Brief Report: Pre-exposure Prophylaxis Awareness and Use Among Cisgender Women at a Sexually Transmitted Disease Clinic

Julia R. Raifman, Sheree Schwartz, Collette D. Sosnowy, Madeline C. Montgomery, Alexi Almonte, Angela R. Bazzi, Mari Lynn Drainoni, Michael D. Stein, Tiara C. Willie, Amy S. Nunn, Philip A. Chan

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV transmission. Cisgender women (cis-women) constitute only a small proportion of PrEP users in the United States despite accounting for 19% of new HIV infections in 2016. SETTING: The Rhode Island Sexually Transmitted Diseases (STD) Clinic from 2013 to 2016. METHODS: We report on the demographic and behavioral characteristics of all HIV-negative, cis-women who presented to the Clinic and of those who met Centers for Disease Control and Prevention (CDC) indications for PrEP. In a logistic regression analysis, we evaluated PrEP awareness among cis-women by year and demographic characteristics. We compared PrEP awareness among cis-women with PrEP awareness among cisgender men who have sex with men and among cisgender men who inject drugs presenting to the Clinic. RESULTS: Among 1431 HIV-negative cis-women, 84 (5.8%) met CDC indications for PrEP. PrEP awareness was significantly lower among Hispanic/Latina cis-women [11.0%; adjusted odds ratio (AOR): 0.46, 95% confidence interval (CI): 0.31 to 0.66] and non-Hispanic black cis-women (13.8%; AOR: 0.59, 95% CI: 0.39 to 0.89) relative to non-Hispanic white cis-women (20.7%). Men who have sex with men had significantly greater PrEP awareness (60.3%; AOR: 5.85, 95% CI: 3.35 to 10.23) than cis-women (22.9%). Only one woman reported PrEP use. CONCLUSIONS: Two-thirds of HIV-negative cis-women presenting for HIV/sexually transmitted disease testing and meeting CDC indications for PrEP were unaware of PrEP, and only one woman reported ever using PrEP. There is a critical need for public health professionals and health care providers to increase PrEP awareness and use among cis-women at risk for HIV.

Original languageEnglish (US)
Pages (from-to)36-39
Number of pages4
JournalJournal of acquired immune deficiency syndromes (1999)
Volume80
Issue number1
DOIs
StatePublished - Jan 1 2019

Fingerprint

Sexually Transmitted Diseases
HIV
Centers for Disease Control and Prevention (U.S.)
Odds Ratio
Confidence Intervals
Pre-Exposure Prophylaxis
Hispanic Americans
Demography
Health Personnel
HIV Infections
Public Health
Logistic Models
Regression Analysis

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

Cite this

Brief Report : Pre-exposure Prophylaxis Awareness and Use Among Cisgender Women at a Sexually Transmitted Disease Clinic. / Raifman, Julia R.; Schwartz, Sheree; Sosnowy, Collette D.; Montgomery, Madeline C.; Almonte, Alexi; Bazzi, Angela R.; Drainoni, Mari Lynn; Stein, Michael D.; Willie, Tiara C.; Nunn, Amy S.; Chan, Philip A.

In: Journal of acquired immune deficiency syndromes (1999), Vol. 80, No. 1, 01.01.2019, p. 36-39.

Research output: Contribution to journalArticle

Raifman, JR, Schwartz, S, Sosnowy, CD, Montgomery, MC, Almonte, A, Bazzi, AR, Drainoni, ML, Stein, MD, Willie, TC, Nunn, AS & Chan, PA 2019, 'Brief Report: Pre-exposure Prophylaxis Awareness and Use Among Cisgender Women at a Sexually Transmitted Disease Clinic' Journal of acquired immune deficiency syndromes (1999), vol. 80, no. 1, pp. 36-39. https://doi.org/10.1097/QAI.0000000000001879
Raifman, Julia R. ; Schwartz, Sheree ; Sosnowy, Collette D. ; Montgomery, Madeline C. ; Almonte, Alexi ; Bazzi, Angela R. ; Drainoni, Mari Lynn ; Stein, Michael D. ; Willie, Tiara C. ; Nunn, Amy S. ; Chan, Philip A. / Brief Report : Pre-exposure Prophylaxis Awareness and Use Among Cisgender Women at a Sexually Transmitted Disease Clinic. In: Journal of acquired immune deficiency syndromes (1999). 2019 ; Vol. 80, No. 1. pp. 36-39.
@article{c4dd4d5d0aef434dac247986d4146a54,
title = "Brief Report: Pre-exposure Prophylaxis Awareness and Use Among Cisgender Women at a Sexually Transmitted Disease Clinic",
abstract = "BACKGROUND: Pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV transmission. Cisgender women (cis-women) constitute only a small proportion of PrEP users in the United States despite accounting for 19{\%} of new HIV infections in 2016. SETTING: The Rhode Island Sexually Transmitted Diseases (STD) Clinic from 2013 to 2016. METHODS: We report on the demographic and behavioral characteristics of all HIV-negative, cis-women who presented to the Clinic and of those who met Centers for Disease Control and Prevention (CDC) indications for PrEP. In a logistic regression analysis, we evaluated PrEP awareness among cis-women by year and demographic characteristics. We compared PrEP awareness among cis-women with PrEP awareness among cisgender men who have sex with men and among cisgender men who inject drugs presenting to the Clinic. RESULTS: Among 1431 HIV-negative cis-women, 84 (5.8{\%}) met CDC indications for PrEP. PrEP awareness was significantly lower among Hispanic/Latina cis-women [11.0{\%}; adjusted odds ratio (AOR): 0.46, 95{\%} confidence interval (CI): 0.31 to 0.66] and non-Hispanic black cis-women (13.8{\%}; AOR: 0.59, 95{\%} CI: 0.39 to 0.89) relative to non-Hispanic white cis-women (20.7{\%}). Men who have sex with men had significantly greater PrEP awareness (60.3{\%}; AOR: 5.85, 95{\%} CI: 3.35 to 10.23) than cis-women (22.9{\%}). Only one woman reported PrEP use. CONCLUSIONS: Two-thirds of HIV-negative cis-women presenting for HIV/sexually transmitted disease testing and meeting CDC indications for PrEP were unaware of PrEP, and only one woman reported ever using PrEP. There is a critical need for public health professionals and health care providers to increase PrEP awareness and use among cis-women at risk for HIV.",
author = "Raifman, {Julia R.} and Sheree Schwartz and Sosnowy, {Collette D.} and Montgomery, {Madeline C.} and Alexi Almonte and Bazzi, {Angela R.} and Drainoni, {Mari Lynn} and Stein, {Michael D.} and Willie, {Tiara C.} and Nunn, {Amy S.} and Chan, {Philip A.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1097/QAI.0000000000001879",
language = "English (US)",
volume = "80",
pages = "36--39",
journal = "Journal of Acquired Immune Deficiency Syndromes",
issn = "1525-4135",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Brief Report

T2 - Pre-exposure Prophylaxis Awareness and Use Among Cisgender Women at a Sexually Transmitted Disease Clinic

AU - Raifman, Julia R.

AU - Schwartz, Sheree

AU - Sosnowy, Collette D.

AU - Montgomery, Madeline C.

AU - Almonte, Alexi

AU - Bazzi, Angela R.

AU - Drainoni, Mari Lynn

AU - Stein, Michael D.

AU - Willie, Tiara C.

AU - Nunn, Amy S.

AU - Chan, Philip A.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - BACKGROUND: Pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV transmission. Cisgender women (cis-women) constitute only a small proportion of PrEP users in the United States despite accounting for 19% of new HIV infections in 2016. SETTING: The Rhode Island Sexually Transmitted Diseases (STD) Clinic from 2013 to 2016. METHODS: We report on the demographic and behavioral characteristics of all HIV-negative, cis-women who presented to the Clinic and of those who met Centers for Disease Control and Prevention (CDC) indications for PrEP. In a logistic regression analysis, we evaluated PrEP awareness among cis-women by year and demographic characteristics. We compared PrEP awareness among cis-women with PrEP awareness among cisgender men who have sex with men and among cisgender men who inject drugs presenting to the Clinic. RESULTS: Among 1431 HIV-negative cis-women, 84 (5.8%) met CDC indications for PrEP. PrEP awareness was significantly lower among Hispanic/Latina cis-women [11.0%; adjusted odds ratio (AOR): 0.46, 95% confidence interval (CI): 0.31 to 0.66] and non-Hispanic black cis-women (13.8%; AOR: 0.59, 95% CI: 0.39 to 0.89) relative to non-Hispanic white cis-women (20.7%). Men who have sex with men had significantly greater PrEP awareness (60.3%; AOR: 5.85, 95% CI: 3.35 to 10.23) than cis-women (22.9%). Only one woman reported PrEP use. CONCLUSIONS: Two-thirds of HIV-negative cis-women presenting for HIV/sexually transmitted disease testing and meeting CDC indications for PrEP were unaware of PrEP, and only one woman reported ever using PrEP. There is a critical need for public health professionals and health care providers to increase PrEP awareness and use among cis-women at risk for HIV.

AB - BACKGROUND: Pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV transmission. Cisgender women (cis-women) constitute only a small proportion of PrEP users in the United States despite accounting for 19% of new HIV infections in 2016. SETTING: The Rhode Island Sexually Transmitted Diseases (STD) Clinic from 2013 to 2016. METHODS: We report on the demographic and behavioral characteristics of all HIV-negative, cis-women who presented to the Clinic and of those who met Centers for Disease Control and Prevention (CDC) indications for PrEP. In a logistic regression analysis, we evaluated PrEP awareness among cis-women by year and demographic characteristics. We compared PrEP awareness among cis-women with PrEP awareness among cisgender men who have sex with men and among cisgender men who inject drugs presenting to the Clinic. RESULTS: Among 1431 HIV-negative cis-women, 84 (5.8%) met CDC indications for PrEP. PrEP awareness was significantly lower among Hispanic/Latina cis-women [11.0%; adjusted odds ratio (AOR): 0.46, 95% confidence interval (CI): 0.31 to 0.66] and non-Hispanic black cis-women (13.8%; AOR: 0.59, 95% CI: 0.39 to 0.89) relative to non-Hispanic white cis-women (20.7%). Men who have sex with men had significantly greater PrEP awareness (60.3%; AOR: 5.85, 95% CI: 3.35 to 10.23) than cis-women (22.9%). Only one woman reported PrEP use. CONCLUSIONS: Two-thirds of HIV-negative cis-women presenting for HIV/sexually transmitted disease testing and meeting CDC indications for PrEP were unaware of PrEP, and only one woman reported ever using PrEP. There is a critical need for public health professionals and health care providers to increase PrEP awareness and use among cis-women at risk for HIV.

UR - http://www.scopus.com/inward/record.url?scp=85058599751&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058599751&partnerID=8YFLogxK

U2 - 10.1097/QAI.0000000000001879

DO - 10.1097/QAI.0000000000001879

M3 - Article

VL - 80

SP - 36

EP - 39

JO - Journal of Acquired Immune Deficiency Syndromes

JF - Journal of Acquired Immune Deficiency Syndromes

SN - 1525-4135

IS - 1

ER -