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Social, Structural and Behavioral Interventions for HIV Prevention

Special Issue Editors


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Guest Editor
Division of Prevention Science, University of California, San Francisco, CA 94158, USA
Interests: implementation science; MSM; community-based organizations; social media; training; technical assistance; capacity building assistance; implementation/replication manuals; HIV; interdisciplinary research collaboration; community-level interventions
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Division of Prevention Science, University of California, San Francisco, CA 94158, USA
Interests: HIV prevention; ethnic/racial disparities; men who have sex with men; gay men; transgender women; implementation science; racial/ethnic minorities; sexual minorities; sexual risk behavior; engagement in HIV care; adherence to medications; youth; community level interventions; combination prevention; community-based organizations; capacity building for community based organizations; intervention development; social marketing; social media; community mobilization; African American faith-based organizations; mentoring
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Division of Prevention Science, University of California, San Francisco, CA 94158, USA
Interests: transgender health; global health; intervention development; adaptation and evaluation; qualitative methods; gender and sexual minority health; quality improvement; healthy equity; health disparities
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Evidence-based and -informed social, structural, and behavioral interventions have great potential to further reduce HIV transmission and synergistically improve the acceptability, adoption, persistence, feasibility, appropriateness, penetration, and fidelity of biomedical interventions such as PrEP, PEP, and Treatment as Prevention (TasP). Biobehavioral interventions that combine social and medical prevention approaches have a critical role in ending the HIV epidemic. The scaling up of these tools has not produced sufficient declines in HIV incidence to reach global prevention targets, in part due to social, behavioral, implementation, and structural barriers that prevent available services from reaching populations who could benefit from them. More work is needed to improve health equity and to ensure that these tools effectively reach the key populations most impacted by HIV, including gay, bisexual, and other men who have sex with men (MSM); people of transgender experience; people involved in the sex trade; people who inject drugs; and people living with HIV. Racism, sexism, transphobia, lack of economic opportunities, and other social injustices continue to present barriers to ending the HIV epidemic. Papers addressing these topics, from a range of country and regional contexts globally, are invited for this Special Issue and may include quantitative, qualitative, or mixed-methods original research on intervention development, adaptation, implementation, evaluation, and/or outcomes.

Prof. Dr. Greg Rebchook
Prof. Dr. Susan Kegeles
Dr. Sophia Zamudio-Haas
Guest Editors

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Keywords

  • HIV prevention interventions
  • implementation science
  • sexual and gender minorities
  • feasibility studies
  • homosexuality
  • male
  • transgender persons
  • sex work
  • substance use
  • intravenous

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Published Papers (1 paper)

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Research

27 pages, 359 KiB  
Article
An Examination of Perceptions among Black Women on Their Awareness of and Access to Pre-Exposure Prophylaxis (PrEP)
by Mandy J. Hill, Sarah Sapp, Shadawn McCants, Jeffrey Campbell, Akeria Taylor, Jamila K. Stockman and Diane Santa Maria
Int. J. Environ. Res. Public Health 2024, 21(8), 1084; https://doi.org/10.3390/ijerph21081084 - 16 Aug 2024
Viewed by 870
Abstract
Cisgender Black women (CBW) experience 67% of new HIV diagnoses among women in the South. Progress toward ending the HIV epidemic requires researchers to explore perceptions of factors related to the decision to initiate pre-exposure prophylaxis (PrEP) among CBW. Qualitative methods were used [...] Read more.
Cisgender Black women (CBW) experience 67% of new HIV diagnoses among women in the South. Progress toward ending the HIV epidemic requires researchers to explore perceptions of factors related to the decision to initiate pre-exposure prophylaxis (PrEP) among CBW. Qualitative methods were used to explore how social and structural constructs influence individual decisions to use PrEP among 20 CBW through focus groups. The thematic data analysis identified how facilitators and barriers to PrEP uptake aligned with an external locus of control (LOC) [e.g., media influences on understanding of PrEP] or an internal LOC (e.g., awareness of personal vulnerability to HIV). Several participants highlighted that their PrEP knowledge was rooted in an external LOC, such as media campaigns. A participant stated, ‘But even with the commercial, it wasn’t representation for me.’ Another participant described her personal HIV vulnerability in her sexual relationship as an internal LOC, stating, ‘Not ignorance, it’s maybe just not accepting the true reality of this can be contracted even from someone that you believe that you trust.’ Due to gaps in media marketing, healthcare providers should be aware that some female patients may perceive that PrEP is not for them. Provider-led sexual health discussions are urgently needed to bridge the gap between PrEP eligibility and initiation. Full article
(This article belongs to the Special Issue Social, Structural and Behavioral Interventions for HIV Prevention)
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