TY  - BOOK
AU  - Balaji, Dhikshitha
AU  - Brant, Ashley R
AU  - Holiday, Jennifer
AU  - Lotke, Pam
AU  - Moriarty, Patricia
AU  - Scott, Rachel
AU  - Ward, Allison 
AU  - Ye, Peggy
TI  - Intention to Initiate HIV Pre-exposure Prophylaxis Among Cisgender Women in a High HIV Prevalence U.S. City
SN  - 1049-3867
PY  - 2023///
KW  - IN PROCESS -- NOT YET INDEXED
KW  - Automated
KW  - MedStar Health Research Institute
KW  - MedStar Washington Hospital Center
KW  - Obstetrics & Gynecology Residency
KW  - Obstetrics and Gynecology
KW  - Obstetrics and Gynecology/Family Planning
KW  - Journal Article
N2  - CONCLUSION: Our findings highlight the importance of multilevel, clinic-based interventions for cisgender women, which promote sex-positive and preventive PrEP messaging, peer navigation to destigmatize PrEP, and education and support for women's health medical providers in the provision of PrEP services for cisgender women. Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved; METHODS: We collected anonymous, tablet-based questionnaires from a convenience sample of cisgender women in family planning and sexual health clinics in the District of Columbia. The survey used the lens of the socio-ecological model to measure individual, interpersonal, community, institutional, and structural factors surrounding intention to initiate PrEP. The survey queried demographics, behavioral exposure to HIV, perceived risk of HIV acquisition, a priori awareness of PrEP, intention to initiate PrEP, and factors influencing intention to initiate PrEP; OBJECTIVE: Our objective was to identify the individual, interpersonal, community, health-system, and structural factors that influence HIV pre-exposure prophylaxis (PrEP) initiation among cisgender women seeking sexual and reproductive health care in a high HIV prevalence community to inform future clinic-based PrEP interventions; RESULTS: A total of 1437 cisgender women completed the survey. By socio-ecological level, intention to initiate PrEP was associated with positive attitudes toward PrEP (odds ratio [OR], 1.56; 95% confidence interval [CI], 1.13-2.15) and higher self-efficacy (OR, 1.32; 95% CI, 1.02-1.72) on the individual level, perceived future utilization of PrEP among peers and low fear of shame/stigma (OR, 1.65; 95% CI, 1.33-2.04) on the community level, and having discussed PrEP with a provider (OR. 2.39; 95% CI, 1.20-4.75) on the institutional level
UR  - https://dx.doi.org/10.1016/j.whi.2023.05.009
ER  -