HIV Pre-exposure Prophylaxis at Two Urban Obstetrics/Gynecology Clinics in Buffalo: Awareness and Attitudes Among Non-Hispanic Black vs. Latinx Patients

J Racial Ethn Health Disparities. 2023 Oct;10(5):2294-2301. doi: 10.1007/s40615-022-01408-1. Epub 2022 Sep 12.

Abstract

Purpose: Non-Hispanic Black and Latinx women are disproportionately affected by HIV when compared to the general population. This study evaluated awareness of and attitude towards PrEP, self-perceived HIV infection risk, and factors constituting high-risk behavior for HIV infection at two general OB/GYN clinics in Erie County, which exhibited a 31.6% increase in HIV cases from 2019 to 2020.

Methods: One thousand twenty-five self-administered surveys were analyzed.

Results: Of participants, 69.3% were non-Hispanic Black, 13.4% were Latinx, and 22.4% were White. There was no significant difference in awareness of or attitude toward PrEP between non-Hispanic Black and Latinx participants (p = 0.197, p = 0.467). Latinx participants exhibited the lowest awareness of PrEP compared with non-Hispanic Black and White participants (p = 0.002).

Conclusions: In our high-risk group, most participants had low self-perceived risk of HIV infection and low awareness of PrEP, and most were unwilling or unsure as to whether they would take PrEP. This calls attention to a need for improved counseling regarding PrEP and what constitutes risk of HIV infection at our general OB/GYN clinics, with a potential focus on Latinx individuals.

Keywords: Awareness; Black; HIV; Knowledge; Latinx; OB/GYN; PrEP.

MeSH terms

  • Black or African American
  • Female
  • HIV Infections* / prevention & control
  • HIV Infections* / psychology
  • Health Knowledge, Attitudes, Practice
  • Hispanic or Latino
  • Humans
  • Obstetrics*
  • Patient Acceptance of Health Care
  • Pre-Exposure Prophylaxis*
  • Pregnancy