Evidence map›Paper›PMID 38195827›Full record

ArticleArchives of sexual behavior2024

"Just the Stigma Associated with PrEP Makes You Feel Like It's HIV Itself": Exploring PrEP Stigma, Skepticism, and Medical Mistrust Among Black Cisgender Women in Urban and Rural Counties in the U.S. Deep South.

Whitney C Irie, Anais Mahone, Bernadette Johnson, Jeanne Marrazzo, Michael J Mugavero, Barbara Van Der Pol, Latesha Elopre

Abstract read
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In one paragraph

Article in Archives of sexual behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
7.0field-weighted citation impact, top 2% of its field
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

16 citing papers in PubMed, 18 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Whitney C IrieBoston College School of Social Work, Chestnut Hill, 140 Commonwealth Avenue, Chestnut Hill, MA, 02467-1037, USA. whitney.irie@bc.edu.ORCID 0000-0002-8228-7206
Anais MahoneSchool of Social Work, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA.
Bernadette JohnsonDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Jeanne MarrazzoDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Michael J MugaveroDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Barbara Van Der PolDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Latesha ElopreDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
University of Alabama at Birmingham · USBoston College · USRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite its effectiveness in HIV prevention, PrEP use among Black women is suboptimal. Notably in the Deep South, Black women have the lowest PrEP uptake rates among all US regions. To increase PrEP engagement, research suggests the implementation of structural and social interventions particular to the needs of Black women. The state of Alabama is of priority to federal HIV prevention initiatives; therefore, this study conducted focus groups among 47 cis-gender Black women in rural and urban Alabama counties, with the highest statewide HIV incidence rates, to understand perceptions of PrEP and decision-making processes. Deductive coding analysis was conducted and themes were finalized based on consensus among the two coders. Four themes were identified. Findings show stigma undergirds Alabaman Black women's decisions to engage in PrEP care. Moreover, women reported stigma stifled community-level education about PrEP. Despite these experiences, education was regarded as a strategy to decrease stigma and PrEP skepticism, the latter of which emerged as a prominent theme. Medical mistrust and healthcare engagement were the other emergent themes influencing participation in PrEP care. To ensure PrEP efforts meet the needs of Black cisgender women in Alabama counties, interventions must address longstanding stigma, increase educational initiatives, and ensure interventions consider women's experiences with medical mistrust and health care engagement.

Indexed as

HIV InfectionsPre-Exposure ProphylaxisBlack or African AmericanBlack PeopleFemaleHumansTrustBlack womenDeep SouthMedical mistrustPreexposure prophylaxis (PrEP)Stigma

Identifiers

PMID38195827
OpenAlexW4390706337

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.