Current contraceptive practices and pre-exposure prophylaxis modality preferences among black and non-black women in the United States

Abstract

This study examined women's PrEP awareness, knowledge, and preferences for PrEP modality (daily oral pill or two-month injectable) based on their current contraceptive method and race. Data were from an online survey of 779 women (ages 18-64, 64% Black) in four US counties and were analyzed using descriptive statistics, chi-square tests, and regression models. More Black women reported PrEP awareness than non-Black women (55% vs. 41%). Though most women reported PCPs or OB-GYNs could prescribe PrEP, overall PrEP knowledge was low, with minimal differences by race. Women taking a birth control pill, other birth control, or no birth control preferred PrEP as a pill. Women who reported currently using an injectable form of birth control did not demonstrate a clear preference for injectable PrEP versus PrEP as a pill. There were no significant differences by race. Knowledge about PrEP was limited, indicating a need for awareness campaigns designed to reach all women. Clinicians have the potential to play a pivotal role in promoting PrEP awareness and options to women, emphasizing the importance of health promotion messages that incorporate PrEP-modality preferences and contraceptive use.