In the United States, African American women make up only 26% of female PrEP users, yet they account for 57% of new infections among women.
In African American and other Black cisgender women, a beauty salon-centered approach enhanced understanding and awareness of HIV/AIDS pre-exposure prophylaxis (PrEP), leading to increased confidence in its effectiveness, stated study published in the September issue of The Journal of the Association of Nurses in AIDS Care (JANAC) (1✔ ✔Trusted Source
UPDOs Protective Styles, a Multilevel Intervention to Improve Pre-exposure Prophylaxis Uptake Among Black Cisgender Women
Go to source). However, most study participants did not self-identify as requiring PrEP or having risk factors for HIV. "Like others, our study found women's willingness to take PrEP increased once they understood how PrEP benefits and protects them, but there remains a gap between willingness and perceived need," lead investigator Schenita D. Randolph, PhD, MPH, RN, FAAN, of Duke University School of Nursing in Durham, North Carolina, and colleagues write.
‘After the beauty salon intervention, there were notable enhancements in knowledge and awareness, with a significant improvement in women's trust in both pre-exposure prophylaxis (PrEP) and healthcare providers. #AIDS #HIV’
To address the urgent need to increase PrEP uptake in this population, Dr. Randolph's group designed a 3-part intervention called UPDOs Protective Styles: Using PrEP and Doing It for Ourselves:
- Two-hour training for beauty salon stylists who have Black women as their principal clientele; stylists receive continuing education credit and "Ask Me about PrEP" signage for their salons.
- A narrative-based educational video series, co-developed with Black women and an established community advisory council, designed to entertain while conveying key messages about HIV, PrEP, and Black women's social contributors to health.
- Opportunity to reach out to a PrEP navigator.
Pre- intervention survey results showed insufficient knowledge and awareness of PrEP and its availability. Only one woman was currently taking PrEP.
After the intervention, women reported expecting less disapproval from sexual partners, family, and friends about PrEP use. However, there was no change in social stigma scores or PrEP user stereotypes.
Twenty women (45%) said they had no risk of HIV infection, and 22 (50%) said they had low risk. The other two said they were at medium risk. This is of concern because in 2019, the most recent year for which statistics are available, 84% of new HIV diagnoses among women were attributed to heterosexual sex.
On the pre-intervention survey, 7% of study participants said they were not considering starting PrEP within the next month, and 86% said they were not currently considering it. Post-intervention, those figures were 32% and 64%.
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Reference:
- UPDOs Protective Styles, a Multilevel Intervention to Improve Pre-exposure Prophylaxis Uptake Among Black Cisgender Women - (https://journals.lww.com/janac/fulltext/2023/10000/updos_protective_styles,_a_multilevel_intervention.5.aspx)