Knowledge, Attitudes, and Perspectives of Women Who Have Migrated from Sub-Saharan Africa to France Toward HIV Pre-Exposure Prophylaxis in a Family Planning Center

作者：Geoffroy Liégeon, Samantha A. Devlin, Victoria Manda, Julie Castaneda, Catherine Marsh, Jessica P. Ridgway, Amy K. Johnson · 发表于：AIDS Patient Care and STDs · 年份：2024 · DOI：10.1089/apc.2024.0190 · 被引用次数：9 · 研究领域：HIV/AIDS Research and Interventions、HIV, Drug Use, Sexual Risk、Healthcare Systems and Practices

Women who have migrated from sub-Saharan Africa (SSA) are underrepresented among HIV pre-exposure prophylaxis (PrEP) users in France (∼2%), yet they account for around 20% of new HIV infections annually. We conducted focus groups to explore the knowledge, attitudes, and perspectives of these women toward PrEP in a French family planning center (FPC). Focus groups occurred from November 2023 to February 2024 within the Lariboisière Hospital FPC in Paris. The social ecological model informed the discussion guide, which explored women’s PrEP experiences and determinants for uptake on various levels. Five focus groups were conducted ( N = 19). The median age of participants was 29 [interquartile range (IQR) 28–37]. Eight African countries were represented. The average time in France since migration was 3 (IQR 1–6) years. The majority of women had never heard of PrEP but expressed strong interest in learning more about it. Women underscored the difficulty of negotiating HIV prevention tools with their partners, risks from transactional sex, and barriers to PrEP use such as adherence challenges to daily pills and misconceptions about HIV transmission. There was strong interest in long-acting injectable PrEP. Women reported high trust in FPC providers and viewed the FPC as an ideal location to access PrEP. Conspiracy theories, cultural beliefs, and anticipated stigma were also identified as barriers to PrEP uptake. Most women advocated for disseminating PrEP information to their pee...