Preferences for Pre-exposure Prophylaxis Service Delivery Among Female Sex Workers in Malawi: A Discrete Choice Experiment

被引：32

作者：

Lancaster, Kathryn E. ^{[1
]}

Lungu, Thandie ^{[2
]}

Bula, Agatha ^{[2
]}

Shea, Jaclyn M. ^{[3
]}

Shoben, Abigail ^{[4
]}

Hosseinipour, Mina C. ^{[2
,5
]}

Kohler, Racquel E. ^{[6
]}

Hoffman, Irving F. ^{[5
]}

Go, Vivian F. ^{[3
]}

Golin, Carol E. ^{[3
,5
]}

Wheeler, Stephanie B. ^{[7
]}

Miller, William C. ^{[1
]}

机构：

[1] Ohio State Univ, Div Epidemiol, Coll Publ Hlth, 334 Cunz Hall,1841 Neil Ave, Columbus, OH 43210 USA

[2] Univ North Carolina Project Malawi, Lilongwe, Malawi

[3] Univ North Carolina, Gillings Sch Global Publ Hlth, Dept Hlth Behav, Chapel Hill, NC USA

[4] Ohio State Univ, Div Biostat, Coll Publ Hlth, Columbus, OH 43210 USA

[5] Univ North Carolina, Sch Med, Div Infect Dis, Chapel Hill, NC USA

[6] Harvard TH Chan Sch Publ Hlth, Boston, MA USA

[7] Univ North Carolina, Gillings Sch Global Publ Hlth, Dept Hlth Policy & Management, Chapel Hill, NC USA

来源：

AIDS AND BEHAVIOR | 2020年 / 24卷 / 05期

关键词：

Pre-exposure prophylaxis; Sex workers; Women; Africa; CONJOINT-ANALYSIS APPLICATIONS; SUB-SAHARAN AFRICA; HIV PREVENTION; INFECTION; HEALTH; MEN; EXPERIENCES; ADHERENCE; BEHAVIOR; CARE;

D O I：

10.1007/s10461-019-02705-3

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Female sex workers (FSW) in Malawi have among the highest HIV prevalence estimates worldwide. Daily oral pre-exposure prophylaxis (PrEP) is an effective HIV prevention method, yet preferences for PrEP delivery among FSW are lacking. Eight focus group discussions, a literature review, and cognitive interviews were conducted to identify modifiable PrEP delivery attributes and inform discrete-choice experiment (DCE) development for FSW in Lilongwe. Enrolled FSW received an interviewer-assisted DCE. Data were analyzed using mixed logit regression. Dispensing location was most preferred, followed by the provision of additional services. Women preferred receiving PrEP at family planning clinics or non-governmental organization run drop-in centers. Cervical cancer screening was the most preferred additional service, while pregnancy testing and partner risk reduction counseling were less valued. This study was the first study to examine PrEP delivery preferences in Malawi using DCE-a powerful elicitation tool to apply to other key populations at risk for HIV.

引用

页码：1294 / 1303

页数：10

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