Evidence map›Paper›PMID 40694212›Full record

ArticleJournal of racial and ethnic health disparities2026

Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Young and Older Adult Women in Baltimore: A Qualitative Study.

Deja Knight, Tiara C Willie, Stefan Baral, Danielle German, Haneefa Saleem

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

5 authors.

Deja KnightDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, 21205, MD, U.S.A.. dknigh12@jhu.edu.ORCID 0000-0003-2399-7379
Tiara C WillieDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, U.S.A.
Stefan BaralDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, 21205, MD, U.S.A.
Danielle GermanDepartment of Health, Behavior and Society, Hopkins Bloomberg School of Public Health, Baltimore, MD, U.S.A.
Haneefa SaleemDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, U.S.A.

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Johns Hopkins HIV Epidemiology and Prevention Sciences Training ProgramT32AI102623 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Shruti H Mehta · 2013 to 2026
$5.3M
Center for AIDS Research, Johns Hopkins University P30AI094189NIAID NIH HHS P30 AI094189NIAID NIH HHS T32 AI102623
6 · The paper itself

Abstract

backgroundThe majority of incident HIV infections among women in the US occur among Black cisgender women with significant heterogeneity by age. This study aimed to explore the differences in PrEP barriers and facilitators among Black young and older adult women in Baltimore, Maryland.

methodsWe purposively recruited young adult 18 to 29 (n = 12) and older adult women ages 30 to 44 (n = 14) from Baltimore, Maryland, who have never used PrEP to participate in a semi-structured interview. We utilized a combination of deductive and inductive coding to analyze the data. Coded segments were analyzed by age group and were presented using the socioecological model.

findingsAt the individual level, low PrEP awareness and knowledge, lack of perceived PrEP candidacy, and concerns about PrEP side effects and efficacy were barriers to PrEP interest. At the relationship level, monogamy and anticipated partner reaction to PrEP use (only for young adult Black women) were barriers to PrEP interest. At the community level, HIV stigma impeded PrEP interest, whereas sexual norms in college among young adult Black women contributed to PrEP interest. Finally, on a structural level, medical mistrust and PrEP costs were barriers to PrEP interest.

conclusionsTaken together, these data suggest the need for increasingly tailored approaches to better serve young and older adult Black women. Engaging Black women in specific venues such as health centers on college campuses may be optimal to reach young adult Black women, whereas healthcare settings may be optimal to reach older adult Black women.

Indexed as

Black or African AmericanHealth Knowledge, Attitudes, PracticeHIV InfectionsPre-Exposure ProphylaxisAdolescentAdultBaltimoreFemaleHumansQualitative ResearchYoung AdultBlack womenHIVPrEPPreventionUS

Identifiers

PMID40694212
PMCPMC12384375

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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.