{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T06:51:51Z","timestamp":1777531911643,"version":"3.51.4"},"reference-count":74,"publisher":"Guilford Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AIDS Education and Prevention"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>Black women experience a disproportionate burden of human immunodeficiency virus in the United States, yet use of pre-exposure prophylaxis remains low. This article critically reviews published research on barriers to and facilitators of pre-exposure prophylaxis acceptability among Black women and presents findings from a qualitative pilot study examining awareness and preferences for available and emerging prevention modalities. A critical review of 50 peer-reviewed studies published between 2012 and 2025 identified persistent challenges as well as facilitators. The pilot study included focus groups and interviews with 20 pre-exposure prophylaxis-na\u00efve Black women in two high-incidence Texas counties. Participants demonstrated limited awareness of injectable prevention options, varied preferences across modalities, and strong interest in expanded delivery settings such as pharmacies, mobile services, and at-home options. Findings indicate that low uptake reflects structural gaps in prevention systems rather than lack of interest, underscoring the need for diversified modalities and accessible delivery models.<\/jats:p>","DOI":"10.1521\/aeap.2026.38.2.135","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:46:16Z","timestamp":1777394776000},"page":"135-150","source":"Crossref","is-referenced-by-count":0,"title":["Awareness, Acceptability, and Preferences for Pre-exposure Prophylaxis Modalities Among Black Women: A Critical Review and Brief Report of a Pilot Study"],"prefix":"10.1521","volume":"38","author":[{"given":"Gloria","family":"Aidoo-Frimpong","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, SUNY, and the Center for Interdisciplinary Research on AIDS, Yale University, New Haven, Connecticut."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurenia C.","family":"Mangum","sequence":"additional","affiliation":[{"name":"Jane Addams College of Social Work, University of Illinois Chicago, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amber I.","family":"Sophus","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior & Society, University of Texas School of Public Health San Antonio, San Antonio, Texas."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaliyah","family":"Gray","sequence":"additional","affiliation":[{"name":"Center for Women's and Gender Studies, College of Arts, Science and Education, Florida International University, Miami, Florida."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mandy J.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Population Health and Health Disparities, School of Public and Population Health, University of Texas Medical Branch at Galveston (UTMB), Galveston, Texas."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2025.0043"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-025-03108-3"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-022-01452-x"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2014.0142"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1353\/bsr.2016.0019"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s13178-021-00533-6"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13010086"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-019-02529-1"},{"key":"ref9","unstructured":"Centers for Disease Control and Prevention. 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