Introduction Pre-exposure prophylaxis (PrEP) for the prevention of HIV transmission is under utilised by women in the US. Women seeking abortion have a higher HIV prevalence than women who continue prenatal care and could benefit from HIV risk assessment and PrEP counselling. We assessed the knowledge, attitudes, and preferences of women seeking abortion care regarding their HIV risk and knowledge of PrEP, and identified individual and system barriers to PrEP access. Methods We performed a cross sectional descriptive study of English speaking women at a freestanding abortion clinic through an anonymous survey. Participants with indications for PrEP care included those who performed sex work, experienced a recent sexually transmitted infection, or had multiple sexual partners and inconsistent condom use. We performed descriptive statistics on response data; Wilcoxon tests were used to compare continuous variables across groups. Results 64 (32.3%) participants had indications for PrEP, but only 31 (16.1%) had previous knowledge of PrEP. After the concept was explained, attitudes towards PrEP were generally positive, and 54 participants (27.8%) would consider starting PrEP in the next 6 months. Participants were most interested in receiving PrEP care from their primary care provider rather than from an abortion clinic. Conclusions Among women seeking abortion, women vulnerable to HIV infection outnumbered those with PrEP knowledge by 2 to 1. Prior knowledge of PrEP as an HIV prevention method was low, but women found PrEP acceptable. While women reported preferring to receive PrEP from a primary care provider, the abortion clinic visit may also represent an important time for HIV education and risk screening. No data are available. Deidentified participant data are stored in REDCap, licensed by Northwestern University. Data can be made available after a data use agreement between institutions is arranged and approved by Northwestern’s Office of Sponsored Research.

中文翻译：

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获得 PrEPPT（暴露前预防和终止妊娠）：探索寻求堕胎的妇女对 HIV 和 PrEP 的价值观、态度和偏好

介绍 用于预防 HIV 传播的暴露前预防 (PrEP) 在美国未被妇女充分利用。寻求堕胎的妇女比继续进行产前护理的妇女的 HIV 感染率更高，并且可以从 HIV 风险评估和 PrEP 咨询中受益。我们评估了寻求堕胎护理的妇女在 HIV 风险和 PrEP 知识方面的知识、态度和偏好，并确定了获取 PrEP 的个人和系统障碍。方法 我们通过匿名调查对一家独立的堕胎诊所中讲英语的女性进行了横断面描述性研究。有 PrEP 护理指征的参与者包括那些从事过性工作、最近经历过性传播感染或有多个性伴侣和安全套使用不一致的人。我们对响应数据进行了描述性统计；Wilcoxon 检验用于比较组间的连续变量。结果 64 (32.3%) 名参与者有 PrEP 的适应症，但只有 31 (16.1%) 名参与者先前了解 PrEP。概念被解释后，对 PrEP 的态度普遍是积极的，54 名参与者 (27.8%) 会考虑在未来 6 个月内开始 PrEP。参与者最感兴趣的是从他们的初级保健提供者而不是堕胎诊所接受 PrEP 护理。结论 在寻求堕胎的妇女中，易感染 HIV 的妇女人数比了解 PrEP 的妇女人数多 2 比 1。先前对 PrEP 作为 HIV 预防方法的了解很少，但妇女认为 PrEP 是可以接受的。虽然女性报告说更愿意从初级保健提供者那里接受 PrEP，堕胎诊所访问也可能是艾滋病毒教育和风险筛查的重要时期。没有可用数据。未识别的参与者数据存储在西北大学许可的 REDCap 中。在机构之间达成数据使用协议并经西北大学赞助研究办公室批准后，可以提供数据。