Awareness of HIV Prevention Innovations among Women of Color in NYC: HIV self-tests and pre-exposure prophylaxis (PrEP)
Methods: We used data from an NYC survey. Participants included in this analysis were female, black or Hispanic, NYC residents, and ≥18 years; they reported vaginal sex with a man in the past 6 months and did not report testing HIV-positive. Street-intercept (n=374) and on-line (n=287) interviews were administered in both Fall 2012 and Spring 2013. We calculated prevalence of self-test and PrEP awareness and prevalence rate ratios (PRR) for associations with age, race/ethnicity, marital status, education, economic hardship, insurance status, partner type, condom use at last sex, multiple partners, partner’s HIV status, recent HIV test (PrEP only) and calendar year. Multivariate models included characteristics significant univariately.
Results: A majority knew about the self-test (51.3%), but few knew about PrEP (12.3%). Self-test awareness was significantly associated with ages 30-65 versus 18-29 (adjusted PRR (aPRR)=1.31, 95% confidence interval (CI)=1.12-1.54), 2013 versus 2012 (aPRR=1.82, CI=1.56-2.21), and internet versus street-intercept interview (aPRR=1.26, CI=1.08-1.47). PrEP awareness was only associated with partner disclosure of HIV-positive status (PRR=3.25, CI=1.09-9.71).
Conclusions: Many women of color in NYC were aware of the self-test and awareness increased over time; PrEP awareness was stably low. Knowledge of PrEP was greater among women reporting serodiscordant partnership, suggesting potential for targeted awareness campaigns.
Learning Areas:Public health or related research
Describe awareness of HIV self-tests and pre-exposure prophylaxis (PrEP)in women of color in New York City Identify factors related to awareness of HIV self-tests and pre-exposure prophylaxis (PrEP)in women of color in New York City
Qualified on the content I am responsible for because: I am the Director Research in the HIV Prevention program at the New York City Department of Health and Mental Hygiene. I have a PhD in Epidemiology and completed a Postdoc focused on HIV. My research has been focused on HIV and STI prevention.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.