Mangum, Laurenia
(2022)
PrEP and Black Women: Characteristics, Facilitators, and Barriers to Oral PrEP Uptake among Black Women.
Master Essay, University of Pittsburgh.
Abstract
HIV Pre-Exposure Prophylaxis (PrEP) is a biomedical strategy developed to reduce new cases of HIV-1. Despite its approval in 2012, uptake of PrEP is low among Black women, although Black women face a higher burden of new HIV diagnoses. This systematic review summarizes barriers and facilitators to PrEP uptake among Black women in the United States. After consulting with a health sciences librarian, we searched six scholarly journal databases in October 2021, using a robust search string for articles reporting on PrEP interest and intent among Black HIV-negative women in the U.S. between 2010 and 2021. Fifty-two articles were included in the review. Barriers to PrEP uptake included low PrEP awareness, health care providers’ lack of prescribing PrEP, PrEP safety, misinformation about PrEP eligibility and appropriateness, PrEP side effects, compliance requirements, mistrust in the government and pharmaceutical industry, support for the use of other HIV prevention strategies, and provider mistrust. Facilitators included learning about PrEP through trusted sources, positive interactions with PrEP providers, and greater HIV risk perception. The results revealed consistent findings of structural barriers to PrEP willingness and uptake and underscored the public health importance of culturally relevant behavioral interventions to assuage barriers to PrEP uptake among Black women. This review concludes that public health social workers should advocate for more equitable and inclusive programs and practices to improve competency in providing PrEP care within Black communities.
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Details
| Item Type: |
Other Thesis, Dissertation, or Long Paper
(Master Essay)
|
| Status: |
Unpublished |
| Creators/Authors: |
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| Contributors: |
| Contribution | Contributors Name | Email | Pitt Username | ORCID  |
|---|
| Thesis advisor | Terry, Martha Ann | materry@pitt.edu | materry | UNSPECIFIED | | Committee Member | Copeland, Valire | sswvcc@pitt.edu | sswvcc | UNSPECIFIED |
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| Date: |
17 May 2022 |
| Date Type: |
Completion |
| Submission Date: |
27 April 2022 |
| Access Restriction: |
1 year -- Restrict access to University of Pittsburgh for a period of 1 year. |
| Number of Pages: |
73 |
| Institution: |
University of Pittsburgh |
| Schools and Programs: |
School of Public Health > Behavioral and Community Health Sciences |
| Degree: |
MPH - Master of Public Health |
| Thesis Type: |
Master Essay |
| Refereed: |
Yes |
| Uncontrolled Keywords: |
HIV, PrEP, Black Women, Willingness, Interest |
| Date Deposited: |
17 May 2022 21:51 |
| Last Modified: |
17 May 2022 22:07 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/42774 |
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