{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T17:56:51Z","timestamp":1768586211077,"version":"3.49.0"},"reference-count":21,"publisher":"BMJ","issue":"3","funder":[{"name":"Society of Family Planning Research Fund","award":["SFPRF18-26"],"award-info":[{"award-number":["SFPRF18-26"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2020,10,5]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Pre-exposure prophylaxis (PrEP) for the prevention of HIV transmission is under utilised by women in the US. Women seeking abortion have a higher HIV prevalence than women who continue prenatal care and could benefit from HIV risk assessment and PrEP counselling. We assessed the knowledge, attitudes, and preferences of women seeking abortion care regarding their HIV risk and knowledge of PrEP, and identified individual and system barriers to PrEP access.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We performed a cross sectional descriptive study of English speaking women at a freestanding abortion clinic through an anonymous survey. Participants with indications for PrEP care included those who performed sex work, experienced a recent sexually transmitted infection, or had multiple sexual partners and inconsistent condom use. We performed descriptive statistics on response data; Wilcoxon tests were used to compare continuous variables across groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>64 (32.3%) participants had indications for PrEP, but only 31 (16.1%) had previous knowledge of PrEP. After the concept was explained, attitudes towards PrEP were generally positive, and 54 participants (27.8%) would consider starting PrEP in the next 6 months. Participants were most interested in receiving PrEP care from their primary care provider rather than from an abortion clinic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Among women seeking abortion, women vulnerable to HIV infection outnumbered those with PrEP knowledge by 2 to 1. Prior knowledge of PrEP as an HIV prevention method was low, but women found PrEP acceptable. While women reported preferring to receive PrEP from a primary care provider, the abortion clinic visit may also represent an important time for HIV education and risk screening.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2020-200623","type":"journal-article","created":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T17:25:42Z","timestamp":1603992342000},"page":"e6-e6","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Get PrEPPT (pre-exposure prophylaxis and pregnancy termination): an exploration of the values, attitudes and preferences regarding HIV and PrEP among women seeking abortion"],"prefix":"10.1136","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8065-8993","authenticated-orcid":false,"given":"Jessika Ann","family":"Ralph","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology, Section of Family Planning, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen","family":"Yeh","sequence":"additional","affiliation":[{"name":"Preventive Medicine, Division of Biostatistics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison","family":"Cowett","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Section of Family Planning, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa R","family":"Hirschhorn","sequence":"additional","affiliation":[{"name":"Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassing","family":"Hammond","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Section of Family Planning, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,10,29]]},"reference":[{"key":"2025090511451113000_47.3.e6.1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6446a4"},{"key":"2025090511451113000_47.3.e6.2","unstructured":"Centers for Disease Control and Prevention . Hiv surveillance report, 2017; vol 29; November 2018. http:\/\/www.cdc.gov\/hiv\/library\/reports\/hiv-surveillance.html"},{"key":"2025090511451113000_47.3.e6.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1600693"},{"key":"2025090511451113000_47.3.e6.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2018.06.005"},{"key":"2025090511451113000_47.3.e6.5","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2014.0142"},{"key":"2025090511451113000_47.3.e6.6","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1080\/09540121.2016.1234679","article-title":"Predictors of HIV-related risk perception and PrEP acceptability among young adult female family planning patients","volume":"29","author":"Garfinkel","year":"2017","journal-title":"AIDS Care"},{"key":"2025090511451113000_47.3.e6.7","first-page":"171","article-title":"STD patients' preferences for HIV prevention strategies","volume":"6","author":"Castro","year":"2014","journal-title":"Hiv Aids"},{"key":"2025090511451113000_47.3.e6.8","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2010.0224"},{"key":"2025090511451113000_47.3.e6.9","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.contraception.2018.12.008","article-title":"Patient recommendations for PrEP information dissemination at family planning clinics in Atlanta, Georgia","volume":"99","author":"Sales","year":"2019","journal-title":"Contraception"},{"key":"2025090511451113000_47.3.e6.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.304.6834.1082"},{"key":"2025090511451113000_47.3.e6.11","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1080\/09540129408258022","article-title":"HIV prenatal screening in south-eastern France: differences in seroprevalence and screening policies by pregnancy outcome","volume":"6","author":"Obadia","year":"1994","journal-title":"AIDS Care"},{"key":"2025090511451113000_47.3.e6.12","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0095570","article-title":"Lifetime induced abortion: a comparison between women living and not living with HIV","volume":"9","author":"Pilecco","year":"2014","journal-title":"PLoS One"},{"key":"2025090511451113000_47.3.e6.13","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.contraception.2012.11.015","article-title":"HIV voluntary counseling and testing at an abortion clinic: missed opportunities for diagnosis","volume":"88","author":"Newmann","year":"2013","journal-title":"Contraception"},{"key":"2025090511451113000_47.3.e6.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"2025090511451113000_47.3.e6.15","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1097\/QAI.0000000000002377","article-title":"Black cisgender women's PrEP knowledge, attitudes, preferences, and experience in Chicago","volume":"84","author":"Hirschhorn","year":"2020","journal-title":"J Acquir Immune Defic Syndr"},{"key":"2025090511451113000_47.3.e6.16","unstructured":"Centers for Disease Control and Prevention: US Public Health Service . Preexposure prophylaxis for the prevention of HIV infection in the United States-2017 update: a clinical practice guideline, 2018. Available: https:\/\/www.cdc.gov\/hiv\/pdf\/risk\/prep\/cdc-hiv-prep-guidelines-2017.pdf"},{"key":"2025090511451113000_47.3.e6.17","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6707a1"},{"key":"2025090511451113000_47.3.e6.18","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1007\/s10461-016-1480-0","article-title":"Exploring patterns of awareness and use of HIV pre-exposure prophylaxis among young men who have sex with men","volume":"21","author":"Strauss","year":"2017","journal-title":"AIDS Behav"},{"key":"2025090511451113000_47.3.e6.19","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1089\/apc.2018.0030","article-title":"HIV pre-exposure prophylaxis and women: survey of the knowledge, attitudes, and beliefs in an urban obstetrics\/gynecology clinic","volume":"32","author":"Koren","year":"2018","journal-title":"AIDS Patient Care STDS"},{"key":"2025090511451113000_47.3.e6.20","doi-asserted-by":"crossref","DOI":"10.1093\/ofid\/ofz310","article-title":"Same-day HIV pre-exposure prophylaxis (PreP) initiation during drop-in sexually transmitted diseases clinic appointments is a highly acceptable, feasible, and safe model that engages individuals at risk for HIV into PreP care","volume":"6","author":"Kamis","year":"2019","journal-title":"Open Forum Infect Dis"},{"key":"2025090511451113000_47.3.e6.21","doi-asserted-by":"crossref","first-page":"S135","DOI":"10.1097\/QAI.0b013e3182987787","article-title":"Ethics and pre-exposure prophylaxis for HIV infection","volume":"63","author":"Sugarman","year":"2013","journal-title":"J Acquir Immune Defic Syndr"}],"container-title":["BMJ Sexual &amp; Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsrh-2020-200623","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T19:01:10Z","timestamp":1757098870000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/bmjsrh-2020-200623"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,29]]},"references-count":21,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,7,12]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bmjsrh-2020-200623"],"URL":"https:\/\/doi.org\/10.1136\/bmjsrh-2020-200623","relation":{},"ISSN":["2515-1991","2515-2009"],"issn-type":[{"value":"2515-1991","type":"print"},{"value":"2515-2009","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,29]]}}}