‘Oh, they can prevent It?‘: a structural agency framework for understanding HIV prevention among black women in community supervision programs

This study introduces a novel structural agency matrix framework and identifies previously unrecognized forms of sexual health agency among Black women under community supervision. The paradox of high health-seeking behaviors alongside near-zero PrEP awareness reveals systematic information dissemination failures rather than individual barriers, demonstrating need for matrix-informed interventions that simultaneously address structural constraints and knowledge gaps.