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Women and Pre-Exposure Prophylaxis for HIV Prevention

Special Issue Editor


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Guest Editor
1. School of Social Work, Boston College, Chestnut Hill, MA 02467, USA
2. The Fenway Institute, Fenway Health, Boston, MA 02215, USA
Interests: community-driven solutions; critical health equity; black women's sexual and reproductive health; implementation science for black lives; structural evaluation and transformation; social and environmental justice

Special Issue Information

Dear Colleagues,

Despite the availability of pre-exposure prophylaxis (PrEP) as a highly effective biomedical intervention for preventing HIV, women globally continue to experience significant barriers to access and uptake. In 2023, women and girls accounted for approximately 44% of these new infections, indicating the ongoing, disproportionate impact of HIV on women, particularly in regions like sub-Saharan Africa. Research shows that gender power dynamics, intersectionality, and socio-structural factors, such as stigma, poverty, and lack of healthcare access, compound the challenges women face in accessing and effectively using PrEP.

This Special Issue seeks submissions that examine the multi-level determinants of PrEP use among women and girls. We invite submissions that explore how gendered power dynamics, intersectionality, racialized experiences, coloniality, culture, and social norms influence HIV prevention efforts. Moreover, we welcome studies focusing on adolescent girls and young women, as they are particularly vulnerable to HIV infection, often due to biological, social, and structural vulnerabilities that intersect during this critical life stage. Contributions addressing US and non-US contexts are encouraged, as the issue aims to highlight diverse experiences and solutions across different regions and populations.

We are particularly interested in manuscripts that explore innovative interventions and programs designed to increase PrEP uptake among women, implementation science studies, and studies employing diverse methodological approaches, and analyses that unpack the influence of policies, healthcare systems, and community dynamics on women's health outcomes.

We hope this Special Issue will further our collective understanding of women's HIV prevention needs and provide insights for developing equitable, sustainable, and community-centered solutions. We look forward to your valuable contributions, as they will help shape the future of PrEP for women globally.

Dr. Whitney C. Irie
Guest Editor

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Keywords

  • HIV prevention
  • women and PrEP
  • intersectionality
  • gender power dynamics
  • adolescent girls and young women
  • healthcare access
  • stigma and discrimination
  • structural inequalities

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Published Papers (1 paper)

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Research

27 pages, 362 KiB  
Article
Examining Perceptions Among Healthcare Providers on Their Awareness of and Experience with Prescribing and/or Referring Pre-Exposure Prophylaxis to Eligible Cisgender Black Female Patients: A Qualitative Inquiry
by Mandy J. Hill, Amber I. Sophus, Sarah Sapp, Jeffrey Campbell, Diane Santa Maria and Jamila K. Stockman
Int. J. Environ. Res. Public Health 2025, 22(3), 450; https://doi.org/10.3390/ijerph22030450 - 18 Mar 2025
Viewed by 403
Abstract
Prescriptions for and use of pre-exposure prophylaxis (PrEP), an available and accessible HIV prevention strategy, remain low among cisgender Black women (CBW). Given PrEP is only available through a prescription from a licensed healthcare provider (HCP), there is a need to identify factors [...] Read more.
Prescriptions for and use of pre-exposure prophylaxis (PrEP), an available and accessible HIV prevention strategy, remain low among cisgender Black women (CBW). Given PrEP is only available through a prescription from a licensed healthcare provider (HCP), there is a need to identify factors associated with HCP’s prescribing and/or referring PrEP to CBW. Qualitative methods (in-depth interviews) were used to examine factors shaping beliefs and behaviors among 12 HCPs that impact their willingness to prescribe or refer PrEP to CBW. Seven primary themes were identified during a thematic data analysis. The themes with the highest frequency of codes (fc) were the provider’s experience discussing sexual health (fc = 284), the provider approach to patient engagement (fc = 240), provider knowledge of PrEP (fc = 158), and the provider approach to determining PrEP eligibility (fc = 141). Findings indicate that prescribing and referral behaviors among HCPs can be influenced by their knowledge of PrEP; perceptions about PrEP for patients; comfort level in engaging/communicating with patients about PrEP; awareness of PrEP resources needed to improve PrEP access among patients; and patient–provider communication relative to sexual health, HIV vulnerability, and PrEP eligibility. Study findings illuminate how usual care practices contribute to gaps in PrEP access among CBW and highlight areas for intervention. Full article
(This article belongs to the Special Issue Women and Pre-Exposure Prophylaxis for HIV Prevention)
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