Confidence in Ability to Communicate With Sexual Partners About PrEP Among Black Cisgender Women

Author:

Irie Whitney1,Mahone Anais2,Nakka Raja3,Ghebremichael Musie34

Affiliation:

1. Boston College School of Social Work, Chestnut Hill, Massachusetts, and The Fenway Institute, Fenway Health, Boston, Massachusetts.

2. School of Social Work, Rutgers University, New Brunswick, New Jersey.

3. The Ragon Institute of MGH, MIT, and Harvard, Cambridge, Massachusetts.

4. Department of Medicine, Harvard Medical School, Cambridge, Massachusetts.

Abstract

This study explored the factors associated with Black women's confidence in their ability to engage male sexual partners in discussions about PrEP. Communication about PrEP with male partners is an important, yet minimally explored, outcome in PrEP research among Black women in heterosexual partnerships. Among 315 respondents, results show significant differences in anticipated stigma and interest in PrEP between a binary outcome variable being confident and not-confident discussing PrEP with sexual partners. Further, factors such as employment, worrying about HIV infection, interest in taking oral PrEP, subjective norms, injunctive norms, and descriptive norms were associated with Black women's higher odds of confidence in their ability to engage sexual partners about PrEP. Conversely, PrEP disapproval and stigma resulted in lower odds of Black women's confidence in their ability to engage sexual partners about PrEP. Results indicate the need for continued investigation of confidence and, relatedly, communication about PrEP among heterosexual couples and communitylevel interventions normalizing PrEP discussions and uptake.

Publisher

Guilford Publications

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health,Health (social science)

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