ArticleWomen's health (London, England)
Preferences for PrEP program attributes among Black women aged ⩾45 in the US South: A secondary analysis using discrete choice experiment.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAmong Black women (BW), HIV prevalence is higher among women aged ⩾45 than among those aged <30 years. Pre-exposure prophylaxis (PrEP), a highly effective biomedical HIV prevention method, could be effective at reducing HIV incidence among this population.
objectivesTo identify PrEP program features most important to aging BW and to examine how these preferences can inform program design using discrete choice experiment.
designWe employed secondary data analysis using a choice-based conjoint analysis (CBC), a discrete choice experiment technique.
methodsBetween June and August 2024, 390 cisgender BW were recruited online, screened for eligibility, provided e-consent, and completed a one-time CBC survey of 14 choice tasks across 6 PrEP program attributes: (1) administration method, (2) access location, (3) healthcare integration, (4) provider demographics, (5) payment options, and (6) support services. We examined PrEP program preferences only among those aged ⩾45 (
resultsPrEP administration method was the top-ranked attribute (39%), followed by provider demographics (14%) and payment options (13%). Preferences were clustered into three distinct groups. Group 1 (
conclusionPrEP program preferences are not uniform among aging BW. Rather than relying on a single PrEP delivery model, programs should be tailored to specific preferences for aging women who consider multiple factors and may need personalized support in PrEP decision-making.
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