Barriers to PrEP uptake among Black female adolescents and emerging adults
HIV/AIDS disproportionately impacts Black cisgender female adolescents and emerging adults. Pre-Exposure Prophylaxis (PrEP) reduces the risk of HIV infection; however, structural barriers may exacerbate resistance to PrEP in this population. The purpose of this paper is to understand the characteris...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-02-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335522003692 |
| _version_ | 1811173444799168512 |
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| author | Natasha Crooks Randi B. Singer Ariel Smith Emily Ott Geri Donenberg Alicia K. Matthews Crystal L. Patil Sadia Haider Amy K. Johnson |
| author_facet | Natasha Crooks Randi B. Singer Ariel Smith Emily Ott Geri Donenberg Alicia K. Matthews Crystal L. Patil Sadia Haider Amy K. Johnson |
| author_sort | Natasha Crooks |
| collection | DOAJ |
| description | HIV/AIDS disproportionately impacts Black cisgender female adolescents and emerging adults. Pre-Exposure Prophylaxis (PrEP) reduces the risk of HIV infection; however, structural barriers may exacerbate resistance to PrEP in this population. The purpose of this paper is to understand the characteristics of age, race, gender, history, and medical mistrust as barriers to PrEP uptake among Black female adolescents and emerging adults (N = 100 respondents) between the ages of 13–24 years in Chicago. Between January and June of 2019, participants completed the survey. We used directed content analysis to examine reported barriers to PrEP uptake. The most commonly identified barriers to PrEP uptake were side effects (N = 39), financial concerns (N = 15), and medical mistrust (N = 12). Less frequently reported barriers included lack of PrEP knowledge and misconceptions (N = 9), stigma (N = 2), privacy concerns (N = 4). We describe innovative multi-level strategies to provide culturally safe care to improve PrEP acceptability among Black female adolescents and emerging adults in Chicago. These recommendations may help mitigate the effect of medical mistrust, stigma, and misconceptions of PrEP within Black communities. |
| first_indexed | 2024-04-10T17:46:58Z |
| format | Article |
| id | doaj.art-e51c5fef71504fd68e7a24bd2fdf9f37 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-10T17:46:58Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-e51c5fef71504fd68e7a24bd2fdf9f372023-02-03T04:57:36ZengElsevierPreventive Medicine Reports2211-33552023-02-0131102062Barriers to PrEP uptake among Black female adolescents and emerging adultsNatasha Crooks0Randi B. Singer1Ariel Smith2Emily Ott3Geri Donenberg4Alicia K. Matthews5Crystal L. Patil6Sadia Haider7Amy K. Johnson8Department of Human Development Nursing Science, University of Illinois Chicago, Chicago, IL, USADepartment of Human Development Nursing Science, University of Illinois Chicago, Chicago, IL, USA; Corresponding author at: 845 S. Damen Avenue Room 812, Chicago, IL 60612, USA.Department of Population Health Nursing Science, University of Illinois Chicago, Chicago, IL, USADepartment of Obstetrics and Gynecology, Rush University Medical Center, Chicago, IL, USACenter for Dissemination and Implementation Science, University of Illinois Chicago, Chicago, IL, USAColumbia University, New York, NY, USADepartment of Human Development Nursing Science, University of Illinois Chicago, Chicago, IL, USADepartment of Obstetrics and Gynecology, Rush University Medical Center, Chicago, IL, USADivision of Adolescent Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA; Feinberg School of Medicine, Northwestern UniversityHIV/AIDS disproportionately impacts Black cisgender female adolescents and emerging adults. Pre-Exposure Prophylaxis (PrEP) reduces the risk of HIV infection; however, structural barriers may exacerbate resistance to PrEP in this population. The purpose of this paper is to understand the characteristics of age, race, gender, history, and medical mistrust as barriers to PrEP uptake among Black female adolescents and emerging adults (N = 100 respondents) between the ages of 13–24 years in Chicago. Between January and June of 2019, participants completed the survey. We used directed content analysis to examine reported barriers to PrEP uptake. The most commonly identified barriers to PrEP uptake were side effects (N = 39), financial concerns (N = 15), and medical mistrust (N = 12). Less frequently reported barriers included lack of PrEP knowledge and misconceptions (N = 9), stigma (N = 2), privacy concerns (N = 4). We describe innovative multi-level strategies to provide culturally safe care to improve PrEP acceptability among Black female adolescents and emerging adults in Chicago. These recommendations may help mitigate the effect of medical mistrust, stigma, and misconceptions of PrEP within Black communities.http://www.sciencedirect.com/science/article/pii/S2211335522003692HIV preventionPrEPBlackAdolescentsFemaleBarriers |
| spellingShingle | Natasha Crooks Randi B. Singer Ariel Smith Emily Ott Geri Donenberg Alicia K. Matthews Crystal L. Patil Sadia Haider Amy K. Johnson Barriers to PrEP uptake among Black female adolescents and emerging adults Preventive Medicine Reports HIV prevention PrEP Black Adolescents Female Barriers |
| title | Barriers to PrEP uptake among Black female adolescents and emerging adults |
| title_full | Barriers to PrEP uptake among Black female adolescents and emerging adults |
| title_fullStr | Barriers to PrEP uptake among Black female adolescents and emerging adults |
| title_full_unstemmed | Barriers to PrEP uptake among Black female adolescents and emerging adults |
| title_short | Barriers to PrEP uptake among Black female adolescents and emerging adults |
| title_sort | barriers to prep uptake among black female adolescents and emerging adults |
| topic | HIV prevention PrEP Black Adolescents Female Barriers |
| url | http://www.sciencedirect.com/science/article/pii/S2211335522003692 |
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