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PrEP and Women: Increasing Uptake and Continued Use

Kyle-Lion, Gabrielle (2021) PrEP and Women: Increasing Uptake and Continued Use. Master's Thesis, University of Pittsburgh. (Unpublished)

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Human immunodeficiency virus (HIV) remains a significant public health issue globally. While HIV prevention efforts have largely focused on men who have sex with men, in recent years, women have taken on a large percentage of disease burden, especially Black women. HIV can be prevented through the use of pre-exposure prophylaxis (PrEP). However, research suggests that women are rarely ever prescribed PrEP and if they do take it, they eventually discontinue use. Understanding the reasons why women are not taking PrEP is paramount in fighting the HIV epidemic.
This master’s thesis engages multiple methods to discuss the opportunity of PrEP as an HIV risk reduction strategy for women and to investigate the context of women’s PrEP decision-making and intervention opportunities to support women’s uptake and adherence to PrEP. An analysis of interviews conducted with women in Pittsburgh, PA through the STD-to-PrEP Demonstration project suggest that women face many barriers to use PrEP and that current approaches to PrEP care are insufficient in meeting the everyday needs of women. A rapid review of literature showed the lack of intervention strategies for women. The public health significance of this research is that it shows the need for robust and targeted women-centered PrEP interventions that address women’s concerns by providing effective solutions through individualized approaches.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Kyle-Lion, Gabriellegak51@pitt.edugak51
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Thesis AdvisorKrier, Sarahsek29@pitt.edusek29
Committee MemberFriedman, Mackey R.mrf9@pitt.edumrf9
Committee MemberTerry, Martha Annmaterry@pitt.edumaterry
Committee MemberO'Malley, Teagen L.tlo8@pitt.edutlo8
Date: 10 May 2021
Date Type: Publication
Defense Date: 12 April 2021
Approval Date: 10 May 2021
Submission Date: 22 April 2021
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 68
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Infectious Diseases and Microbiology
Degree: MPH - Master of Public Health
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: Prevention
Date Deposited: 11 May 2021 00:05
Last Modified: 11 May 2021 00:05

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