Adapting Provider Training and Pre-Exposure Prophylaxis Advertising to Increase Pre-Exposure Prophylaxis Awareness and Uptake Among Black Cisgender Women

• DOI: 10.1089/apc.2023.0188
• Publication Date: 2023-11-27T19:48:11Z
• Authors: Samantha A. Devlin; Jessica P. Ridgway; Alicia Dawdani; Ososese E. Enaholo; Geoffroy Liegeon; Nikki Kasal; Maria Pyra; Lisa R. Hirschhorn; Jodi Simon; Sadia Haider; Kelly Ducheny; Amy K. Johnson
• Keywords: Pre-exposure prophylaxis

Black cisgender women (hereafter referred to as "women") have disproportionately high rates of HIV infection yet low pre-exposure prophylaxis (PrEP) utilization. Barriers PrEP uptake exist at the system, provider, and individual/client level. To learn how existing training advertising can be adapted address race- sex-based gaps within service delivery, we conducted focus groups with providers women. Participants were recruited three health care organizations in Midwest South, screened for eligibility, consented verbally. Focus occurred from August 2022 February 2023. Women asked about their knowledge thoughts on PrEP. Providers factors influencing decision-making A codebook was developed based Consolidated Framework Implementation Research. Transcripts coded using Stanford Lightning Report Method. We completed four 10 9 25 Three major themes emerged: (1) comfort level limited cultural sensitivity/competency among discussing risk women, (2) women's concerns PrEP's side effects safety during pregnancy, (3) lack representation advertisement/educational materials. In addition, South reported general medical mistrust specific misconceptions trainings need detailed information should include role-playing enhance competency. Likewise, advertisements/materials incorporate regarding images/experiences increase awareness this population. Clinical Trial Registration Number: NCT05626452.