# Optimizing PrEP Utilization among Alcohol and Other Drug (AOD) Using Women of Color

> **NIH NIH U34** · FLORIDA INTERNATIONAL UNIVERSITY · 2020 · $147,500

## Abstract

Project Summary
This administrative supplement (PA-18-591) in response to NOT-AA-20-011, leverages an existing NIAAA U34
study for time-sensitive research on the impact of social environmental stressors related to COVID-19 on patient
and provider experience in the HIV continuum of care for the most HIV-affected ethnic minority female
populations in S. Florida, now in one of the epicenters of the new pandemic. The public health emergency posed
by COVID-19 has caused unprecedented disruption in daily living, social structures, and employment as
mitigation mandates of social distancing have been enforced to slow the spread of illness. Emerging evidence
suggests that the most severe consequences from the novel coronavirus and the mitigation efforts will fall upon
U.S. ethnic minority populations historically burdened by health disparities. The parent study, “Optimizing PrEP
Utilization among Alcohol and Other Drug (AOD) Using Women of Color” (U34AA026219), is the first such project
devoted to improving implementation and uptake of PrEP among African American, LatinX and Haitian women
in the HIV hotspots of S. Florida and has produced a replicable model driven by community-based participatory
research (CBPR). Before COVID-19, these study populations had limited economic resources, prevalent health
disparities and reported high levels of intimate partner violence. The possible deleterious effects of the pandemic
have not yet been investigated or reported for women of color in the South or for the HIV health care providers
that serve them. The supplement will utilize longitudinal, mixed methods data collection within the parent study’s
social ecological framework to fill critical knowledge gaps about the pandemic’s impact on engagement in care
and adherence to PrEP and supportive services for alcohol and drug use, mental health, and other ancillary care
in the three key ethnic minority populations of women. Our specific aims include: 1) remotely assess experiences
in AOD use, engagement in care, PrEP medication adherence, and HIV risk factors among a sample of women
of color at risk for HIV who are currently enrolled participants in the parent study, comparing measures taken
pre-COVID-19, (T1), to post-COVID assessments, (T2 and T3), taken 3 months apart; 2) measure via internet
surveys changes in health services delivery and social distancing due to the pandemic on access to and
perceived quality of care, patient trust, and provider stress among a group of health care workers who
participated in the community mobilization phase of the parent study; and 3) remotely conduct semi-structured
interviews with a subset of women from Aim 1 and health providers from Aim 2 to explore COVID-related
experiences, needs, areas for improvement in care, and strategies to engage and retain AOD-using women in
the HIV continuum of care. The methods and implementation of the proposed aims will be fulfilled within the
parent study’s CBPR framework and will inform efforts t...

## Key facts

- **NIH application ID:** 10166405
- **Project number:** 3U34AA026219-03S2
- **Recipient organization:** FLORIDA INTERNATIONAL UNIVERSITY
- **Principal Investigator:** JESSY G. DEVIEUX
- **Activity code:** U34 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $147,500
- **Award type:** 3
- **Project period:** 2017-09-01 → 2021-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10166405

## Citation

> US National Institutes of Health, RePORTER application 10166405, Optimizing PrEP Utilization among Alcohol and Other Drug (AOD) Using Women of Color (3U34AA026219-03S2). Retrieved via AI Analytics 2026-05-28 from https://api.ai-analytics.org/grant/nih/10166405. Licensed CC0.

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