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

Saved in:
Bibliographic Details
Title: Multilevel Factors Influencing Interruptions in PrEP Use Among Young Women in Siaya County, Kenya.
Authors: Perry, Brian, Molokwu, Nneka, Agot, Kawango, Ngoje, Duncan Ochieng, Strack, Robert, Corneli, Amy
Source: AIDS Education & Prevention. Apr2023, Vol. 35 Issue 2, p141-157. 17p.
Subjects: Clinical drug trials, HIV prevention, Risk-taking behavior, Social networks, Attitude (Psychology), Peer pressure, Pre-exposure prophylaxis, Risk perception, Psychology of women, Research funding, Photography, Patient compliance, Social attitudes, Misinformation, Cisgender people, Public opinion, Video recording, Religion, Adults
Geographic Terms: Kenya
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Education & Prevention is the property of Guilford Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Description
Abstract: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. [ABSTRACT FROM AUTHOR]
ISSN:08999546
DOI:10.1521/aeap.2023.35.2.141