To achieve the 2030 goal of ending the HIV epidemic, we must consider social network- along with individual-level factors related to HIV prevention among young Black women (YBW). This cross-sectional study examined egocentric social network- and individual-level data of 180 YBW aged 18–24. Multivariable logistic regression models were used to study social network characteristics and individual sexual behaviors related to HIV prevention behaviors (e.g., HIV testing, condom use, and interest in preexposure prophylaxis, or PrEP). On average, YBW nominated 11 social network members (SNMs; seven friends, two family members, and one sex partner). About 92% of YBW spoke to at least one SNM about condom use and 58% spoke to at least one SNM about HIV testing. Respondents who spoke to a sex partner about condom use had 70% lower odds of being interested in PrEP, but 2.99 times the odds of reporting condom use during last sex. Odds of being tested for HIV in the prior 3 months were significantly increased by 3.97 times for those who spoke to at least one sex partner about HIV testing. However, odds of being interested in PrEP were significantly decreased by 63% for YBW who were tested for HIV in the prior 3 months. Findings underscore that understanding network- and individual-level factors is crucial in increasing HIV testing, condom use, and interest in PrEP among YBW.

为了实现 2030 年结束 HIV 流行的目标，我们必须考虑社会网络以及与年轻黑人女性 (YBW) 预防 HIV 相关的个人层面因素。这项横断面研究检查了 180 名 18-24 岁 YBW 的以自我为中心的社交网络和个人层面的数据。多变量逻辑回归模型用于研究与 HIV 预防行为相关的社会网络特征和个人性行为（例如 HIV 检测、安全套使用和对暴露前预防或 PrEP 的兴趣）。平均而言，YBW 提名了 11 名社交网络成员（SNM；7 名朋友、2 名家庭成员和 1 名性伴侣）。大约 92% 的 YBW 与至少一位 SNM 就安全套的使用进行了交谈，58% 的 YBW 与至少一位 SNM 就艾滋病毒检测进行了交谈。与性伴侣谈论避孕套使用的受访者对 PrEP 感兴趣的几率降低了 70%，但报告上次性行为期间使用避孕套的几率是 2.99 倍。对于那些与至少一位性伴侣谈论 HIV 检测的人来说，在过去 3 个月内接受 HIV 检测的几率显着增加了 3.97 倍。然而，在前 3 个月接受 HIV 检测的 YBW 对 PrEP 感兴趣的几率显着降低了 63%。研究结果强调，了解网络和个人层面的因素对于增加 YBW 中的 HIV 检测、安全套使用和对 PrEP 的兴趣至关重要。然而，在前 3 个月接受 HIV 检测的 YBW 对 PrEP 感兴趣的几率显着降低了 63%。研究结果强调，了解网络和个人层面的因素对于增加 YBW 中的 HIV 检测、安全套使用和对 PrEP 的兴趣至关重要。然而，在前 3 个月接受 HIV 检测的 YBW 对 PrEP 感兴趣的几率显着降低了 63%。研究结果强调，了解网络和个人层面的因素对于增加 YBW 中的 HIV 检测、安全套使用和对 PrEP 的兴趣至关重要。