02960nam a22003617a 4500
221213s20222022 xxu||||| |||| 00| 0 eng d
1041-0236
10.1080/10410236.2022.2145781 [doi]
Ovid MEDLINE(R)
36398676
Understanding Psychosocial Determinants of PrEP Uptake Among Cisgender Women Experiencing Heightened HIV Risk: Implications for Multi-Level Communication Intervention.
Health Communication. :1-12, 2022 Nov 18
Health Commun. :1-12, 2022 Nov 18
Health communication
2022
FY2023
2022 Nov 18
aheadofprint
2022-12-13
Pre-exposure prophylaxis (PrEP) is a highly effective daily pill that decreases the likelihood of HIV acquisition by up to 92% among individuals at risk for HIV. PrEP can be discretely used, autonomously controlled, and in place at the time of risk exposure, making it an especially promising method for HIV prevention for cisgender women (CGW). But, PrEP is underutilized by CGW relative to the demonstrable need. We apply the Integrative Model of Behavioral Prediction to identify the critical psychosocial factors that shape CGW's intentions to use PrEP and their relevant underlying beliefs. We surveyed (N = 294) community- and clinic-recruited PrEP eligible CGW to understand the relative importance of attitudes, norms, and efficacy in shaping PrEP intentions. We utilized structural equation modeling to identify the relevant paths. We inspected the summary statistics in relation to three message three selection criteria. We identified beliefs that demonstrated (1) an association with intention, (2) substantial room to move the population, (3) practicality as a target for change through communication intervention. Results show that PrEP awareness was low. When women learned about PrEP, they voiced positive intentions to use it. There were significant and positive direct effects of SE (0.316***), attitudes (0.201**), and subjective norms (0.249***) on intention to initiate PrEP. We illustrate the strategic identification of beliefs within the relevant paths using the 3 belief selection criteria. We also discuss implications for social and structural communication interventions to support women's HIV prevention.
English
IN PROCESS -- NOT YET INDEXED
MedStar Health Research Institute
MedStar Washington Hospital Center
Obstetrics and Gynecology/Family Planning
Journal Article
Lotke, Pam
MWHC
Peng Ye, Peggy
WHC
Scott, Rachel K
MHRI
Brant AR, Coleman ME, Duan X, Huang JC, Hull SJ, Lotke PS, Nalls P, Peng Ye P, Scott RK
https://dx.doi.org/10.1080/10410236.2022.2145781
https://dx.doi.org/10.1080/10410236.2022.2145781
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Article
authcat
authcat
2022-12-13
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36398676
36398676
2022-12-13
2022-12-13
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