Low awareness and use of pre-exposure prophylaxis among adolescents and young adults in high HIV and sexual violence prevalence settings
| Autor: | Daniel Ter Goon, Ntombana Rala, Anthony Idowu Ajayi, Oladele Vincent Adeniyi, Mohammed Sanusi Yusuf, Elmon Mudefi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
young adults Health Knowledge Attitudes Practice Adolescent Cross-sectional study Family support Observational Study Poison control HIV Infections Occupational safety and health South Africa Young Adult 03 medical and health sciences Pre-exposure prophylaxis 0302 clinical medicine Surveys and Questionnaires Injury prevention Prevalence Humans Medicine adolescents 030212 general & internal medicine Young adult Sexual violence business.industry Sex Offenses Sexually Transmitted Diseases Viral General Medicine PrEP HIV transmission Cross-Sectional Studies 030220 oncology & carcinogenesis Female Pre-Exposure Prophylaxis business Research Article Demography |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| DOI: | 10.1097/md.0000000000017716 |
| Popis: | South Africa has adopted pre-exposure prophylaxis (PrEP) as a preventive strategy for populations at-risk for HIV, though uptake is low among adolescents and young adults. We examined the awareness and use of PrEP among adolescents and young adults in the Eastern Cape, South Africa. This cross-sectional study was conducted between June and November 2018 among 772 adolescents and young adults (aged 16–24 years) selected using stratified random sampling in a South African university. An electronic self-administered questionnaire was used to elicit demographic information, behavioral, family-related characteristics, awareness and use of PrEP. Adjusted and unadjusted logistic regression models were used to examine the predictors of PrEP awareness. The overall level of PrEP awareness was 18.8%; however, only 1.7% of participants had used PrEP, 7.5% of had seen it, 4.8% knew how much it cost, and 14.8% knew where and how to get it. In the adjusted regression analysis, only adequate family support (AOR: 2.11; CI: 1.47–3.04) and discussions of HIV and sexually transmitted infections with sexual partners (AOR: 1.78; CI: 1.19–2.67) were associated with a higher likelihood of being aware of PrEP. The level of awareness and use of PrEP is still very low among adolescents and young adults who may need it to prevent HIV infection. Poor awareness of PrEP among adolescents and young adults in high HIV risk settings may limit its use. Thus, concerted efforts are needed to promote awareness and access to PrEP among young South African adults. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|