"Nobody Wants to Have Conversation About HIV." A Thematic Analysis of in-Depth Interviews With Black Adolescent Women and Providers About Strategies for Discussing Sexual Health and HIV Prevention.

Hill, SV ; Pratt, MC ; et al.

In: Sexually transmitted diseases, Jg. 51 (2024-07-01), Heft 7, S. 466-471

academicJournal

Background: Black adolescent girls and young women (AGYW) in the US Southeast are disproportionately burdened by HIV. Infrequent assessment of sexual health in clinical encounters may contribute to low preexposure prophylaxis uptake for this population. This study explores Black AGYW and providers' perspectives on engaging in discussions about sexual health, including preexposure prophylaxis.

Methods: In-depth interviews (IDIs) were conducted with Black AGYW aged 14 to 24 years and health care providers (MD, DO, NP, PA) who self-reported caring for Black AGYWs in Alabama. In-depth interviews were grounded in Andersen's Behavioral Model of Health Service Utilization to explore barriers and facilitators to sexual health discussions. After separate analyses, AGYW and provider IDIs were aggregated and reanalyzed using thematic analysis to identify themes related to their views on ways to improve Black AGYW engagement in sexual health discussions while in clinical settings.

Results: Twelve Black AGYW and 11 providers completed IDIs. Client median age was 21 years, representing 9 Alabama counties. Providers were predominately non-Hispanic White (82%), female (73%), and physicians (64%). Themes about ways to improve sexual health discussions included the following: (1) improve sexual health education for providers and adolescents, (2) normalize conversations in clinical settings, and (3) engage communities to continue these conversations outside of clinical settings.

Conclusions: Sexual health and HIV prevention discussions with Black AGYW are not occurring. This study is one of the first to identify and highlight Black AGYW and provider-identified shared strategies for improving these discussions. Operationalizing these strategies is crucial to facilitating these discussions.

Competing Interests: Conflict of Interest and Sources of Support: The authors have no conflicts of interest to disclose.

Titel:	"Nobody Wants to Have Conversation About HIV." A Thematic Analysis of in-Depth Interviews With Black Adolescent Women and Providers About Strategies for Discussing Sexual Health and HIV Prevention.
Autor/in / Beteiligte Person:	Hill, SV ; Pratt, MC ; Elopre, L ; Simpson, T ; Gaines Lanzi, R ; Matthews, LT
Zeitschrift:	Sexually transmitted diseases, Jg. 51 (2024-07-01), Heft 7, S. 466-471
Veröffentlichung:	Philadelphia Pa : J B Lippincott ; <i>Original Publication</i>: Philadelphia, Lippincott., 2024
Medientyp:	academicJournal
ISSN:	1537-4521 (electronic)
DOI:	10.1097/OLQ.0000000000001972
Schlagwort:	Humans Female Adolescent Young Adult Alabama Interviews as Topic Health Personnel psychology Pre-Exposure Prophylaxis Qualitative Research Sexual Behavior Health Knowledge, Attitudes, Practice Communication Adult HIV Infections prevention & control Sexual Health Black or African American psychology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Sex Transm Dis] 2024 Jul 01; Vol. 51 (7), pp. 466-471. <i>Date of Electronic Publication: </i>2024 Apr 10. MeSH Terms: HIV Infections* / prevention & control ; Sexual Health* ; Black or African American* / psychology ; Humans ; Female ; Adolescent ; Young Adult ; Alabama ; Interviews as Topic ; Health Personnel / psychology ; Pre-Exposure Prophylaxis ; Qualitative Research ; Sexual Behavior ; Health Knowledge, Attitudes, Practice ; Communication ; Adult References: AIDS Care. 2022 Nov;34(11):1473-1480. (PMID: 35914114) ; Curr HIV Res. 2018;16(3):250-255. (PMID: 30062969) ; AIDS Behav. 2021 Dec;25(12):4225-4234. (PMID: 33939035) ; Pediatr Blood Cancer. 2018 Aug;65(8):e27087. (PMID: 29697189) ; AIDS Care. 2020 May;32(sup2):23-31. (PMID: 32178529) ; JMIR Res Protoc. 2023 Mar 21;12:e44908. (PMID: 36943364) ; BMC Public Health. 2022 Aug 23;22(1):1604. (PMID: 35999528) ; JAMA Pediatr. 2020 Dec 1;174(12):1133-1134. (PMID: 32804198) ; J Int Assoc Provid AIDS Care. 2022 Jan-Dec;21:23259582221107327. (PMID: 35699978) ; J Int Assoc Provid AIDS Care. 2022 Jan-Dec;21:23259582221127936. (PMID: 36147031) ; AIDS Behav. 2022 May;26(5):1672-1683. (PMID: 34724592) ; Front Reprod Health. 2022 Sep 30;4:671009. (PMID: 36303637) ; J Acquir Immune Defic Syndr. 2019 Aug 1;81(4):395-405. (PMID: 30973543) ; J Adolesc Health. 2023 May;72(5):746-753. (PMID: 36781324) ; Qual Health Res. 2021 Jul;31(8):1555-1564. (PMID: 33980102) ; Sex Transm Dis. 2020 Feb;47(2):88-95. (PMID: 31934955) ; J Empir Res Hum Res Ethics. 2018 Apr;13(2):173-184. (PMID: 29471706) ; Sex Res Social Policy. 2022 Mar;19(1):180-193. (PMID: 35401855) ; Pediatr Blood Cancer. 2019 Jun;66(6):e27673. (PMID: 30767372) Grant Information: P30 AI027767 United States AI NIAID NIH HHS Entry Date(s): Date Created: 20240410 Date Completed: 20240617 Latest Revision: 20240619 Update Code: 20240619 PubMed Central ID: PMC11182704

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