HIV Pre-Exposure Prophylaxis Stigma as a Multidimensional Barrier to Uptake Among Women Who Attend Planned Parenthood

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Sarah K CalabreseTrace S Kershaw

Abstract

Pre-exposure prophylaxis (PrEP) uptake has lagged among US women. PrEP stigma is a recognized barrier to uptake among men who have sex with men but remains largely unexplored among women. This study examined the pervasiveness of PrEP stigma among US women and its implications for uptake. In a 2017 online survey of Planned Parenthood patients drawn from the 3 cities with the highest numbers of new HIV infections in Connecticut, 597 heterosexually active, HIV-negative, PrEP-inexperienced women reported background characteristics, 2 dimensions of anticipated PrEP stigma (PrEP-user stereotypes and PrEP disapproval by others), and 3 indicators of potential PrEP uptake (interest in learning more about PrEP, intention to use PrEP, and comfort discussing PrEP with a provider). Participants commonly perceived PrEP-user stereotypes, with many believing that others would regard them as promiscuous (37%), HIV-positive (32%), bad (14%), or gay (11%) if they used PrEP. Thirty percent would feel ashamed to disclose PrEP use. Many participants expected disapproval by family (36%), sex partners (34%), and friends (25%). In adjusted analyses, perception of PrEP-user stereotypes was uniquely associated with less comfort discussing PrEP with a pro...Continue Reading

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Citations

Jan 9, 2019·Journal of Community Health·Ronald O Valdiserri, David R Holtgrave
Feb 5, 2019·AIDS Patient Care and STDs·Sarah K CalabreseJohn F Dovidio
Jan 17, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Anar S PatelAnandi N Sheth
Apr 12, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Sarah K CalabreseTrace S Kershaw
Oct 29, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Judith D Auerbach
Oct 9, 2019·The Journal of the Association of Nurses in AIDS Care : JANAC·Zoe UngerJulia E Kohn
Jan 17, 2020·American Journal of Public Health·Maria PyraJohn Schneider
Apr 10, 2020·Archives of Sexual Behavior·Anne M TeitelmanHong-Van Tieu
Mar 30, 2019·AIDS and Behavior·Nicole BryanMelanie Fisher
Apr 2, 2020·Advances in Therapy·Kenneth H MayerDavid Malebranche
Mar 8, 2020·Journal of the International AIDS Society·Jennifer VellozaUNKNOWN HPTN 082 study group
Oct 12, 2018·International Journal of STD & AIDS·Heather FarthingSusanne Doblecki-Lewis
Oct 29, 2020·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Whitney C SewellKimberly Parker
Jul 22, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Lisa R HirschhornJessica P Ridgway
Feb 5, 2021·Culture, Health & Sexuality·Gabriella Y JacksonAnne M Teitelman
Nov 9, 2020·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Kaitlin N PiperAnandi N Sheth
Jan 12, 2021·The Journal of the Association of Nurses in AIDS Care : JANAC·Anne M TeitelmanHong-Van Tieu
Mar 19, 2021·Journal of Racial and Ethnic Health Disparities·Maria PyraJessica P Ridgway
Nov 22, 2020·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Tiara C WillieSarah K Calabrese
May 4, 2021·AIDS and Behavior·Marie C D StonerUNKNOWN MTN-020 ASPIRE and M-025 HOPE study teams
Jun 10, 2021·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Naomi F FieldsAletha Y Akers
Jun 26, 2021·The Journal of the Association of Nurses in AIDS Care : JANAC·Alexa B D'AngeloChristian Grov
Jul 29, 2021·Frontiers in Reproductive Health·Barbara A FriedlandLisa B Haddad
Jan 6, 2022·AIDS and Behavior·Whitney C IrieJulia L Marcus

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