Current Contraceptive Practices and Pre-exposure Prophylaxis Modality Preferences among Black and Non-Black Women in the United States: Implications for Bundled Messaging.

Authors

Nivedita L Bhushan, Vanessa Boudewyns, Ryan S Paquin, Gabriel Madson, Stefanie K E Anderson, Revae S Downey, Hannah Getachew-Smith, Jennifer D Uhrig

Published in

Archives of sexual behavior. Jul 10, 2026. Epub Jul 10, 2026.

Abstract

This study examined women's PrEP awareness, knowledge, and preferences for PrEP modality (daily oral pill or two-month injectable) based on their current contraceptive method and race. Data were from an online survey of 779 women (ages 18-64, 64% Black) in four US counties and were analyzed using descriptive statistics, chi-square tests, and regression models. More Black women reported PrEP awareness than non-Black women (55% vs. 41%). Though most women reported PCPs or OB-GYNs could prescribe PrEP, overall PrEP knowledge was low, with minimal differences by race. Women taking a birth control pill, other birth control, or no birth control preferred PrEP as a pill. Women who reported currently using an injectable form of birth control did not demonstrate a clear preference for injectable PrEP versus PrEP as a pill. There were no significant differences by race. Knowledge about PrEP was limited, indicating a need for awareness campaigns designed to reach all women. Clinicians have the potential to play a pivotal role in promoting PrEP awareness and options to women, emphasizing the importance of health promotion messages that incorporate PrEP-modality preferences and contraceptive use.

PMID:
42429847
Bibliographic data and abstract were imported from PubMed on 10 Jul 2026.

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