scholarly journals PrEP Eligibility and Interest Among Clinic- and Community-Recruited Young Black Women in Atlanta, Georgia, USA

2018 ◽  
Vol 16 (3) ◽  
pp. 250-255 ◽  
Author(s):  
J.M. Sales ◽  
R.J. Steiner ◽  
J.L. Brown ◽  
A. Swartzendruber ◽  
A.S. Patel ◽  
...  
Keyword(s):  
Black Women ◽  
Sexual Health ◽  
Hot Spot ◽  
Community Sample ◽  
Risk Indicators ◽  
Behavioral Risk ◽  
Eligibility Criteria ◽  
Convenience Sample ◽  
Clinic Sample ◽  
Young Black Women

Background:Atlanta has been identified as an HIV “hot spot” for Black women and ranks 5th in the US with new infections. Yet little is known about PrEP eligibility or interest among young Black women in Atlanta.Methods:A convenience sample of 1,261 Black women (ages 14-24 years) were recruited from two settings: community venues and sexual health clinics. They provided self-reported sexual behavior data and specimens for laboratory testing for chlamydia (CT) and gonorrhea (GC) infections. For each woman, the number of key self-reported behavioral HIV risk factors was calculated (0-6 factors for the clinic sample, 0-3 factors for the community sample). A single item assessed PrEP interest in the community sample only.Results:Bacterial STI positivity, an indicator for PrEP eligibility, was 20.5% (17.1% CT, 6.3% GC) and 20.9% (18.8% CT, 5.2% GC) for the clinic and community samples, respectively. Of the 144 STI positive women from the clinic sample, 20.1% reported no behavioral risk indicators and 47.2% reported > 2 behavioral indicators. Of the 117 STI positive women from the community sample, 21.4% reported no behavioral risk indicators. 60.7% of the community sample reported they would be likely or very likely to use PrEP if available.Conclusion:Young Black women in Atlanta, whether sampled from community or sexual health settings, are at substantial risk for HIV infection and meet several PrEP eligibility criteria. Scaling up PrEP among women in Atlanta could have significant implications for HIV in this high burden region.

Optimizing information technology to improve sexual health-care delivery: public and patient preferences

2007 ◽  
Vol 18 (7) ◽  
pp. 440-445 ◽  
Author(s):  
J D C Ross ◽  
A Copas ◽  
J Stephenson ◽  
L Fellows ◽  
G Gilleran
Keyword(s):  
Health Care ◽  
Health Services ◽  
Sexual Health ◽  
Patient Preferences ◽  
New Technologies ◽  
Community Sample ◽  
The Internet ◽  
Clinic Sample ◽  
Black Caribbean

Information and communication technology (ICT) has the potential to improve the quality of care and efficiency in sexual health clinics, but its introduction requires input not only from health-care professionals and ICT specialists but also from service users and potential future users. In this study, views on ICT in relation to the delivery of sexual health services were assessed using a structured interview in two groups – a community sample of young people and a clinic sample of existing patients. In all, 542 community interviewees and 202 clinic patients participated. About 75% of respondents had access to the Internet and overall 60% reported that the self-collection of a sexual history on an electronic form was acceptable. Black Caribbean individuals had significantly less access to the Internet and a lower acceptance of electronic data collection. For booking an appointment, the majority of patients reported the telephone (community sample 93%, clinic sample 96%) or attending in person (community sample 77%, clinic sample 54%) to be acceptable, with a smaller proportion choosing email (community sample 10%, clinic sample 27%) or the Internet (community sample 7%, clinic sample 11%). Electronic booking was significantly less acceptable to Black Caribbean respondents. Although new technologies offer the opportunity to improve the quality of sexual health services, patient preferences and differences between groups in access to technology also need to be considered when services are reconfigured.

Abstract 19005: Staying Connected: a CVD Risk Intervention for Young Black Women

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Jo-Ann Eastwood ◽  
Debra K Moser ◽  
Nabil Alshurafa ◽  
Lynn V Doering ◽  
Karol Watson ◽  
...  
Keyword(s):  
Risk Factor ◽  
Black Women ◽  
Risk Reduction ◽  
Self Care ◽  
Cardiac Risk ◽  
High Risk Population ◽  
Long Term Effects ◽  
Cvd Risk ◽  
Lipid Panel ◽  
Young Black Women

Fifty thousand Black women, disproportionately affected by cardiovascular disease (CVD), die annually; 49% of Black women ≥ 20 years have CVD. Implementing proactive risk reduction is essential. The purpose of this community - based pilot was to test the feasibility of a program combining self-care education with wireless individualized feedback via a unique smartphone designed to appeal specifically to young Black women (YBW). Methods: Using church-based recruitment, 49 YBW (aged 25-45 years, 60% single) were randomized to treatment (TX) and control groups by church site. The TX group participated in 4 interactive self-care classes on CVD risk reduction. Each participant set individualized goals. Risk factor profiles (waist circumference (WC), BP, lipid panel by Cholestech [Alere]), medical and reproductive history and a battery of psychosocial instruments were assessed prior to classes and 6 months later. Participants were given smartphones with embedded accelerometers and WANDA-CVD, an application that delivered prompts and messages specifically for this pilot. For activity monitoring, phones were worn on the hip during waking hours. Participants obtained and transmitted BP measurements wirelessly via the phone. Changes over time were measured with paired t-tests and linear regression controlling for age and weight. Effect sizes were calculated using Cohen’s D. Results: In risk factor profiles, significant differences favoring the TX group occurred in DBP, WC, and TC/HDL ratio; similar changes in triglycerides yielded a medium-large effect size (Table). TX participants had greater drops in stress, anxiety, and better adherence to heart healthy habits. Conclusion: These interim pilot data validate the feasibility of a combined education/wireless monitoring-feedback program in YBW. Further testing in a large randomized trial is warranted to determine long-term effects on behavior change and cardiac risk profiles in this high risk population.

Young black women demonstrate impaired microvascular but preserved macrovascular function compared to white women

2021 ◽  
Author(s):  
Michele N. D'Agata ◽  
Elissa K. Hoopes ◽  
Felicia R. Berube ◽  
Alexandra E. Hirt ◽  
Melissa A. Witman
Keyword(s):  
Black Women ◽  
White Women ◽  
Young Black Women
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