000			03486nam a22004457a 4500
008			220706s20222022 xxu||||| |||| 00| 0 eng d
022			_a0004-0002
024			_a10.1007/s10508-021-02274-4 [doi]
024			_a10.1007/s10508-021-02274-4 [pii]
040			_aOvid MEDLINE(R)
099			_a35622077
245			_aFactors Associated with Intention to Initiate Pre-exposure Prophylaxis in Cisgender Women at High Behavioral Risk for HIV in Washington, D.C.
251			_aArchives of Sexual Behavior. 2022 May 27
252			_aArch Sex Behav. 2022 May 27
253			_aArchives of sexual behavior
260			_c2022
260			_fFY2022
260			_p2022 May 27
265			_saheadofprint
266			_d2022-07-06
520			_aPre-exposure prophylaxis (PrEP) for HIV prevention is underutilized by cisgender women at risk for HIV in the USA. Published research on PrEP initiation among cisgender women at risk for HIV focuses on identifying barriers and facilitators associated with intention to initiate, but few apply a behavioral theoretical lens to understand the relative importance of these diverse factors. This study provides a theoretically grounded view of the relative importance of factors associated with intention to initiate PrEP. We conducted an anonymous, cross-sectional survey of 1437 cisgender women seeking care at family planning and sexual health clinics to evaluate hypothesized barriers and facilitators of PrEP initiation. We categorized cisgender women with >= 3 behavioral risk-factors as "high-risk" for HIV acquisition; 26.9% (N = 387) met high-risk criterion. Among cisgender women in the high-risk sample, the majority were Black and single. Perceived risk of HIV acquisition was low and 13.7% reported intention to initiate PrEP. Positive attitudes toward PrEP, self-efficacy, perceived support from medical providers and social networks, and prior discussion about PrEP with medical providers were associated with intention to initiate PrEP; stigma was negatively associated. Background characteristics (other than age), risk factors for HIV acquisition, prior awareness of PrEP, and perceived risk of HIV were not associated with uptake intention. These findings support interventions that center on the role of providers in the provision of PrEP and on social networks in destigmatization of PrEP use. Copyright © 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Health Research Institute
651			_aMedStar Washington Hospital Center
656			_aObstetrics & Gynecology Residency
656			_aObstetrics and Gynecology/Family Planning
657			_aJournal Article
700			_aBalaji, Dhikshitha
700			_aHoliday, Jennifer
700			_aLotke, Pam
700			_aMoriarty, Patricia
700			_aScott, Rachel K
700			_aWard, Allison _bMedStar Washington Hospital Center _cObstetrics & Gynecology Residency
700			_aYe, Peggy
790			_aBalaji D, Beverley J, Brant AR, Cameron M, Coleman M, Elion R, Holiday J, Huang JC, Hull SJ, Lotke P, Moriarty P, Scott RK, Visconti A, Ward A, Ye P
856			_uhttps://dx.doi.org/10.1007/s10508-021-02274-4 _zhttps://dx.doi.org/10.1007/s10508-021-02274-4
858			_yScott, Rachel K _uhttp://orcid.org/0000-0002-1519-9222 _zhttp://orcid.org/0000-0002-1519-9222
942			_cART _dArticle
999			_c10916 _d10916