Introduction
Extending sexual health equity to populations with significant vulnerability to HIV requires a radical shift in access to preventive care for racial and ethnic minoritized populations. Specifically, cisgender Black women require the attention of capable and culturally sensitive practitioners who have significant awareness of relevant barriers to access and uptake of effective HIV prevention options like pre-exposure prophylaxis (PrEP). Actualizing equal access to PrEP requires interventions that can supplement resources to overcome structural barriers that prevent PrEP uptake to ultimately interrupt current patterns of HIV transmission.Cisgender Black women are more likely to be newly diagnosed with HIV diagnoses than cisgender women in every other race/ethnic group [Structural and intersecting barriers to PrEP uptake among cis Black women include concerns of side effects, cost [In an effort to identify drivers of low uptake of PrEP among cisgender Black women, prevention scientists have evaluated perceptions, attitudes, readiness, and willingness of women to adopt PrEP as an HIV prevention strategy [Brief, culturally-relevant and tailored interventions to improve motivation for actual PrEP uptake have been piloted [The authorship team lead a research study to bridge PrEP access to an HIV vulnerable population through the emergency department (ED). A systematic review by Gormley et al. concluded that nearly a third of ED patients who were enrolled as study participants were PrEP eligible [Through this paper, we present the study process and primary outcomes of the iPrEP study and the acceptability of the first use of a warm hand-off process aimed at linking cisgender Black women from the ED to local PrEP providing clinics. The researchers chose a survey-based intervention strategy because this strategy successfully increased willingness to PrEP in a one-arm pilot study and this intervention approach through a survey is more aligned with routine behavior and has a low likelihood of eliciting or reinforcing medical mistrust [