Guiding Principles

The Guiding Principles serve as the foundation and rationale for Be-PrEPared. The Guiding Principles also helped to establish expected outcomes, impacts, the program design and the evaluation plan.


Identifying “Woman”


  • Women occupy a lesser or reduced space in society regardless of biology or expressed gender.
  • Women experience a level of marginalization based on gender.
  • Women of color may also face an increased level of marginalization produced by the synergy caused by race and gender.
  • The norm of identifying as “woman” applies to all who express their gender as female.


Perceived Risk for HIV/AIDS


  • Perceived risk is both a predictor for behavior, and a behavior outcome.
  • HIV/AIDS discourse categorizes risk by (1) target population membership and (2) certain behaviors.
  • Women of color may improperly assess HIV/AIDS risk perceptions for various reasons including active disassociation from membership (sub)categories, reduction of risky behaviors over time, errors in self-reporting sexual risk factors, and lack of knowledge about partners' sexual behavior or HIV status.




Inequities in Health Outcomes among Women


  • Circumstances related to the space occupied by women are shaped by the distribution of money, power, and available resources.
  • Differences in race, ethnicity, class, gender and sexuality contribute to inequities in optimal health achievement.
  • Health disparities are differences in health outcomes that are systematic, unjust, and avoidable.
  • Social determinants of health are complex social structures that are responsible for most health inequities including HIV/AIDS.
  • Intersectionality among women of color can intensified inequities caused by social determinants of health.


Health Behavior Strategies


  • Behavior change health strategies should focus on multiple levels of influence for women of color.
  • Health inequities are overarching and influence negative health outcomes for multiple health issues.
  • Effective interventions should use health strategies that are applicable to different settings and generalizable.
  • Multiple strategies to reduce health disparities should also address HIV/AIDS prevention among women of color.

Theoretical Foundations

Targeted Population & Expected Outcomes

The primary target population for Be-PrEPared are individuals of color that express their gender as female The secondary target population includes those that provide health education, health promotion, medical and outreach services to the primary target population.


Expected outcomes for Be-PrEPared are:

  1. Develop and implement a health education intervention to increase discourse surrounding health determinants for women of color.
  2. Implement health education strategies to support accurate HIV/AIDS risk perceptions among women of color
  3. Increase knowledge and awareness about the use PrEP as an effective method to prevent HIV transmission among women of color
  4. Promote self-efficacy for engaging in comprehensive preventive sexual health practices (i.e., negotiating condom use, and discussing sexual history with a potential sexual partner) to reduce HIV transmission among women of color
  5. Identify resources and tools to support the use of innovate HIV prevention health education strategies





Identifying Woman

  • Social Identity
  • Feminism
  • Womanism
  • Intersectionaity
  • Gender and Power

Risk Perception

  • Protection Motivation
  • Risk Compensation
  • Situated Rationality
  • Social Action
  • Health Belief Model

Inequities in Health Outcomes

  • Critical Race
  • Minority Stress
  • Implicit Bias
  • Syndemic
  • General Model of Vulnerability

Health Behavior Change

  • Ecological Approach
  • Social Cognitive
  • Multiple Domain
  • Diffusion of Innovation
  • Social Influence & Social Support
  • Risk Reduction
  • Health Communication
  • Empowerment


Be-PrEPared Increasing Knowledge & Awareness about HIV/AIDS and PrEP utilizing a Comprehensive Women’s Health Approach was funded by Gilead Sciences. Funds are not used to promote or purchase Truvada for PrEP as an HIV biomedical prevention strategy. The Be-PrEPared health education curriculum, Stories in Sisterhood and educational resources were created to raise knowledge and awareness about HIV/AIDS prevention efforts. This includes the use of biomedical prevention strategies such as PrEP, and to increase capacity for addressing health disparities and negative health outcomes among cis and trans women of color.



phone: (940) 898-2899