Understanding Individual & Product-Related Factors Influencing Diffusion of PrEP & PrEP + Contraception among Black Women who Have Sex with Men
Open AccessThis dissertation research seeks to better understand the individual and product-related factors influencing Pre-Exposure Prophylaxis (PrEP) and bundled PrEP and contraception uptake intention among Black women who have sex with men. A key consideration in this research is partnership status and whether it influences decisions around PrEP uptake intent. Black women are often overlooked in HIV prevention efforts, especially regarding health messaging around PrEP as an HIV prevention tool. As a result, very little is known about the factors that influence their decisions around HIV prevention and the role of male partners. The first chapter (n=1431) uses a reasoned action approach to investigate whether partnership status is a background variable predicting PrEP intention but being mediated by other psychosocial factors (attitudes, norms, and self-efficacy) or if it is a moderator influencing the strength and direction of the aforementioned psychosocial factors’ effect on PrEP intent. The data were collected through a survey administered at Washington, DC-based sexual health clinics. The second chapter (n=20) uses the diffusion of innovations theory to investigate the factors that may speed or slow the diffusion of an innovation combining PrEP and contraception among Black women. The data were collected through a series of phone interviews at a research, policy and education institute and its affiliated community health center specializing in LGBTQ and HIV care. While the mode of delivery and frequency of administration were identified as key factors influencing perceptions of the attributes of the innovation, partnership status and life stage were also key in decision making. This research contributes to the body of knowledge about Black women, their male partners and PrEP intention and the factors influencing decisions to try an innovation combining PrEP and contraception.
- All rights reserved
Notice to Authors
If you are the author of this work and you have any questions about the information on this page, please use the Contact form to get in touch with us.