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Using an Intersectional Framework to Understand the Challenges of Adopting Pre-exposure Prophylaxis (PrEP) Among Young Adult Black Women

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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.

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Funding

The first author was supported by a T32 Behavioral Science Training at New York University Rory Meyers College of Nursing post-doctoral fellowship (T32DA007233-33). This research was supported by the Center for Drug Use and HIV Research (CDUHR–P30 DA011041) and the National Institute of Mental Health of the National Institutes of Health under Award Number R25MH087217. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Authors and Affiliations

  1. Department of Community Health and Social Medicine, CUNY School of Medicine, New York, New York, United States

    Keosha T. Bond

  2. Department of Criminology, Law, and Justice, University of Illinois At Chicago, Chicago, Illinois, United States

    Alana Gunn

  3. CUNY Lehman College, Bronx, New York, New York, United States

    Porche Williams

  4. Silver School of Social Work, New York University, New York, New York, United States

    Noelle R. Leonard

  5. Center for Drug Use and HIV Research, NYU School of Global Public Health, New York, New York, United States

    Noelle R. Leonard

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Correspondence to Keosha T. Bond.

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Bond, K.T., Gunn, A., Williams, P. et al. Using an Intersectional Framework to Understand the Challenges of Adopting Pre-exposure Prophylaxis (PrEP) Among Young Adult Black Women. Sex Res Soc Policy 19, 180–193 (2022). https://doi.org/10.1007/s13178-021-00533-6

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