Interest in Using PrEP Among Black and White Men and Transgender Women Who Have Sex with Men
Erased
Risk and Protective Factors Associated with Personal Mastery Among Sexual Minority African-American Female Sex Workers
Disparities in Uptake of HIV Preexposure Prophylaxis in a Large Integrated Health Care System
Beliefs Associated with Intention to Use PrEP Among Cisgender U.S. Women at Elevated HIV Risk
Distinguishing hypothetical willingness from behavioral intentions to initiate HIV pre-exposure prophylaxis (PrEP)
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |