An Integrative Review of PrEP Promotion Strategies at Historically Black Colleges and Universities To Reduce HIV Disparities

Purpose of Review: We searched PubMed, CINAHL Plus, Embase, Scopus, Web of Science, and ERIC to identify peer-reviewed studies published between 2015 and 2025 that discussed PrEP at HBCUs. We sought to examine PrEP research, with a focus on PrEP implementation strategies, at HBCUs. Two authors reviewed titles, abstracts, and full texts against the inclusion criteria. Six articles were included in this review. Recent Findings: Two studies focused on formative PrEP research, two on organizational readiness, and three on post-implementation outcomes. Formative research showed PrEP is acceptable to HBCU students, though barriers like stigma and side effects, along with facilitators such as personal PrEP stories, impact intention. Organizational readiness to implement PrEP varied, with resource levels affecting implementation. Despite challenges, PrEP interventions were shown to be effective at increasing PrEP knowledge and behavioral intention. Summary: There is a need to enhance PrEP implementation at HBCUs, while considering varying campus resources.