Multilevel Factors Influencing Interruptions in PrEP Use Among Young Women in Siaya County, Kenya.

Autor: Perry B; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina., Molokwu N; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina., Agot K; Impact Research and Development Organization, Kisumu, Kenya., Ngoje DO; Impact Research and Development Organization, Kisumu, Kenya., Strack R; University of North Carolina Greensboro, Greensboro, North Carolina., Corneli A; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina.; Duke Clinical Research Institute, Durham, North Carolina.
Jazyk: angličtina
Zdroj: AIDS education and prevention : official publication of the International Society for AIDS Education [AIDS Educ Prev] 2023 Apr; Vol. 35 (2), pp. 141-157.
DOI: 10.1521/aeap.2023.35.2.141
Abstrakt: Young women in sub-Saharan Africa continue to be disproportionately at risk for HIV. Oral pre-exposure prophylaxis (PrEP) can reduce women's HIV risk when taken daily throughout their "seasons of risk". We used photovoice to describe community views on factors influencing interruptions in PrEP use among young cisgender women in Siaya County, Kenya. Through group discussions, young women taking PrEP and their social network members (female peers, male peers/partners, family, and community members) shared photographs and identified broad social-ecological causes of PrEP interruptions, including: (1) widespread misinformation about PrEP, (2) social pressures from religious communities, (3) health care staff recommendations to interrupt PrEP use, (4) partner rejection of PrEP, (5) changes in women's risk awareness, and (6) a personal desire to occasionally pause daily use. Collectively, participants identified strategies to address these challenges. These findings can inform future programs targeting the broader social-ecological influences on young women's persistent use of PrEP.
Databáze: MEDLINE