Increasing Pre-Exposure Prophylaxis (PrEP) Use Among Native American College Students: Barriers and Opportunities for Improved HIV Prevention

Crystal Lee, Michelle Chino

Abstract

Limited research exists on pre-exposure prophylaxis (PrEP) awareness and uptake among Native American (NA) college students. This study explored NA students’ knowledge and attitudes toward PrEP, identifying barriers similar to those faced by other minority groups, including limited information, stigma, and inadequate access to care. Unique challenges for NA populations stem from cultural, historical, and systemic factors, such as medical mistrust, culturally inappropriate communication, and constrained health services. Findings highlight the importance of culturally grounded strategies to improve PrEP uptake, including increased education, support, and stigma reduction. A promising approach may involve the creation of NA-led initiatives to bridge communication between providers and at-risk populations, facilitating tailored outreach and normalization of HIV prevention practices.

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