Strategies for increasing impact, engagement, and accessibility in HIV prevention programs: suggestions from women in urban high HIV burden counties in the Eastern United States (HPTN 064)

Details

• Alternative Title:
  BMC Public Health
• Personal Author:
  Abrams, Jasmine A. ; Odlum, Michelle ; Tillett, Emily ; Haley, Danielle ; Justman, Jessica ; Hodder, Sally ; Vo, Linda ; O’Leary, Ann ; Frew, Paula M.
• Corporate Authors:
  HIV Prevention Trials Network 064 (HTPN) Study Team
• Description:
  Background
  
  Merely having the tools to end HIV is insufficient. Effectively ending the epidemic necessitates addressing barriers that impede engagement in biomedical and behavioral prevention and wide scale implementation and utilization of existing interventions. This qualitative study identifies suggestions for increasing access to, engagement in, and impact of HIV prevention among women living in cities in high HIV burden counties in the eastern US.
  
  Methods
  
  Data analyzed for the current study were collected via a qualitative sub-study within the HIV Prevention Trials Network Study 064 (HPTN 064), a multisite observational cohort study designed to estimate HIV incidence among women residing in communities with elevated HIV prevalence who also reported personal or partner characteristics associated with increased risk of HIV acquisition. Focus group and interview participants in the qualitative sub-study (N = 288) were from four cities in the eastern US.
  
  Results
  
  Thematic analyses revealed four themes describing women’s most frequently stated ideas for improving prevention efforts: 1) Promote Multilevel Empowerment, 2) Create Engaging Program Content, 3) Build “Market Demand”, and 4) Ensure Accessibility. We conducted additional analyses to identify contradictory patterns in the data, which revealed an additional three themes: 1) Address Structural Risk Factors, 2) Increase Engagement via Pleasure Promotion, 3) Expand Awareness of and Access to Prevention Resources.
  
  Conclusions
  
  Findings may be useful for enhancing women’s engagement in and uptake of behavioral and biomedical HIV prevention resources, improving policy, and addressing multilevel risk factors.
  
  Trial registration
  
  Clinicaltrials.gov: NCT00995176, prospectively registered.
  
  
• Subjects:
  Female Focus Groups HIV Infections Humans Incidence Qualitative Research Risk Factors
• Source:
  BMC Public Health. 20
• Pubmed ID:
  32883248
• Pubmed Central ID:
  PMC7469400
• Document Type:
  Journal Article
• Funding:
  UL1 RR025008/RR/NCRR NIH HHS/United States ; UM1AI068613/MH/NIMH NIH HHS/United States ; AI050410/Center for AIDS Research, University of North Carolina at Chapel Hill/ ; RR 025747/North Carolina Translational and Clinical Sciences Institute, University of North Carolina at Chapel Hill/ ; 5UO1AI069418/Emory University (EU) HIV/AIDS Clinical Trials Unit/ ; 5U1Al069466/Centers for Innovative Research to Control AIDS, Mailman School of Public Health, Columbia University/ ; UM1 AI069470/AI/NIAID NIH HHS/United States ; UM1 AI068619/AI/NIAID NIH HHS/United States ; UL1 RR 25005/The Johns Hopkins Clinical and Translational Science Award/ ; P30 AI050409/AI/NIAID NIH HHS/United States ; 5 UM1 AI069503-07/The Terry Beirn Community Programs for Clinical Research on AIDS Clinical Trials Unit/ ; 7K01DA046307/DA/NIDA NIH HHS/United States ; AI069465/The Johns Hopkins Adult AIDS Clinical Trial Unit/ ; UM 1AI068617/DA/NIDA NIH HHS/United States ; AI069423/University of North Carolina Clinical Trials Unit/
• Place as Subject:
  United States
• Volume:
  20
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:7d04b20c3e0f6375d9fe4c4dcade9b4b063158ce7563dad125b7c65708bcebd9
• Download URL:
  https://stacks.cdc.gov/view/cdc/97243/cdc_97243_DS1.pdf
• File Type:
  [PDF - 433.52 KB ]