Abstract

Introduction

There is limited functional knowledge and utilization of pre-exposure prophylaxis (PrEP) among young adult Black cisgender women (YBW).

Methods

We conducted four focus groups with YBW using an intersectional framework to explore multiple levels of factors that impede YBW awareness, interest, and utilization of PrEP in conjunction with their sexual and reproductive healthcare needs.

Results

Influences at the cultural-environmental level included a lack of information and resources to access to PrEP and medical mistrust in the healthcare system. At the social normative level, influences included attitudes towards the long-term effects on sexual and reproductive health and self-efficacy to follow the PrEP regimen. At the proximal intrapersonal level, influences included anticipated HIV stigma from family and peers along with the fear of rejection from their main partners.

Conclusions

Translation of these results indicated that interventions to increase PrEP utilization and adherence among YBW will require multi-level strategies to address barriers to integrating HIV prevention into sexual and reproductive healthcare.

中文翻译：

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使用交叉框架来了解在年轻成年黑人女性中采用暴露前预防 (PrEP) 的挑战

摘要

介绍

在年轻的成年黑人顺性别女性 (YBW) 中，暴露前预防 (PrEP) 的功能知识和利用有限。

方法

我们使用交叉框架与 YBW 进行了四个焦点小组，以探索阻碍 YBW 意识、兴趣和利用 PrEP 的多个层面的因素，以及他们的性和生殖保健需求。

结果

文化环境层面的影响包括缺乏获取 PrEP 的信息和资源以及对医疗保健系统的医疗不信任。在社会规范层面，影响包括对遵循 PrEP 方案对性和生殖健康的长期影响以及自我效能感的态度。在最近的个人内部层面，影响包括来自家庭和同龄人的预期艾滋病毒耻辱以及对主要伴侣拒绝的恐惧。

结论

这些结果的翻译表明，增加 YBW 中 PrEP 利用率和依从性的干预措施将需要多层次的策略来解决将 HIV 预防纳入性和生殖保健的障碍。