Evidence map›Paper›PMID 35999528›Full record

ArticleBMC public health2022

Where's the "Everyday Black Woman"? An intersectional qualitative analysis of Black Women's decision-making regarding HIV pre-exposure prophylaxis (PrEP) in Mississippi.

Tiara C Willie, Deja Knight, Stefan D Baral, Philip A Chan, Trace Kershaw, Kenneth H Mayer, Jamila K Stockman, Adaora A Adimora, Mauda Monger, Leandro A Mena and 2 more

Abstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–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

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

12 authors.

Tiara C WillieDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD, 21205, USA. twillie2@jhu.edu.
Deja KnightDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, 21205, USA.
Stefan D BaralDepartment of Epidemiology, Johns Hopkins School of Public Health, 615 N. Wolfe Street, Baltimore, MD, 21205, USA.
Philip A ChanDepartment of Medicine, Brown University, 222 Richmond St, Providence, RI, 02903, USA.
Trace KershawDepartment of Social and Behavioral Sciences, Yale School of Public Health, 60 College Street, New Haven, CT, 06510, USA.
Kenneth H MayerHarvard Medical School and Harvard T H Chan School of Public Health, Harvard University, 25 Shattuck St, Boston, MA, 02115, USA.
Jamila K StockmanDepartment of Medicine, Division of Infectious Diseases and Global Public Health, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
Adaora A AdimoraDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, 170 Rosenau Hall, CB#7400, 135 Dauer Drive, Chapel Hill, NC, 27599-7400, USA.
Mauda MongerMLM Center for Health Education and Equity Consulting Services, 123-A Hwy 80 East #258, Clinton, MS, 39056, USA.
Leandro A MenaDepartment of Medicine, University of Mississippi Medical Center, 2500 N State St, Jackson, MS, 39216, USA.
Karlye A PhilllipsDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD, 21205, USA.
Amy NunnDepartment of Behavioral and Social Sciences, School of Public Health, Brown University, 121 S Main St, Providence, RI, 02903, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jamila Kinshasa Stockman · 1994 to 2026
$78.4M
Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
UCLA Implementation Science and Substance Use Research and Education (ISSURE) ProgramR25DA035692 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TIMOTHY W FONG, GAIL E. WYATT · 2013 to 2026
$3.9M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
Interdisciplinary Research Training in Trauma and Violence (IRTTV)T32HD094687 · NICHD · JOHNS HOPKINS UNIVERSITY · PI BELCHER, HAROLYN MILLICENT EDITH, CAMPBELL, JACQUELYN CUTLER · 2018 to 2022
$1.9M
Inderdisciplinary Training on Preventing and Addressing Violence in FamiliesT32HD064428 · NICHD · JOHNS HOPKINS UNIVERSITY · PI CAMPBELL, JACQUELYN CUTLER · 2010 to 2014
$1.7M
A comparison of firearm-related intimate partner homicide in Texas and Maryland: Prevalence, identification of those at risk, and the effect of firearm regulationsR61HD104570 · NICHD · JOHNS HOPKINS UNIVERSITY · PI CAMPBELL, JACQUELYN CUTLER, MESSING, JILL T · 2020 to 2020
$1.1M
Using Implementation Science to Increase PrEP Uptake among African American Women in the South - HIV/AIDS SupplementK01MD015005 · NIMHD · JOHNS HOPKINS UNIVERSITY · PI WILLIE, TIARA C. · 2020 to 2024
$947k
NCATS NIH HHS UL1 TR001863NIAID NIH HHS P30 AI036214NIAID NIH HHS P30 AI094189NICHD NIH HHS R61 HD104570NICHD NIH HHS T32 HD064428NICHD NIH HHS T32 HD094687NIDA NIH HHS R25 DA035692NIMHD NIH HHS K01 MD015005NIMHD NIH HHS L32 MD016555NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

backgroundBlack cisgender women in the U.S. South bear a disproportionate burden of HIV compared to cisgender women in other racial and ethnic groups and in any other part of the US. Critical to decreasing new HIV infections is the improved delivery of pre-exposure prophylaxis (PrEP) for Black cisgender women as it remains underutilized in 2021. Informed by intersectionality, the study sought to characterize the sociostructural influences on Black cisgender women's deliberations about PrEP within the context of interlocking systems of oppression including racism, sexism, and classism.

methodsSix focus groups were conducted with 37 Black women residing in Jackson, Mississippi. This sample was purposively recruited to include Black cisgender women who were eligible for PrEP but had never received a PrEP prescription.

resultsSix themes were identified as concerns during PrEP deliberation among Black women: 1) limited PrEP awareness, 2) low perceived HIV risk, 3) concerns about side effects, 4) concerns about costs, 5) limited marketing, and 6) distrust in the healthcare system. Three themes were identified as facilitators during PrEP deliberations: 1) women's empowerment and advocacy, 2) need for increased PrEP-specific education, and 3) the positive influence of PrEP-engaged women's testimonials. Black women shared a limited awareness of PrEP exacerbated by the lack of Black women-specific marketing. Opportunities to support Black women-specific social marketing could increase awareness and knowledge regarding PrEP's benefits and costs. Black women also shared their concerns about discrimination in healthcare and distrust, but they felt that these barriers may be addressed by patient testimonials from PrEP-engaged Black women, empowerment strategies, and directly addressing provider biases.

conclusionsAn effective response to PrEP implementation among Black women in the South requires developing programs to center the needs of Black women and carry out active strategies that prioritize peer advocacy while reinforcing positive and mitigating negative influences from broader social and historical contexts.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisRacismBlack or African AmericanBlack PeopleFemaleHumansMississippiAnti-HIV AgentsBlack womenHIVPre-exposure prophylaxisRacismSexism

Identifiers

PMID35999528
PMCPMC9396836

What OpenQuestion holds

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Registered trials

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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.