{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:34:58Z","timestamp":1777944898726,"version":"3.51.4"},"reference-count":89,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["U54MD012393"],"award-info":[{"award-number":["U54MD012393"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Florida International University Research Center in Minority Institutions"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Among Black women (BW), HIV prevalence is higher among women aged \u2a7e45 than among those aged &lt;30\u2009years. Pre-exposure prophylaxis (PrEP), a highly effective biomedical HIV prevention method, could be effective at reducing HIV incidence among this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To identify PrEP program features most important to aging BW and to examine how these preferences can inform program design using discrete choice experiment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We employed secondary data analysis using a choice-based conjoint analysis (CBC), a discrete choice experiment technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Between 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 \u2a7e45 (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u200983 of\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u2009390). Hierarchical Bayes model estimated attribute importance; latent class multinomial logit analysis grouped participants by similar preferences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      PrEP 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 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20098) showed higher proportions of worry about acquiring HIV and preferred only a daily pill by a doctor\u2019s office. Group 2 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200935) faced descriptively higher HIV vulnerability and favored injectable PrEP via telehealth supported (in-person) injection delivery from a female provider. Group 3 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200940) had the strongest interest and intention to use PrEP, preferring injectable PrEP from a pharmacist of the same race. Compared to the full sample, aging BW valued PrEP administration, prioritized gender matching alone, and payment options.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>PrEP 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261437288","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:20:51Z","timestamp":1777029651000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Preferences for PrEP program attributes among Black women aged \u2a7e45 in the US South: A secondary analysis using discrete choice experiment"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5729-5821","authenticated-orcid":false,"given":"Amber I.","family":"Sophus","sequence":"first","affiliation":[{"name":"Department of Health, Behavior, and Society, Kate Marmion School of Public Health, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA"},{"name":"Center for Interdisciplinary Research on AIDS at Yale University, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0840-9404","authenticated-orcid":false,"given":"Jason W.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Robert Stempel College of Public Health &amp; Social Work, Florida International University, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8291-6754","authenticated-orcid":false,"given":"Laurenia","family":"Mangum","sequence":"additional","affiliation":[{"name":"Jane Addams College of Social Work, University of Illinois Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7131-4109","authenticated-orcid":false,"given":"Joanna Fernandez","family":"Fuentes","sequence":"additional","affiliation":[{"name":"School of Behavioral Health, Loma Linda University, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shawndasia","family":"Collins","sequence":"additional","affiliation":[{"name":"School of Behavioral Health, Loma Linda University, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5492-9216","authenticated-orcid":false,"given":"Joyonna","family":"Gamble-George","sequence":"additional","affiliation":[{"name":"Center for Interdisciplinary Research on AIDS at Yale University, New Haven, CT, USA"},{"name":"Fuqua School of Business, Duke University, Durham, NC, USA"},{"name":"Department of Computer Science, Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, USA"},{"name":"Environmental Sciences Graduate Program, Oregon State University, Corvalis, OR, USA"},{"name":"Center for Drug Use and HIV Research, New York University School of Global Public Health, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9778-358X","authenticated-orcid":false,"given":"Mandy J.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Population Health and Health Disparities, School of Public and Population Health, The University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1909-6965","authenticated-orcid":false,"given":"Jamila K.","family":"Stockman","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2940-0254","authenticated-orcid":false,"given":"Alex","family":"Dubov","sequence":"additional","affiliation":[{"name":"Center for Interdisciplinary Research on AIDS at Yale University, New Haven, CT, USA"},{"name":"School of Behavioral Health, Loma Linda University, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Centers for Disease Control and Prevention. 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