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P-313. Black Women’s Experiences on Long-Acting Cabotegravir for PrEP: Interim Patient Findings from the EBONI Study

Title: P-313. Black Women’s Experiences on Long-Acting Cabotegravir for PrEP: Interim Patient Findings from the EBONI Study
Authors: Nelson, Katherine L; Tims-Cook, Zandraetta; Kwakwa, Helena; Dieterich, Megan; Evans, Tammeka; Dyson, Alftan; Badhoniya, Neetu; Swygard, Heidi; Aboud, Michael; Sutton, Kenneth; Sutherland-Phillips, Denise; Chowdhury, Dhuly; Mack, Nicole; Budnik, Piotr; Brown, Kimberley; Czarnogorski, Maggie; Pilgrim, Nanlesta
Source: Open Forum Infectious Diseases ; volume 13, issue Supplement_1 ; ISSN 2328-8957
Publisher Information: Oxford University Press (OUP)
Publication Year: 2026
Description: Background Black women represent ∼50% of new HIV diagnoses among transgender and cisgender US women, yet HIV PrEP uptake remains low. EBONI, a Phase IV study, evaluates long-acting cabotegravir (CAB LA) for PrEP delivery to Black women in US EHE areas. We present interim (4-month) experiences of access, delivery, and satisfaction with CAB LA among Black cis- and transgender women receiving CAB LA. Methods From April 2023–February 2025, 130 Black women from 19 clinics completed interim surveys. Descriptive statistics were generated. Results Black women were mostly cisgender (78%) and non-Hispanic (94%); mean age was 37.8 years (SD=10.5). Most women who had sex in the last 6 months (88%) had no sexual partners with HIV (62%) and did not have sexual partners taking PrEP (63%). CAB LA was accessible to Black women, with 84% reporting convenient clinic hours, 85% reporting no difficulty getting to the clinic every two months, and 91% finding it acceptable to come to the clinic every two months for injections (Table 1). Black women reported a positive delivery experience for CAB LA, with 95% of women reporting that the frequency of HIV and STI testing was acceptable, 72% reporting “not at all” or “a little” bothered by pain during injection, low ratings of injection pain (3.2 out of 10, SD=2.65), and 90% reporting they were “often”/“always” able to return to usual daily activities immediately following an injection. Some key supporting actions were useful to Black women during their CAB LA journey including discussions with their doctors about the pros and cons of different PrEP options and deciding together which one was right for them (94%) and injection appointment reminders via text (89%), email (84%), or phone (89%). Black women were satisfied with CAB LA; 96% reported overall positive feelings about CAB LA and 97% agreed they would recommend CAB LA to other people who could benefit. Overall, Black women found CAB LA to be acceptable, feasible, and appropriate (mean: > 4.5/5). Conclusion Black ...
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/ofid/ofaf695.532
Availability: https://doi.org/10.1093/ofid/ofaf695.532; https://academic.oup.com/ofid/article-pdf/13/Supplement_1/ofaf695.532/66344858/ofaf695.532.pdf
Rights: https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.E596D39D
Database: BASE