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：0

作者：

Emily Krogstad Mudzingwa

Lindsey de Vos

Millicent Atujuna

Lauren Fynn

Matinatsa Mugore

Sybil Hosek

Connie Celum

Linda-Gail Bekker

Joseph Daniels

Andrew Medina-Marino

机构：

[1] University of Cape Town,The Desmond Tutu HIV Centre

[2] University of Connecticut,Institute for Collaboration on Health, Intervention, and Policy

[3] Research Unit,Mailman School of Public Health

[4] Foundation for Professional Development,Department of Psychiatry

[5] Eastern Cape Province,Division of Infectious Diseases

[6] Columbia University,Department of Global Health

[7] Stroger Hospital of Cook County,Department of Epidemiology

[8] Stroger Hospital of Cook County,Department of Psychiatry, Perelman School of Medicine

[9] University of Washington,undefined

[10] University of Washington,undefined

[11] Edson College of Nursing and Health Innovation,undefined

[12] Arizona State University,undefined

[13] University of Pennsylvania,undefined

[14] Desmond Tutu Health Foundation,undefined

来源：

AIDS and Behavior | 2022年 / 26卷

关键词：

HIV prevention; Pre-exposure prophylaxis; Home-based services; South Africa; Adolescent girls and young women;

D O I：

暂无

中图分类号：

学科分类号：

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：13

共 118 条

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