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Exploring Gaps in HIV Prevention: HIV Pre-Exposure Prophylaxis Awareness, Attitudes, Utilization, Coverage, HIV Testing and Risk Perception Among Sub-Saharan African College Students in the United States
Exploring Gaps in HIV Prevention: HIV Pre-Exposure Prophylaxis Awareness, Attitudes, Utili...
Exploring Gaps in HIV Prevention: HIV Pre-Exposure Prophylaxis Awareness, Attitudes, Utilization, Coverage, HIV Testing and Risk Perception Among Sub-Saharan African College Students in the United States

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자료유형  
 학위논문 서양
최종처리일시  
20260202103021
ISBN  
9798315790631
DDC  
610.73
저자명  
Odii, Ikenna Obasi.
서명/저자  
Exploring Gaps in HIV Prevention: HIV Pre-Exposure Prophylaxis Awareness, Attitudes, Utilization, Coverage, HIV Testing and Risk Perception Among Sub-Saharan African College Students in the United States
발행사항  
[Sl] : The University of Alabama at Birmingham, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
209 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-12, Section: A.
주기사항  
Advisor: Lambert, Crystal Chapman;Vance, David E.
학위논문주기  
Thesis (Ph.D.)--The University of Alabama at Birmingham, 2025.
초록/해제  
요약This dissertation focuses on increasing HIV awareness and contributing to efforts at reducing new HIV infections among Sub-Saharan African (SSA) college students. It begins with an introductory chapter one and ends in the concluding chapter five. Chapter two presents a systematic review identifying key gaps in HIV Pre-Exposure Prophylaxis (PrEP) knowledge, attitudes, and utilization among Black college students in the United States (U.S). The review synthesizes findings from four studies, revealing that a third of participants demonstrated adequate PrEP knowledge, while PrEP utilization remained under-utilized at three percent. Key barriers to PrEP uptake included fear, low self-perceived HIV risk, infrequent HIV testing, and reliance on inaccurate information sources such as social media. To address these gaps, the chapter emphasizes targeted educational interventions that address both individual and structural barriers to improve PrEP awareness, attitudes, and uptake, ultimately advancing sexual health outcomes in this high-risk population.Chapter three focuses on a concept analysis review of HIV PrEP coverage among Black adults in the U.S. Based on eleven selected studies, the review identifies four distinct definitions of HIV PrEP coverage, highlighting significant racial disparities in PrEP access and utilization. Despite Black individuals being a high-priority population for HIV prevention, they continue to experience disproportionately higher rates of new infections. Through a comprehensive concept analysis, the chapter proposes a unified definition of PrEP coverage that emphasizes equitable access and identifies key attributes, antecedents, and consequences of PrEP use. The findings underscore the need for improved policies, tailored access strategies, and consistent communication to mitigate health inequities and support national HIV prevention goals.Chapter four presents a qualitative phenomenological study exploring HIV PrEP awareness, testing behaviors, and risk perception among SSA college students in the U.S., a subgroup of Black college students that has been understudied. Findings indicate that only 32.8% perceived themselves at HIV risk, 22.7% had ever tested for HIV, and 68.2% were unaware of PrEP. Themes emerging from participant experiences highlight psycho-social factors, socio-cultural influences, facilitators of PrEP awareness and testing engagement. The chapter offers a foundational perspective on improving sexual health outcomes for SSA college students in the U.S.
일반주제명  
Nursing
일반주제명  
Public health
일반주제명  
Medicine
일반주제명  
South African studies
일반주제명  
Black studies
키워드  
College students
키워드  
HIV Pre-Exposure Prophylaxis
키워드  
HIV risk perception
키워드  
HIV testing
키워드  
Sub-Saharan African
키워드  
United States
기타저자  
The University of Alabama at Birmingham Nursing
기본자료저록  
Dissertations Abstracts International. 86-12A.
전자적 위치 및 접속  
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■24510▼aExploring  Gaps  in  HIV  Prevention:  HIV  Pre-Exposure  Prophylaxis  Awareness,  Attitudes,  Utilization,  Coverage,  HIV  Testing  and  Risk  Perception  Among  Sub-Saharan  African  College  Students  in  the  United  States
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■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-12,  Section:  A.
■500    ▼aAdvisor:  Lambert,  Crystal  Chapman;Vance,  David  E.
■5021  ▼aThesis  (Ph.D.)--The  University  of  Alabama  at  Birmingham,  2025.
■520    ▼aThis  dissertation  focuses  on  increasing  HIV  awareness  and  contributing  to  efforts  at  reducing  new  HIV  infections  among  Sub-Saharan  African  (SSA)  college  students.  It  begins  with  an  introductory  chapter  one  and  ends  in  the  concluding  chapter  five.  Chapter  two  presents  a  systematic  review  identifying  key  gaps  in  HIV  Pre-Exposure  Prophylaxis  (PrEP)  knowledge,  attitudes,  and  utilization  among  Black  college  students  in  the  United  States  (U.S).  The  review  synthesizes  findings  from  four  studies,  revealing  that  a  third  of  participants  demonstrated  adequate  PrEP  knowledge,  while  PrEP  utilization  remained  under-utilized  at  three  percent.  Key  barriers  to  PrEP  uptake  included  fear,  low  self-perceived  HIV  risk,  infrequent  HIV  testing,  and  reliance  on  inaccurate  information  sources  such  as  social  media.  To  address  these  gaps,  the  chapter  emphasizes  targeted  educational  interventions  that  address  both  individual  and  structural  barriers  to  improve  PrEP  awareness,  attitudes,  and  uptake,  ultimately  advancing  sexual  health  outcomes  in  this  high-risk  population.Chapter  three  focuses  on  a  concept  analysis  review  of  HIV  PrEP  coverage  among  Black  adults  in  the  U.S.  Based  on  eleven  selected  studies,  the  review  identifies  four  distinct  definitions  of  HIV  PrEP  coverage,  highlighting  significant  racial  disparities  in  PrEP  access  and  utilization.  Despite  Black  individuals  being  a  high-priority  population  for  HIV  prevention,  they  continue  to  experience  disproportionately  higher  rates  of  new  infections.  Through  a  comprehensive  concept  analysis,  the  chapter  proposes  a  unified  definition  of  PrEP  coverage  that  emphasizes  equitable  access  and  identifies  key  attributes,  antecedents,  and  consequences  of  PrEP  use.  The  findings  underscore  the  need  for  improved  policies,  tailored  access  strategies,  and  consistent  communication  to  mitigate  health  inequities  and  support  national  HIV  prevention  goals.Chapter  four  presents  a  qualitative  phenomenological  study  exploring  HIV  PrEP  awareness,  testing  behaviors,  and  risk  perception  among  SSA  college  students  in  the  U.S.,  a  subgroup  of  Black  college  students  that  has  been  understudied.  Findings  indicate  that  only  32.8%  perceived  themselves  at  HIV  risk,  22.7%  had  ever  tested  for  HIV,  and  68.2%  were  unaware  of  PrEP.  Themes  emerging  from  participant  experiences  highlight  psycho-social  factors,  socio-cultural  influences,  facilitators  of  PrEP  awareness  and  testing  engagement.  The  chapter  offers  a  foundational  perspective  on  improving  sexual  health  outcomes  for  SSA  college  students  in  the  U.S.
■590    ▼aSchool  code:  0005.
■650  4▼aNursing
■650  4▼aPublic  health
■650  4▼aMedicine
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■650  4▼aBlack  studies
■653    ▼aCollege  students
■653    ▼aHIV  Pre-Exposure  Prophylaxis
■653    ▼aHIV  risk  perception
■653    ▼aHIV  testing
■653    ▼aSub-Saharan  African
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■71020▼aThe  University  of  Alabama  at  Birmingham▼bNursing.
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■792    ▼a2025
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■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17356711▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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