Motivations for Reducing Other HIV Risk-Reduction Practices if Taking Pre-Exposure Prophylaxis: Findings from a Qualitative Study Among Women in Kenya and South Africa
Identifieur interne : 003201 ( Ncbi/Checkpoint ); précédent : 003200; suivant : 003202Motivations for Reducing Other HIV Risk-Reduction Practices if Taking Pre-Exposure Prophylaxis: Findings from a Qualitative Study Among Women in Kenya and South Africa
Auteurs : Amy Corneli ; Emily Namey ; Khatija Ahmed ; Kawango Agot ; Joseph Skhosana ; Jacob Odhiambo ; Greg GuestSource :
- AIDS Patient Care and STDs [ 1087-2914 ] ; 2015.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient, Adolescent, Adulte, Agents antiVIH (administration et posologie), Comportement de réduction des risques, Connaissances, attitudes et pratiques en santé, Entretiens comme sujet, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH (), Infections à VIH (psychologie), Kenya, Maladies sexuellement transmissibles (), Motivation, Partenaire sexuel (psychologie), Prise de risque, Prophylaxie pré-exposition, Préservatifs masculins (), Préservatifs masculins (utilisation), Recherche qualitative, République d'Afrique du Sud.
- MESH :
- administration et posologie : Agents antiVIH.
- psychologie : Infections à VIH, Partenaire sexuel.
- utilisation : Préservatifs masculins.
- Acceptation des soins par le patient, Adolescent, Adulte, Comportement de réduction des risques, Connaissances, attitudes et pratiques en santé, Entretiens comme sujet, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH, Kenya, Maladies sexuellement transmissibles, Motivation, Prise de risque, Prophylaxie pré-exposition, Préservatifs masculins, Recherche qualitative, République d'Afrique du Sud.
- Wicri :
- geographic : Kenya, Afrique du Sud.
English descriptors
- KwdEn :
- Adolescent, Adult, Anti-HIV Agents (administration & dosage), Condoms (statistics & numerical data), Condoms (utilization), Female, HIV Infections (prevention & control), HIV Infections (psychology), Health Knowledge, Attitudes, Practice, Humans, Interviews as Topic, Kenya, Motivation, Patient Acceptance of Health Care, Pre-Exposure Prophylaxis, Qualitative Research, Risk Reduction Behavior, Risk-Taking, Sexual Partners (psychology), Sexually Transmitted Diseases (prevention & control), Socioeconomic Factors, South Africa.
- MESH :
- chemical , administration & dosage : Anti-HIV Agents.
- geographic : Kenya, South Africa.
- prevention & control : HIV Infections, Sexually Transmitted Diseases.
- psychology : HIV Infections, Sexual Partners.
- statistics & numerical data : Condoms.
- utilization : Condoms.
- Adolescent, Adult, Female, Health Knowledge, Attitudes, Practice, Humans, Interviews as Topic, Motivation, Patient Acceptance of Health Care, Pre-Exposure Prophylaxis, Qualitative Research, Risk Reduction Behavior, Risk-Taking, Socioeconomic Factors.
Abstract
Findings from a survey conducted among women at high risk for HIV in Bondo, Kenya, and Pretoria, South Africa, demonstrated that a substantial proportion would be inclined to reduce their use of other HIV risk-reduction practices if they were taking pre-exposure prophylaxis (PrEP). To explore the motivations for their anticipated behavior change, we conducted qualitative interviews with 60 women whose survey responses suggested they would be more likely to reduce condom use or have sex with a new partner if they were taking PrEP compared to if they were not taking PrEP. Three interrelated themes were identified: (1) “PrEP protects”—PrEP was perceived as an effective HIV prevention method that replaced the need for condoms; (2) condoms were a source of conflict in relationships, and PrEP would provide an opportunity to resolve or avoid this conflict; and (3) having sex without a condom or having sex with a new partner was necessary for receiving material goods and financial assistance—PrEP would provide reassurance in these situations. Many believed that PrEP alone would be a sufficient HIV risk-reduction strategy. These findings suggest that participants' HIV risk-reduction intentions, if they were to use PrEP, were based predominately on their understanding of the high efficacy of PrEP and their experiences with the limitations of condoms. Enhanced counseling is needed to promote informed decision making and to ensure overall sexual health for women using PrEP for HIV prevention, particularly with respect to the prevention of pregnancy and other sexually transmitted infections when PrEP is used alone.
Url:
DOI: 10.1089/apc.2015.0038
PubMed: 26196411
PubMed Central: 4553377
Affiliations:
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PMC:4553377Le document en format XML
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xml:lang="fr"><term>Kenya</term><term>Afrique du Sud</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p>Findings from a survey conducted among women at high risk for HIV in Bondo, Kenya, and Pretoria, South Africa, demonstrated that a substantial proportion would be inclined to reduce their use of other HIV risk-reduction practices if they were taking pre-exposure prophylaxis (PrEP). To explore the motivations for their anticipated behavior change, we conducted qualitative interviews with 60 women whose survey responses suggested they would be more likely to reduce condom use or have sex with a new partner if they were taking PrEP compared to if they were not taking PrEP. Three interrelated themes were identified: (1) “PrEP protects”—PrEP was perceived as an effective HIV prevention method that replaced the need for condoms; (2) condoms were a source of conflict in relationships, and PrEP would provide an opportunity to resolve or avoid this conflict; and (3) having sex without a condom or having sex with a new partner was necessary for receiving material goods and financial assistance—PrEP would provide reassurance in these situations. Many believed that PrEP alone would be a sufficient HIV risk-reduction strategy. These findings suggest that participants' HIV risk-reduction intentions, if they were to use PrEP, were based predominately on their understanding of the high efficacy of PrEP and their experiences with the limitations of condoms. Enhanced counseling is needed to promote informed decision making and to ensure overall sexual health for women using PrEP for HIV prevention, particularly with respect to the prevention of pregnancy and other sexually transmitted infections when PrEP is used alone.</p></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Agot, Kawango" sort="Agot, Kawango" uniqKey="Agot K" first="Kawango" last="Agot">Kawango Agot</name><name sortKey="Ahmed, Khatija" sort="Ahmed, Khatija" uniqKey="Ahmed K" first="Khatija" last="Ahmed">Khatija Ahmed</name><name sortKey="Corneli, Amy" sort="Corneli, Amy" uniqKey="Corneli A" first="Amy" last="Corneli">Amy Corneli</name><name sortKey="Guest, Greg" sort="Guest, Greg" uniqKey="Guest G" first="Greg" last="Guest">Greg Guest</name><name sortKey="Namey, Emily" sort="Namey, Emily" uniqKey="Namey E" first="Emily" last="Namey">Emily Namey</name><name sortKey="Odhiambo, Jacob" sort="Odhiambo, Jacob" uniqKey="Odhiambo J" first="Jacob" last="Odhiambo">Jacob Odhiambo</name><name sortKey="Skhosana, Joseph" sort="Skhosana, Joseph" uniqKey="Skhosana J" first="Joseph" last="Skhosana">Joseph Skhosana</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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