Black women are disproportionately affected by the U.S. human immunodeficiency virus (HIV) epidemic. Preexposure prophylaxis (PrEP) is a safe and effective intervention for HIV prevention. Increased PrEP implementation is a pillar of the U.S. Department of Health and Human Services' Ending the HIV Epidemic in the U.S. initiative. However, PrEP has been used by a smaller proportion of women with PrEP indications compared with men. The goals of the Ending the HIV Epidemic in the U.S. initiative can be achieved only by increasing PrEP use among Black women. Obstetricians and gynecologists are uniquely poised to provide PrEP services for women. We describe the need for community-to-clinic models to overcome the barriers to PrEP use by Black women and a roadmap for clinician and community organization collaboration to increase access to and use of PrEP by Black women.

中文翻译：

---

美国黑人妇女和人类免疫缺陷病毒暴露前预防实施。

黑人妇女受到美国人类免疫缺陷病毒 (HIV) 流行病的严重影响。暴露前预防 (PrEP) 是一种安全有效的 HIV 预防干预措施。加强 PrEP 实施是美国卫生与公众服务部“终结美国艾滋病毒流行”倡议的支柱。然而，与男性相比，有 PrEP 适应症的女性使用 PrEP 的比例较小。只有通过增加黑人女性对 PrEP 的使用，才能实现“终结美国艾滋病毒流行”倡议的目标。妇产科医生在为女性提供 PrEP 服务方面具有独特的优势。