Factors Associated with Comfort Discussing PrEP with Healthcare Providers among Black Cisgender Women
Abstract
:1. Introduction
2. Materials and Methods
2.1. Methods
2.2. Statistical Analysis
3. Results
3.1. Sample Characteristics
3.2. Comfort Discussing PrEP with Providers
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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N (%) | |
---|---|
Age Median (IQR) | 29 (22–35) |
Age groups | |
Younger than 30 years | 174 (55.2) |
Older than 30 years | 141 (44.8) |
Relationship status | |
Single | 149 (47.3) |
In Relationship | 166 (52.7) |
Education | |
Less than high school degree | 6 (1.9) |
High School/GED | 150 (47.6) |
Technical/Associate Degree | 70 (22.2) |
Bachelors or Higher | 89 (28.3) |
Employment | |
Employed | 246 (78.1) |
Unemployed | 69 (21.9) |
Household income, USD | |
Greater than equal to $40,000 | 109 (34.6) |
Less than $40,000 | 206 (65.4) |
Geographic region | |
Midwest | 72 (22.8) |
Northeast | 42 (13.3) |
South | 174 (55.2) |
West | 27 (8.7) |
Health insurance status | |
Insured | 279 (88.6) |
Uninsured | 36 (11.4) |
Visited a health care provider, past 12 months | 278 (88.3) |
Did not receive healthcare due to cost, past 12 months | 83 (26.3) |
Inconsistent or no condom use and multiple partners, past 6 months | 39 (12.4) |
Worry about HIV Infection | 182 (57.8) |
Comfort Discussing PrEP with Healthcare Provider | |
Comfortable | 249 (79.0) |
Not Comfortable | 66 (21.0) |
PrEP subjective norms score Median (IQR) | 12 (10–13) |
PrEP injunctive norms score Median (IQR) | 6 (5–7) |
PrEP descriptive norms score Median (IQR) | 6 (4–6) |
PrEP disapproval by others subscale score Median (IQR) | 6 (5–8) |
PrEP-user stereotypes subscale score Median (IQR) | 11 (8–14) |
Comfort Discussing PrEP | No Comfort Discussing PrEP | ||
---|---|---|---|
(N = 249) | (N = 66) | ||
Median (IQR) | Median (IQR) | p | |
Age | 29 (23–36) | 23 (20–33) | <0.0001 |
PrEP disapproval by others subscale score | 6 (5–7) | 7 (6–9) | <0.0001 |
PrEP-user stereotypes subscale score | 11 (8–13) | 12 (9–15) | 0.011 |
PrEP subjective norms score | 12 (10–14) | 9 (8–12) | <0.0001 |
PrEP injunctive norms score | 6 (6–8) | 5 (4–6) | <0.0001 |
PrEP descriptive norms score | 6 (5–7) | 5 (3–6) | <0.0001 |
Comfortable | Not Comfortable | ||
---|---|---|---|
N (%) | N (%) | p | |
Educational level | 0.166 | ||
No college degree | 118 (75.6) | 38 (24.4) | |
Earned a college degree | 131 (82.4) | 28 (17.6) | |
Employment | 0.135 | ||
Unemployed | 50 (72.5) | 19 (27.5) | |
Employed | 199 (80.9) | 47 (19.1) | |
Household income, USD | 0.468 | ||
Less than $40,000 | 160 (77.7) | 46 (22.3) | |
Greater than equal to $40,000 | 89 (81.7) | 20 (18.3) | |
Relationship Status | 0.213 | ||
Single | 113 (75.8) | 36 (24.2) | |
In a relationship | 136 (81.9) | 30 (18.1) | |
Insurance Status | 0.518 | ||
Uninsured | 27 (75.0) | 9 (25.0) | |
Insured | 222 (79.6) | 57 (20.4) | |
Visited a health care provider, past 12 months | 0.031 | ||
No | 24 (64.9) | 13 (35.1) | |
Yes | 225 (80.9) | 53 (19.1) | |
Do you worry about HIV infection? | 0.999 | ||
No | 105 (78.9) | 28 (21.1) | |
Yes | 144 (79.1) | 38 (20.9) | |
How interested are you in using PrEP to prevent HIV infection? | <0.0001 | ||
Very uninterested | 64 (66.0) | 33 (34.0) | |
Somewhat uninterested | 51 (77.3) | 15 (22.7) | |
Somewhat interested | 85 (88.5) | 11 (11.5) | |
Very interested | 49 (87.5) | 7 (12.5) | |
Inconsistent or no condom use and multiple sexual partners, past 6 months | 0.68 | ||
No | 219 (79.3) | 57 (20.7) | |
Yes | 30 (76.9) | 9 (23.1) | |
Did not receive healthcare due to cost, past 12 months | 0.531 | ||
No | 181 (78.0) | 51 (22.0) | |
Yes | 68 (81.9) | 15 (18.1) | |
Ever treated for an STI | 0.169 | ||
No | 84 (45.2) | 102 (54.8) | |
Yes | 69 (53.5) | 60 (46.5) |
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Irie, W.C.; Mahone, A.; Nakka, R.; Ghebremichael, M. Factors Associated with Comfort Discussing PrEP with Healthcare Providers among Black Cisgender Women. Trop. Med. Infect. Dis. 2023, 8, 436. https://doi.org/10.3390/tropicalmed8090436
Irie WC, Mahone A, Nakka R, Ghebremichael M. Factors Associated with Comfort Discussing PrEP with Healthcare Providers among Black Cisgender Women. Tropical Medicine and Infectious Disease. 2023; 8(9):436. https://doi.org/10.3390/tropicalmed8090436
Chicago/Turabian StyleIrie, Whitney C., Anais Mahone, Raja Nakka, and Musie Ghebremichael. 2023. "Factors Associated with Comfort Discussing PrEP with Healthcare Providers among Black Cisgender Women" Tropical Medicine and Infectious Disease 8, no. 9: 436. https://doi.org/10.3390/tropicalmed8090436