Perspectives on sexual and reproductive health · 2026
"…If the Doctor Didn't Suggest it, Then I Would Probably Push the Idea Farther in My Head.": Centering the Diverse Voices of Black Women to Understand PrEP Awareness and Access in the United States South.
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Bonner Courtney Peasant, Cox Erin, Hairston Indya, Smith Ayanna, Howard Brittni, Browne Felicia A, Roberts Sarah T, Hull Kineka J, Diallo Dazon Dixon, Wechsberg Wendee M
Аннотация
CONTEXT: In Atlanta, Georgia Black women account for most of new HIV diagnoses among women and 30% of Black women may benefit from pre-exposure prophylaxis (PrEP). Yet their PrEP knowledge, awareness, and access are low.
METHODS: This study centers the voices of an economically diverse sample of 22 Black women-annual incomes from $0 to greater than $150,000-to explore their perspectives about PrEP. After consenting, women engaged in focus groups (n = 6). Rapid qualitative analysis was used to identify themes.
RESULTS: Participants indicated that there was low percieved appropriateness of PrEP among Black women; expressed that Black women desired PrEP; emphasized the importance of providers' recommendations in PrEP decision-making; and identified stigma, racial bias, cost, and side effects as PrEP access and initiation barriers. Most women indicated a preference for injectable PrEP.
CONCLUSION: Marketing that appeals to Black women; efforts that address the cost of PrEP; and PrEP education for clinicians may increase PrEP awareness, access, and uptake among Black women.
METHODS: This study centers the voices of an economically diverse sample of 22 Black women-annual incomes from $0 to greater than $150,000-to explore their perspectives about PrEP. After consenting, women engaged in focus groups (n = 6). Rapid qualitative analysis was used to identify themes.
RESULTS: Participants indicated that there was low percieved appropriateness of PrEP among Black women; expressed that Black women desired PrEP; emphasized the importance of providers' recommendations in PrEP decision-making; and identified stigma, racial bias, cost, and side effects as PrEP access and initiation barriers. Most women indicated a preference for injectable PrEP.
CONCLUSION: Marketing that appeals to Black women; efforts that address the cost of PrEP; and PrEP education for clinicians may increase PrEP awareness, access, and uptake among Black women.