Investigating the influence of provider communication and language reframing on HIV pre-exposure prophylaxis (PrEP) engagement with Black African and Caribbean women: a systematic review.
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| Název: | Investigating the influence of provider communication and language reframing on HIV pre-exposure prophylaxis (PrEP) engagement with Black African and Caribbean women: a systematic review. |
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| Autoři: | Sabackic M; Institute of Epidemiology and Health Care, University College London, London, UK., Emon A; Institute of Epidemiology and Health Care, University College London, London, UK., Menzies-Banton P; Positive East, London, UK., West R; Positive East, London, UK. |
| Zdroj: | AIDS care [AIDS Care] 2025 Dec; Vol. 37 (12), pp. 2063-2078. Date of Electronic Publication: 2025 Sep 24. |
| Způsob vydávání: | Systematic Review; Journal Article |
| Jazyk: | English |
| Informace o časopise: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 8915313 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0451 (Electronic) Linking ISSN: 09540121 NLM ISO Abbreviation: AIDS Care Subsets: MEDLINE |
| Imprint Name(s): | Publication: London : Informa Healthcare Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co., c1989- |
| Výrazy ze slovníku MeSH: | Anti-HIV Agents*/therapeutic use , Black People*/psychology , Black People*/statistics & numerical data , Communication* , HIV Infections*/prevention & control , HIV Infections*/ethnology , Language* , Pre-Exposure Prophylaxis*, Female ; Humans ; Communication Barriers ; Health Knowledge, Attitudes, Practice ; Social Stigma ; United Kingdom ; Caribbean People |
| Abstrakt: | Patient-provider engagement with HIV pre-exposure prophylaxis (PrEP) continues to exhibit significant disparities, particularly among Black African and Caribbean (BAC) women. In the United Kingdom, cisgender women accounted for one-third of HIV diagnoses in 2022, with 64.1% of these cases occurring among BAC women, underscoring a critical gap in equitable access to PrEP information and services. This systematic review explored health service provider-level communication barriers and facilitators influencing PrEP uptake and engagement with BAC women. A comprehensive search across four databases yielded 31 eligible studies examining provider communication about PrEP with BAC women. Thematic analysis identified two key areas: the role of provider communication in PrEP engagement and the importance of reframing language. Barriers included limited provider-initiated conversations, insufficient medical knowledge about PrEP for women, and medical mistrust driven by racial bias and stigma. Facilitators included culturally sensitive, nonjudgmental communication approaches and the strategic reframing of the language surrounding PrEP as a tool for empowerment rather than solely risk reduction. These findings highlight the need for improved provider communication strategies and support the adoption of more inclusive and affirming dialogue to foster equitable PrEP engagement among BAC women, who remain disproportionately excluded from current PrEP narratives. |
| Contributed Indexing: | Keywords: Black women; HIV prevention; Pre-exposure prophylaxis; SDG 10: Reduced inequalities; SDG 3: Good health and well-being; patient-provider communication |
| Substance Nomenclature: | 0 (Anti-HIV Agents) |
| Entry Date(s): | Date Created: 20250924 Date Completed: 20251201 Latest Revision: 20251202 |
| Update Code: | 20251202 |
| DOI: | 10.1080/09540121.2025.2560097 |
| PMID: | 40990574 |
| Databáze: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Patient-provider engagement with HIV pre-exposure prophylaxis (PrEP) continues to exhibit significant disparities, particularly among Black African and Caribbean (BAC) women. In the United Kingdom, cisgender women accounted for one-third of HIV diagnoses in 2022, with 64.1% of these cases occurring among BAC women, underscoring a critical gap in equitable access to PrEP information and services. This systematic review explored health service provider-level communication barriers and facilitators influencing PrEP uptake and engagement with BAC women. A comprehensive search across four databases yielded 31 eligible studies examining provider communication about PrEP with BAC women. Thematic analysis identified two key areas: the role of provider communication in PrEP engagement and the importance of reframing language. Barriers included limited provider-initiated conversations, insufficient medical knowledge about PrEP for women, and medical mistrust driven by racial bias and stigma. Facilitators included culturally sensitive, nonjudgmental communication approaches and the strategic reframing of the language surrounding PrEP as a tool for empowerment rather than solely risk reduction. These findings highlight the need for improved provider communication strategies and support the adoption of more inclusive and affirming dialogue to foster equitable PrEP engagement among BAC women, who remain disproportionately excluded from current PrEP narratives. |
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| ISSN: | 1360-0451 |
| DOI: | 10.1080/09540121.2025.2560097 |