HIV Prevention for Black/African American Women: The Use of PrEP in the Primary Care Setting
Oni J. Blackstock, MD, MHS
Bureau of HIV/AIDS Prevention and Control
NYC Department of Health and Mental Hygiene
New York, NY
Dr. Blackstock is presenting her own views and does not represent the NYC Department of Health and Mental Hygiene.
Bisola O. Ojikutu, MD, MPH
Assistant Professor of Medicine
Assistant Professor of Global Health and Social Medicine
Harvard Medical School
Associate Physician, Division of Global Health Equity
Brigham and Women’s Hospital
Stephanie Larson, PhD
Clinical Content Manager
Rebecca L. Julian, MS, ELS
Senior Manager, Editorial
Kathryn Schaefer, MSN, RN, CPHRM
Senior Manager, Accreditation and Compliance
East Lansing, MI
Stephanie S. Wenick, MPhil
Chevy Chase, MD
Upon completion, participants should be able to:
- Describe the individual, psychosocial, and structural factors contributing to HIV risk among black/African American heterosexual women in the United States
- Integrate HIV prevention, including PrEP, into the routine care of black/African American women’s reproductive and sexual health
This activity is intended for obstetrician-gynecologists, family planning providers, primary care physicians, and nurses.
Statement of Need
The Centers for Disease Control and Prevention (CDC) estimate that more than 1.1 million Americans have a substantial risk of HIV and should be offered PrEP to prevent HIV infection. Although men who have sex with men (MSM) are the largest subgroup of the high-risk population, heterosexual women—specifically, black/African American heterosexual women—represent a substantial minority of individuals for whom PrEP is warranted. However, PrEP uptake among women is estimated to be approximately 2% of the CDC target, and only one-quarter of women using PrEP are black/African American. Because PrEP has the potential to significantly reduce HIV risk when used as prescribed, it is critically important for women to be aware of their HIV risk, as well as how this self-directed prevention strategy may help them achieve their sexual health goals. It is also essential for clinicians to recognize the rationale for integrating PrEP into routine reproductive healthcare and understand how it can be successfully implemented in this setting.
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Med-IQ designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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Medium/Method of Participation
This CME activity consists of a 0.75-credit online publication. To receive credit, read the introductory CME material, read the publication, and complete the post-survey, evaluation, attestation, and post-test, answering at least 70% of the post-test questions correctly.
Initial Release Date: May 30, 2019
Expiration Date: May 29, 2020
Estimated Time to Complete This Activity: 45 minutes
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The content of this activity has been peer reviewed and has been approved for compliance. The faculty and contributors have indicated the following financial relationships, which have been resolved through an established COI resolution process, and have stated that these reported relationships will not have any impact on their ability to give an unbiased presentation.
Oni J. Blackstock, MD, MHS, has indicated no real or apparent conflicts.
Bisola O. Ojikutu, MD, MPH, has indicated no real or apparent conflicts.
The writer, peer reviewers, and activity planners have no financial relationships to disclose.
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This activity is supported by an educational grant from Gilead Sciences, Inc.
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