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Publication Profiles

Black Cisgender Women’s PrEP Knowledge, Attitudes, Preferences, and Experience in Chicago

Citation

Hirschhorn LR, Brown RN, Friedman EE, et al. Black Cisgender Women’s PrEP Knowledge, Attitudes, Preferences, and Experience in Chicago. J Acquir Immune Defic Syndr. 2020;84(5):497-507. doi:10.1097/QAI.0000000000002377

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Not applicable

Continuum target addressed:

PrEP initiation, PrEP adherence, PrEP persistence

Geography:

Cook County-IL

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers surveyed and interviewed cisgender women in Chicago about HIV-prevention medication. They wanted to understand awareness, interest, concerns, trusted information sources, and factors associated with considering PrEP.

Plain Language Abstract

Black cisgender women account for a disproportionate share of new HIV diagnoses in Chicago, but few use pre-exposure prophylaxis, or PrEP. Researchers surveyed 370 HIV-negative cisgender women at a sexually transmitted infection clinic or emergency department; 83% were Black. They also held two focus groups with women who had not used PrEP and interviewed seven women with PrEP experience. Only 30.3% had heard of PrEP. After receiving information, about one quarter considered starting it, most often to protect their health (76.4%) or reduce worry about HIV (58.1%). Recent sexually transmitted infection, stronger belief in PrEP effectiveness, and Latina identity were associated with considering use. Most participants (81.1%) had concerns, commonly about side effects. Qualitative findings emphasized poor fit with existing marketing, the need for community education, and trust in providers. Associations do not prove causation, and stated interest does not equal uptake. Results reflect women seeking care at two clinical settings rather than all Chicago women.

Key Takeaways

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