Open AccessPrEParing Women to Prevent HIV: An Integrated Theoretical Framework to PrEP Black Women in the United States
Author(s) -
Crystal Chapman Lambert,
Jeanne Marrazzo,
K. Rivet Amico,
Michael J. Mugavero,
Latesha Elopre
Publication year - 2018
Publication title -
the journal of the association of nurses in aids care/journal of the association of nurses in aids care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.636
H-Index - 49
eISSN - 1552-6917
pISSN - 1055-3290
DOI - 10.1016/j.jana.2018.03.005
Subject(s) - pre exposure prophylaxis , human immunodeficiency virus (hiv) , medicine , family medicine , clinical trial , intervention (counseling) , black women , gerontology , men who have sex with men , gender studies , nursing , sociology , syphilis , pathology
Preexposure prophylaxis (PrEP) with optimal adherence has demonstrated efficacy in reducing HIV incidence in women. Black women are disproportionately burdened by the HIV epidemic, accounting for more than half of all new HIV cases in women, thereby making PrEP an ideal prevention strategy for this group. However, to date, PrEP uptake by women in the United States has been slow. Further domestic research is needed to understand the multilevel factors related to PrEP awareness, uptake, and implementation in Black women. Our purpose was to review the current status of HIV prevention in Black women. We summarize clinical trials germane to federal approval of PrEP; discuss important PrEP studies focused on women, including non-oral options; and review multilevel barriers to PrEP uptake. Lastly, we discuss the use of an integrated theoretical framework to organize multilevel factors related to PrEP uptake by Black women in order to guide intervention development.