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- Title
HIV Pre-exposure Prophylaxis Use and Persistence among Black Ciswomen: "Women Need to Protect Themselves, Period".
- Authors
Pyra, Maria; Johnson, Amy K.; Devlin, Samantha; Uvin, A. Ziggy; Irby, Shemeka; Stewart, Eric; Blum, Cori; Green, Maya; Haider, Sadia; Hirschhorn, Lisa R.; Ridgway, Jessica P.
- Abstract
Background: Disparities in HIV incidence and PrEP use among Black ciswomen remain. We examine factors associated with PrEP persistence using mixed methods. Setting: Black ciswomen in Chicago, IL, prescribed PrEP at a federally qualified health center (FQHC). Methods: We used electronic health data to determine PrEP persistence (Proportion of Days Covered ≥86% at 6 months) and tested demographic and clinical factors in logistic regressions. We interviewed eight Black ciswomen, purposefully selected by PrEP persistence. Results: Among 112 Black ciswomen, 18% were persistent. In adjusted models, neighborhood, visit reason (at initiation), and initiation year were significantly associated with persistence. Qualitatively, we found little evidence of cost or adherence as barriers; participants reported low community awareness, importance of providers, and concerns around stigma, side effects, and pregnancy while using PrEP. Conclusion: While persistence among Black ciswomen was low, patients were often making decisions based on perceived HIV risk. We identified real-world barriers to address in future interventions.
- Publication
Journal of Racial & Ethnic Health Disparities, 2022, Vol 9, Issue 3, p820
- ISSN
2197-3792
- Publication type
Article
- DOI
10.1007/s40615-021-01020-9