Factors Influencing PrEP Interest among Women at Community Family Planning Clinics in Georgia Pubblico

Abstract

Background: According to the Georgia Department of Public Health, Atlanta, a major city in Georgia, ranked 5^thin the nation for new HIV diagnosis. Furthermore, Atlanta, a major city in Georgia also ranked 5^thin the nation for new HIV diagnosis. HIV can be prevented through the use of a medication called Truvadaä, also known as Pre-Exposure Prophylaxis (PrEP). Previous research suggests that we also need to understand the integration of PrEP delivery within reproductive healthcare services, providing opportunities to optimize this prevention strategy for women. Guided by the Diffusion of Innovations theory (DOI), we assessed the association of age, race, ethnicity, clinic location, STI history, condom use, and provider conversation about PrEP on women’s interest in and their potential uptake of PrEP, Methods:Participants (n=500) were recruited from four public family planning community clinics in Atlanta, Georgia. Eligible participants identified as female, were HIV negative, over the age of 18, and not pregnant at the time of the study. A binary logistic regression was conducted to determine which factors were significantly associated with PrEP interest using 4 measures of interest, and 7 predictor variables (age, race, ethnicity, clinic location, STI history, condom use, provider recommendation). Results: Provider recommendation was a significant predictor of PrEP interest. Furthermore, in general, participations who talked to their provider about PrEP had greater odds of becoming interested in taking PrEP, learning more about PrEP, and going to the PrEP clinic to start PrEP. Clinic location was also a significant predictor of PrEP interest. Particularly, those located at clinics closer to a PrEP clinic, had greater odds of becoming interested in taking PrEP, learning more about PrEP, and going to the Fulton County PrEP clinic to start PrEP. Conclusion: Public heath professionals and providers should work together to seek interventions to integrate PrEP into local committee clinics, combining provider recommendation and easier access to PrEP.

Table of Contents

Chapter 1: Introduction…………………………………………………………….1

Chapter 2: Literature Review……………………………………………………...5

            Age and Uptake of New practices…………………………………………...6

            Ethnicity/Race and Uptake of New Practices………………………………..8

            Health History and Uptake of New Practices………………………………11

            Condom Use and Sexual Health Decisions…………………………….......12 

            Provider Input and Uptake of New Practices………………………………15

            Location and Uptake of New Practices…………………………………….16 

            Women and PrEP……………………………………………………...........17

Chapter 3: Methods……………………………………………………………….18

            Participants………………………………………………………………….18

Setting………………………………………………………………………19

            Procedures ………………………………………………………………….20 

Measures…………………………………………………………………….21

            Independent Variables……………………………………………………....21

            Dependent Variables……………………………………………..................22

            Data Analysis Plan………………………………………………………….22

Chapter 4: Results………………………………………………………………....23 

Chapter 5: Discussion……………………………………………………………..29

            Age ………………………………………………………………………....30

            Ethnicity/Race ……………………………………………………………...31

            Health History ……………………………………………………………...32

            Condom Use ……………………………………………………………….33

            Provider Input ……………………………………………………………...34

            Location ……………………………………………………………………35 

Limitations………………………………………………………………………...36 

Conclusion…………………………………………………………………………37

Acknowledgements……………………………………………………………......37 

References………………………………………………………………………….38

Appendices…………………………………………………………………………47

About this Master's Thesis

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School	Rollins School of Public Health
Department	Behavioral Sciences and Health Education
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health Education
Parola chiave	Truvada PrEP Women
Committee Chair / Thesis Advisor	Sales, Jessica, Emory University
Committee Members	Escoffery, Cam, Emory University
Partnering Agencies	Does not apply (no collaborating organization)

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