Evidence map›Paper›PMID 33719816›Full record

ArticleAIDS care2022

Individual, social and structural factors influencing PrEP uptake among cisgender women: a theory-informed elicitation study.

Anne M Teitelman, Hong-Van Tieu, Dalmacio Flores, Jacqueline Bannon, Bridgette M Brawner, Annet Davis, Paige Gugerty, Beryl Koblin

Abstract read
In one paragraph

Article in AIDS care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Anne M TeitelmanDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.ORCID 0000-0001-6292-5648
Hong-Van TieuLab of Infectious Disease Prevention, Lindsley F. Kimball Research Institute, New York Blood Center; Division of Infectious Diseases, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0002-7880-6448
Dalmacio FloresDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.ORCID 0000-0001-9202-7443
Jacqueline BannonDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0002-7800-0321
Bridgette M BrawnerDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.ORCID 0000-0003-2707-3210
Annet DavisDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.ORCID 0000-0002-5356-7321
Paige GugertyDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Beryl KoblinDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.ORCID 0000-0002-5914-6878

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI DAVID S METZGER · 1999 to 2026
$78.6M
Columbia Partnership for Prevention and Control of HIV/AIDS Clinical Trials UnitUM1AI069470 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAGDALENA ELZBIETA SOBIESZCZYK · 2012 to 2026
$44.8M
Columbia Collaborative HIV/AIDS Clinical Trials UnitU01AI069470 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HAMMER, SCOTT M · 2007 to 2011
$15.4M
Northwestern University Minority Health and Health Disparities Research Training (NU-MHRT)T37MD014248 · NIMHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SIMON, MELISSA A. · 2019 to 2023
$1.4M
Developing a Women-Focused PrEP Intervention for HIV PreventionR34MH108437 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI TEITELMAN, ANNE M. · 2016 to 2018
$770k
NIAID NIH HHS P30 AI045008NIAID NIH HHS U01 AI069470NIAID NIH HHS UM1 AI069470NIMHD NIH HHS T37 MD014248NIMH NIH HHS R34 MH108437
6 · The paper itself

Abstract

The underutilization of pre-exposure prophylaxis (PrEP) among cisgender women in the U.S. limits this population's ability to reduce their risk for HIV infection, especially within the unique individual, social and structural systems they navigate. There is a need to identify the relevant multi-level barriers and facilitators to PrEP use among cisgender women to inform theory-guided efforts that address HIV disparities by race/ethnicity among cisgender women. Guided by the Integrated Behavioral Model and the Behavioral Model of Vulnerble Populations we conducted 41 interviews with PrEP eligible cisgender women in New York City and Philadelphia. Directed content analysis identified 11 modal behavioral beliefs crucial to PrEP uptake, including anticipated negative social consequences, 5 normative beliefs centered on available social supports, and 9 control beliefs such as anticipated barriers such as cost. Awareness and knowledge of PrEP as a biobehavioral HIV prevention method is limited for this sample. Through conventional content analysis we identified interpersonal and structural barriers to PrEP uptake including lack of partner support, transportation, mental health challenges, and challenges in accessing PrEP care. Potential solutions to structural barriers were enumerated along with implications for future intervention work and public health programming.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsPre-Exposure ProphylaxisFemaleHumansNew York CityPhiladelphiacisgender womenHIV preventionPrEPqualitative researchrisk reduction

Identifiers

PMID33719816
PMCPMC8426410

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.