Added: Annaleigh Wittmer - Date: 05.09.2021 16:38 - Views: 14008 - Clicks: 6877
Black African and Caribbean women living African girls in uk the UK report low levels of knowledge regarding the benefits and effectiveness of taking pre-exposure prophylaxis PrEP to prevent HIV infection. This qualitative research was published in Sexually Transmitted Infections by Sarah Nakasone from the University of Chicago, along with colleagues based in London and Glasgow. Among black African and African girls in uk women, recent prevention efforts have made little impact on lowering the rates of those newly diagnosed with HIV, reflecting low uptake of biomedical prevention strategies such as PrEP.
There is limited research on barriers and motivators associated with PrEP access and use for black women in the UK. Adult women who identified as black and minority ethnic including transgender women and were sexually active in the six months prior to the study were eligible. Both HIV-negative and positive women were eligible for inclusion in order to sample diverse perspectives.
In London, recruitment took place via flyer distribution, HIV advocacy organisations and social media and in Glasgow, via an HIV community organisation. Social attitudes that suggest that having a particular illness or being in a particular situation is something to be ashamed of. Stigma can be questioned and challenged. Modern definitions should also include the use of PrEP and the HIV-positive partner having an undetectable viral load. However, some people do continue to use the term as a synonym for condom use. It means that when a person living with HIV is on regular treatment that lowers the amount of virus in their body to undetectable levels, there is zero risk of passing on HIV to their partners.
African girls in uk low level of virus is described as an undetectable viral load. Many people find this term stigmatising as it suggests information which is normally kept secret. It asks questions about how and why. Qualitative research might ask questions about why people find it hard to use HIV prevention methods. Qualitative research methods include interviews, focus groups and participant observation. Semi structured, in-depth interviews were conducted with 32 women; 22 in London average age 37, ranging from and ten in Glasgow average age 43, ranging from Thirteen women reported being HIV positive, while the rest either did not know their status or reported being HIV-negative.
All participants were born outside the UK, but most had lived in the UK for over a decade. Nearly half were born in east Africa; others had central, west and north African backgrounds. Only two women both from London identified as black Caribbean. Most participants identified as heterosexual and all were ased female sex at birth.
Educational material on PrEP was given to participants, key facts were discussed, and any questions were answered during the interviews. However, individuals had difficulty seeing themselves at risk and therefore, did not see the personal benefits of using PrEP.
If we can just tell the people about this, it can be very, very, very helpful for all the women. Thus, being presented with knowledge was insufficient to convince the women that these preventative means worked well. They also stated that they did not feel at risk for infection until it happened.
But having said that as well, I was at that age where I thought, you know, I was untouchable. Women saw each other as a crucial source of information when it came to matters related to sexual health such as African girls in uk contraceptive methods and the prevention of sexually transmitted infections STIs. In many instances, peers were preferred over sources such as NHS professionals. By talking to peers, women avoided long waiting times to see a GP for a consultation that was too brief to discuss sexual health questions in detail.
With my peers who are living with HIV. Not necessary peers who are living with HIV only.
Do we even consider it? Do we not consider it? However, one of the drawbacks to this approach was that women often found it challenging to talk about stigmatised topics such as HIV. While sharing general facts about PrEP was seen as acceptable, anything perceived as too specific could potentially risk offence, as it could imply infidelity in African girls in uk relationship.
I better go and get [PrEP]. Women also expressed difficulties discussing PrEP with their sexual partners. They expressed the need for safer sex practices that encouraged trust and intimacy, as opposed to those that merely prevented STIs. This made talking about HIV challenging for fear of being perceived as infected. For HIV-positive women, it raised fears related to disclosure. Many believed that this stigma would impact access to PrEP and seeking out sexual health services more generally.
Some women were afraid of being seen at a sexual health clinic by other community members, and the reputational impact that this would have. Institutional stigma also prevented some participants from seeking out sexual health services.
Despite satisfaction with the NHS in general, women in Glasgow reported institutional racism, receiving delayed or substandard care due to their race. There were fewer reports of this from participants in London, but some also felt that race played a role in how they were treated for instance, being pressurised into using contraception. At a broader African girls in uk, women expressed the importance of having access to PrEP promotion materials that reflected black women and information that came from other women. For those who had some awareness of PrEP, they expressed that early materials had largely been directed at white, gay men and thus, they felt excluded as potential PrEP candidates.
Women also expressed the desire to access PrEP in less stigmatised environments, such as through their GP, instead of at a sexual health clinic. Nakasone SE et al. Sexually Transmitted Infections, online ahead of print, 12 June open access. Primary tabs View active tab Preview.
Krishen Samuel. Glossary stigma Social attitudes that suggest that having a particular illness or being in a particular situation is something to be ashamed of. Find out more in our About HIV s.
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