Abstract

Black women have disproportionate rates of HIV compared to women of all other racial groups. The purpose of this analysis was to investigate perceived HIV risk, HIV and sexually transmitted infection (STI) testing behaviors, and pre-exposure prophylaxis (PrEP) knowledge and attitudes among Black sexual minority women (SMW) and examine differences based on their history of male sex partners. Secondary data analysis was conducted using data from the Generations Study. This analysis used a sample of N = 149 participants who identified as Black cisgender women. Results showed Black SMW with a history of male sex partners reported a higher perceived risk of contracting HIV and significantly more frequent HIV and STI testing than those without a history of male sex partners. Overall, most of the sample was not familiar with PrEP, but one-third had favorable attitudes toward it, and half felt like they did not know enough about PrEP to form an opinion. Implications for culturally relevant public health campaigns and comprehensive sexuality education that integrate PrEP are included.

摘要

与所有其他种族群体的女性相比，黑人女性的艾滋病毒感染率不成比例。本分析的目的是调查黑人性少数女性 (SMW) 的 HIV 风险感知、HIV 和性传播感染 (STI) 检测行为以及暴露前预防 (PrEP) 知识和态度，并根据她们的感染史检查差异。男性性伴侣。使用世代研究的数据进行二次数据分析。该分析使用了N个样本 = 149 名被认定为黑人顺性别女性的参与者。结果显示，与没有男性性伴侣史的黑人 SMW 相比，有男性性伴侣史的黑人 SMW 感染艾滋病毒的风险更高，而且艾滋病毒和性传播感染检测的频率也明显更高。总体而言，大多数样本对 PrEP 并不熟悉，但三分之一的人对此持积极态度，一半人觉得他们对 PrEP 的了解不够，无法形成意见。其中包括对与文化相关的公共卫生运动和整合 PrEP 的综合性教育的影响。