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Sankofa! Leveraging Cultural Assets to Advance Long-Acting Injectable Pre-exposure Prophylaxis Among U.S.-Based
Gloria Aidoo-Frimpong1,2, Emmanuel Koku3, Olihe Okoro4
1University at Buffalo, State University of New York, Buffalo, USA. gloriaai@buffalo.edu.
Journal of Immigrant and Minority Health
|August 8, 2025
Summary
Long-acting injectable pre-exposure prophylaxis (LAI-PrEP) can help African immigrants in the U.S. prevent HIV. Culturally responsive strategies like storytelling and digital platforms can improve LAI-PrEP awareness and uptake.
Area of Science:
- Public Health
- HIV Prevention
- Community Health
Background:
- African immigrants in the U.S. experience disproportionately high HIV rates.
- Existing HIV prevention methods, like daily oral PrEP, may not meet the unique needs of this population.
- Long-acting injectable pre-exposure prophylaxis (LAI-PrEP) offers a discreet and convenient alternative.
Discussion:
- Culturally responsive strategies are essential for effective LAI-PrEP implementation.
- Leveraging community strengths, such as storytelling and digital connectivity, can enhance engagement.
- Specific strategies include utilizing storytelling, crowdsourcing, and digital platforms like WhatsApp.
Key Insights:
- A strengths-based approach is crucial for tailoring HIV prevention to African immigrant communities.
- Community networks and trusted communication channels can drive awareness and adoption of LAI-PrEP.
- Culturally sensitive interventions can improve access to and sustained use of LAI-PrEP.
Outlook:
- Successful LAI-PrEP implementation can reduce HIV disparities among African immigrants.
- Community-driven solutions can promote long-term health and well-being.
- This approach can serve as a model for other marginalized communities facing health disparities.

