Skip to main content

Advertisement

Log in

HIV Pre-exposure Prophylaxis at Two Urban Obstetrics/Gynecology Clinics in Buffalo: Awareness and Attitudes Among Non-Hispanic Black vs. Latinx Patients

  • Published:
Journal of Racial and Ethnic Health Disparities Aims and scope Submit manuscript

Abstract

Purpose

Non-Hispanic Black and Latinx women are disproportionately affected by HIV when compared to the general population. This study evaluated awareness of and attitude towards PrEP, self-perceived HIV infection risk, and factors constituting high-risk behavior for HIV infection at two general OB/GYN clinics in Erie County, which exhibited a 31.6% increase in HIV cases from 2019 to 2020.

Methods

One thousand twenty-five self-administered surveys were analyzed.

Results

Of participants, 69.3% were non-Hispanic Black, 13.4% were Latinx, and 22.4% were White. There was no significant difference in awareness of or attitude toward PrEP between non-Hispanic Black and Latinx participants (p = 0.197, p = 0.467). Latinx participants exhibited the lowest awareness of PrEP compared with non-Hispanic Black and White participants (p = 0.002).

Conclusions

In our high-risk group, most participants had low self-perceived risk of HIV infection and low awareness of PrEP, and most were unwilling or unsure as to whether they would take PrEP. This calls attention to a need for improved counseling regarding PrEP and what constitutes risk of HIV infection at our general OB/GYN clinics, with a potential focus on Latinx individuals.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Data Availability

Available as part of manuscript.

Code Availability

Available upon request.

References

  1. Centers for Disease Control and Prevention. Core indicators for monitoring the Ending the HIV Epidemic initiative (preliminary data): National HIV Surveillance System data reported through June 2021; and preexposure prophylaxis (PrEP) data reported through March 2021. HIV Surveillance Data Tables 2021;2 (No. 4). https://www.cdc.gov/hiv/library/reports/surveillance-data-tables/. Published October 2021. Accessed 3 Jan 2022.

  2. Raifman J, Scwartz S, Sosnowy C, et al. Brief Report: pre-exposure prophylaxis awareness and use among cisgender women at a sexually transmitted disease clinic. J Acquir Immune Defic Syndr. 2019;80(1):36–9. https://doi.org/10.1097/QAI.0000000000001879.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Baugher AR, Trujillo L, Kanny D et al. Racial, ethnic, and gender disparities in awareness of preexposure prophylaxis among HIV-negative heterosexually active adults at increased risk for HIV infection - 23 Urban Areas, United States, 2019. MMWR, US Department of Health and Human Services/Centers for Disease Control and Prevention. 2021;70(47)1635–1639

  4. Garretson M, Scanlin K, Myers J et al. Knowledge, attitudes and behaviors surrounding PrEP among Black and Latina cisgender women: findings from the 2017 New York City Sexual health Survey. Philadelphia; 2019 [Abstract 440692].

  5. New York State Department of Health. Health Advisory. AIDS institute, Office of Sexual Health and Epidemiology. 2021. https://www.health.ny.gov/diseases/aids/providers/health_advisories/index.htm

  6. New York State Department of Health. New York State HIV/AIDS Annual Surveillance Report For Persons Diagnosed Through 2019. Bureau of HIV/AIDS Epidemiology, AIDS Institute. 2020. https://www.health.ny.gov/diseases/aids/general/statistics/annual/2019/2019_annual_surveillance_report.pdf

  7. Denning PH, DiNenno EA, Wiegand RE et al. Characteristics associated with HIV infection among heterosexuals in urban areas with high AIDS prevalence — 24 cities, United States, 2006–2007. MMWR, US Department of Health and Human Services/Centers for Disease Control and Prevention. 2011;60(31);1045–1049.

  8. Thigpen MC, Kebaabetswe PM, Paxton LA et al. Antiretroviral preexposure prophylaxis for heterosexual HIV transmission in Botswana. N Engl J Med. 2012;367:423–434. https://doi.org/10.1056/NEJMoa1110711.

  9. Baeten JM, Donnell D, Ndase P, et al. Antiretroviral prophylaxis for HIV prevention in heterosexual men and women. N Engl J Med. 2012;367:399–410. https://doi.org/10.1056/NEJMoa1108524.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Preexposure prophylaxis for the prevention of HIV infection in the United States –. update. A Clinical Practice Guideline: US Public Health Service; 2021.

    Google Scholar 

  11. Calabrese SK, Tekeste BA, Mayer KH, et al. Considering stigma in the provision of HIV pre-exposure prophylaxis: reflections from current prescribers. AIDS Patient Care STDS. 2019;33(2):79–88. https://doi.org/10.1089/apc.2018.0166.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Auerbach JD, Kinsky S, Brown G et al. Knowledge, attitudes, and likelihood of pre-exposure prophylaxis (PrEP) use among US women at risk of acquiring HIV. AIDS Patient Care STDS. 2–15;29(2):102–110. https://doi.org/10.1089/apc.2014.0142

  13. Pasipanodya EC, Stockman J, Phuntsog T, et al. “PreP’ing for a PrEP demonstration project: understanding PrEP knowledge and attitudes among cisgender women. BMC Women’s Health. 2021;21:220. https://doi.org/10.1186/s12905-021-01348-8.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Goparaju L, Praschan NC, Warren-Jeanpiere L, et al. Stigma, partners, providers and costs: potential barriers to PrEP uptake among US women. J AIDS Clin Res. 2017;8(9):730. https://doi.org/10.4172/2155-6113.1000730.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Koren DE, Nichols JS, Simoncini GM. HIV pre-exposure prophylaxis and women: survey of the knowledge, attitudes, and beliefs in an urban obstetrics/gynecology clinic. AIDS Patient Care STDS. 2018;32(12):490–4. https://doi.org/10.1089/apc.2018.0030.

    Article  PubMed  Google Scholar 

  16. Ueda P, Mercer CH, Ghaznavi C, et al. Trends in frequency of sexual activity and number of sexual partners among adults aged 18 to 44 years in the US, 2000–2018. JAMA Netx Open. 2020;3(6):e203833. https://doi.org/10.1001/jamanetworkopen.2020.3833.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

All the authors contributed to the study conception and design. Material preparation and data collection were performed by Tamara Kurek and Ellen Picillo. Data analysis was performed by James Shelton. The first draft of the manuscript was written by Tamara Kurek, and all the authors commented on previous versions of the manuscript. All the authors read and approved the final manuscript.

Corresponding author

Correspondence to Tamara Kurek.

Ethics declarations

Ethics Approval

Institutional Review Board (IRB) exempt by the IRB at the University at Buffalo.

Consent to Participate

Implied consent with completion of survey.

Consent for Publication

Not applicable.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kurek, T., Picillo, E., Shelton, J. et al. HIV Pre-exposure Prophylaxis at Two Urban Obstetrics/Gynecology Clinics in Buffalo: Awareness and Attitudes Among Non-Hispanic Black vs. Latinx Patients. J. Racial and Ethnic Health Disparities 10, 2294–2301 (2023). https://doi.org/10.1007/s40615-022-01408-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40615-022-01408-1

Keywords

Navigation