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Publication Profiles

‘PrEP’ing for a PrEP demonstration project: understanding PrEP knowledge and attitudes among cisgender women

Citation

Pasipanodya EC, Stockman J, Phuntsog T, et al. “PrEP”ing for a PrEP demonstration project: understanding PrEP knowledge and attitudes among cisgender women. BMC Womens Health. 2021;21(1):220. doi:10.1186/s12905-021-01348-8

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Not applicable

Continuum target addressed:

Linkage to preventative care, PrEP initiation, PrEP adherence, PrEP persistence

Geography:

San Diego County-CA, Los Angeles County-CA

Study Participant Classification:

Community member(s)

Plain Language Objectives

The researchers wanted to understand Southern California cisgender women’s knowledge and opinions about HIV-prevention medicine before launching a demonstration project. They also asked what might make it easier or harder to start and continue the medicine.

Plain Language Abstract

Little was known about how cisgender women viewed pre-exposure prophylaxis, or PrEP, before a Southern California demonstration project. Researchers held three focus groups with 22 women of different HIV statuses in San Diego and Los Angeles. Participants had a median age of 44 and included six Black, seven White, eight Latina, and one multiracial woman. Although prior PrEP awareness was limited and none had used it, participants expressed interest. They saw freedom from HIV-related worry and greater control over sexual health as possible benefits. Concerns included side effects and the possibility that PrEP use might lead to greater sexual risk. Competing priorities and limited access were expected barriers to starting or continuing medication. Participants suggested phone apps, pill boxes, encouragement from loved ones, peer support from women using PrEP or living with HIV, and supportive clinicians as facilitators. These perspectives can guide interventions for women at elevated HIV risk. The study did not test whether the suggested supports improve initiation or adherence, and its focus-group findings are not prevalence estimates for all cisgender women.

Key Takeaways

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