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- Title
The Importance of the Individual in PrEP Uptake: Multilevel Correlates of PrEP Uptake Among Adolescent Girls and Young Women in Tshwane, South Africa.
- Authors
Bonner, Courtney Peasant; Minnis, Alexandra M.; Ndirangu, Jacqueline W.; Browne, Felicia A.; Speizer, Ilene; Nyblade, Laura; Ahmed, Khatija; Wechsberg, Wendee M.
- Abstract
Adolescent girls and young women (AGYW) account for 25% of new HIV infections in South Africa. Pre-exposure prophylaxis (PrEP) is approved by the South African Government, but the factors that promote PrEP uptake among AGYW are not well understood. This study examines multilevel factors associated with PrEP uptake among AGYW in six clinic catchment areas in Tshwane (Pretoria), South Africa. After consent/assent, PrEP-eligible AGYW (n = 448) completed a questionnaire assessing factors at the individual, network/interpersonal, and community levels and were prescribed PrEP in study clinics, if interested. A multivariable model, adjusting for clustering, assessed factors associated with PrEP uptake over a 9-month period. At the individual level, multiple partners in the past 3 months (OR = 0.47), perceived risk of HIV (OR = 0.71), and PrEP-related shame (OR = 0.63) were correlated with lower odds of PrEP uptake (ps ≤ 0.05). The findings highlight modifiable factors that should be addressed to support PrEP uptake efforts.
- Subjects
SOUTH Africa; HIV prevention; HIV infection risk factors; RISK-taking behavior; CONFIDENCE intervals; MULTIVARIATE analysis; ATTITUDE (Psychology); ASSAULT &; battery; INTERVIEWING; ACQUISITION of data; SOCIAL stigma; PRE-exposure prophylaxis; SAFE sex; RISK perception; INTIMATE partner violence; QUESTIONNAIRES; MEDICAL records; SCALE analysis (Psychology); INTERPERSONAL relations; SEX crimes; DESCRIPTIVE statistics; RESEARCH funding; METROPOLITAN areas; STATISTICAL models; ODDS ratio; SEXUAL partners; SOCIODEMOGRAPHIC factors; WOMEN'S health; UNSAFE sex; ADULTS; ADOLESCENCE
- Publication
AIDS & Behavior, 2023, Vol 27, Issue 12, p4124
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-023-04126-9