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Interest in Pre-exposure Prophylaxis (PrEP) for HIV is Limited Among Women in a General Obstetrics & Gynecology Setting

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Abstract

Pre-exposure prophylaxis (PrEP) is an important tool for reducing the risk of HIV acquisition, but identifying eligible and interested female patients remains difficult. We collected 144 surveys at urban Obstetrics & Gynecology clinics in Louisiana to assess interest in PrEP. Study participants were predominantly African–American (61.8%) and 45.1% had incomes of less than $20,000 per year. 84.7% of participants estimated their risk of HIV acquisition to be low. Initial interest in PrEP was moderate at 37.5% of the population. Number of partners, condom use, and self-perceived risk of HIV acquisition were associated with initial interest. After receiving more information about side effects and compliance requirements, only four of 144 (7.8% of initially interested, 2.8% of total) women remained interested in using PrEP. Concern about side effects was the major barrier to persistent interest. Further study is needed to determine how best to identify PrEP candidates in Obstetrics & Gynecology settings.

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Authors and Affiliations

  1. School of Medicine, Tulane University, New Orleans, LA, USA

    Tess Carley & Emma Siewert

  2. Department of Obstetrics and Gynecology, Tulane University, 1430 Tulane Ave SL #8611, New Orleans, LA, 70112, USA

    Amber Naresh

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  1. Tess Carley
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  2. Emma Siewert
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  3. Amber Naresh
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Correspondence to Amber Naresh.

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All procedures performed in this study were in accordance with the ethical standards of the institution and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Carley, T., Siewert, E. & Naresh, A. Interest in Pre-exposure Prophylaxis (PrEP) for HIV is Limited Among Women in a General Obstetrics & Gynecology Setting. AIDS Behav 23, 2741–2748 (2019). https://doi.org/10.1007/s10461-019-02529-1

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