Differences in Medical Mistrust Between Black and White Women: Implications for Patient–Provider Communication About PrEP

Pre-exposure prophylaxis (PrEP) is an effective biomedical HIV prevention method. PrEP uptake has been persistently low among US women, particularly Black women, who account for 61% of new HIV diagnoses among women. Further understanding of barriers to Black women accessing PrEP is needed. This 2017...

Full description

Saved in:
Bibliographic Details
Published in:AIDS and behavior 2019-07, Vol.23 (7), p.1737-1748
Main Authors: Tekeste, Mehrit, Hull, Shawnika, Dovidio, John F., Safon, Cara B., Blackstock, Oni, Taggart, Tamara, Kershaw, Trace S., Kaplan, Clair, Caldwell, Abigail, Lane, Susan B., Calabrese, Sarah K.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
African Americans
AIDS
Biomedicine
Black or African American - psychology
Black or African American - statistics & numerical data
Black people
Black white differences
Communication
Cross-Sectional Studies
Disease prevention
Female
Health Personnel
Health Psychology
Health services
HIV
HIV Infections - prevention & control
HIV Infections - psychology
Human immunodeficiency virus
Humans
Infectious Diseases
Intention
Medical personnel
Medicine
Medicine & Public Health
Middle Aged
Motivation
Original Paper
Pre-Exposure Prophylaxis - methods
Prophylaxis
Public Health
Race
Racial differences
Trust - psychology
White people
White People - psychology
White People - statistics & numerical data
Women
Womens health
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Pre-exposure prophylaxis (PrEP) is an effective biomedical HIV prevention method. PrEP uptake has been persistently low among US women, particularly Black women, who account for 61% of new HIV diagnoses among women. Further understanding of barriers to Black women accessing PrEP is needed. This 2017 cross-sectional survey study explored race-based differences in PrEP interest and intention among women and the indirect association between race and comfort discussing PrEP with a healthcare provider through medical mistrust. The sample consisted of 501 adult women (241 Black; 260 White) who were HIV-negative, PrEP-inexperienced, and heterosexually active. Black women reported greater PrEP interest and intention than White women. However, Black women expressed higher levels of medical mistrust, which, in turn, was associated with lower comfort discussing PrEP with a provider. Medical mistrust may operate as a unique barrier to PrEP access among Black women who are interested in and could benefit from PrEP.
ISSN:1090-7165
1573-3254
1573-3254
DOI:10.1007/s10461-018-2283-2