Factors influencing adolescent girls and young women's uptake of community-based PrEP services following home-based HIV testing in Eastern Cape, South Africa: a qualitative study

被引：6

作者：

Mudzingwa, Emily Krogstad ^{[1
,2
]}

de Vos, Lindsey ^{[3
]}

Atujuna, Millicent ^{[1
]}

Fynn, Lauren ^{[1
]}

Mugore, Matinatsa ^{[4
]}

Hosek, Sybil ^{[5
,6
]}

Celum, Connie ^{[7
,8
]}

Bekker, Linda-Gail ^{[1
]}

Daniels, Joseph ^{[9
]}

Medina-Marino, Andrew ^{[1
,3
,10
,11
]}

机构：

[1] Univ Cape Town, Desmond Tutu HIV Ctr, Cape Town, South Africa

[2] Univ Connecticut, Inst Collaborat Hlth Intervent & Policy, Storrs, CT USA

[3] Fdn Profess Dev, Res Unit, Buffalo City Metro, Eastern Cape Pr, South Africa

[4] Columbia Univ, Mailman Sch Publ Hlth, New York, NY USA

[5] John H Stroger Jr Hosp Cook Cty, Dept Psychiat, Chicago, IL USA

[6] John H Stroger Jr Hosp Cook Cty, Div Infect Dis, Chicago, IL USA

[7] Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA

[8] Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA

[9] Arizona State Univ, Edson Coll Nursing & Hlth Innovat, Phoenix, AZ USA

[10] Univ Penn, Perelman Sch Med, Dept Psychiat, Philadelphia, PA 19104 USA

[11] Desmond Tutu Hlth Fdn, 10 Rochester Rd, Vincent, East London, South Africa

来源：

AIDS AND BEHAVIOR | 2022年 / 26卷 / 11期

基金：

美国国家卫生研究院;

关键词：

HIV prevention; Pre-exposure prophylaxis; Home-based services; South Africa; Adolescent girls and young women; BEHAVIORAL SKILLS MODEL; CARE; COMMUNICATION; ADHERENCE; YOUTH; ART;

D O I：

10.1007/s10461-022-03702-9

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Home-based service delivery has been used to improve access to HIV testing and antiretroviral initiation across sub-Saharan Africa, but it has yet to be leveraged to improve pre-exposure prophylaxis (PrEP) uptake. We interviewed 37 adolescent girls and young women (AGYW) in Eastern Cape, South Africa to explore why they chose to initiate PrEP or not following home-based HIV testing and referral for PrEP, and what influenced time to PrEP initiation. Participants reported that home visits provided a source of trusted information and a way to involve family members in their PrEP initiation decisions, motivating some to start PrEP. AGYW who initiated PrEP were more likely to qualitatively perceive themselves to be at high risk for HIV compared with those who never initiated PrEP. Integrating home-based HIV testing with PrEP education and referral may be a valuable way to reduce familial barriers and boost PrEP uptake among AGYW in South Africa.

引用

页码：3726 / 3739

页数：14

共 30 条

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