"Something Like That": Awareness and Acceptability of HIV PrEP and PEP Among Kenyan Adolescents.

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Lara Miller, Beatrice Otieno, Sayo Amboka, Kevin Kadede, Damaris Odeny, Hanningtone Odhiambo, Irene Agot, Sophia Zamudio-Haas, Colette Auerswald, Elizabeth A Bukusi, Craig R Cohen, Hong-Ha M Truong
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Abstract

Background: Adolescents account for 15% of new HIV cases in Kenya. HIV pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) are highly effective prevention tools, but uptake is low among adolescents, particularly in resource-limited settings. We assessed awareness and acceptability of PrEP and PEP among Kenyan adolescents.

Method: Focus group discussions were conducted with 120 adolescent boys and girls ages 15 to 19 in Kisumu. Data were analyzed using the Framework Approach.

Results: Adolescent participants often had not heard of or could not differentiate between PrEP and PEP. They also confused these HIV prevention tools with emergency contraceptives. Taking a daily pill to prevent HIV was perceived as analogous to taking a pill to treat HIV. Boys were aware of and willing to consider using PrEP and PEP due to their dislike for using condoms. Adolescents identified insufficient information, cost, and uncomfortableness speaking with healthcare workers about their HIV prevention needs due to sexuality stigma as barriers to using PrEP and PEP.

Conclusion: Low awareness and poor understanding of PrEP and PEP among adolescents reveal the need for increased education and sensitization about these HIV prevention options. Expanding access to sexual and reproductive health services that are tailored to the needs of adolescents and staffed with non-judgmental providers could help reduce sexuality stigma as a barrier to accessing care. New HIV prevention approaches such as long-acting injectables or implants, on-demand regimens, and multipurpose prevention technologies may encourage increased uptake of PrEP and PEP by adolescents.

"类似这样":肯尼亚青少年对 HIV PrEP 和 PEP 的认识和接受程度。
背景:在肯尼亚,青少年占新增艾滋病病例的 15%。艾滋病暴露前预防疗法(PrEP)和暴露后预防疗法(PEP)是非常有效的预防工具,但在青少年中的使用率却很低,尤其是在资源有限的环境中。我们对肯尼亚青少年对 PrEP 和 PEP 的认知度和接受度进行了评估:在基苏木与 120 名 15 至 19 岁的男女青少年进行了焦点小组讨论。采用框架方法对数据进行分析:结果:青少年参与者通常没有听说过或无法区分 PrEP 和 PEP。他们还将这些艾滋病毒预防工具与紧急避孕药混为一谈。每天服用预防艾滋病毒的药片被认为类似于服用治疗艾滋病毒的药片。由于不喜欢使用安全套,男孩们了解并愿意考虑使用 PrEP 和 PEP。青少年认为,信息不足、费用以及因性污名而不便与医护人员谈论自己的艾滋病预防需求是使用 PrEP 和 PEP 的障碍:青少年对 PrEP 和 PEP 的认知度低、理解不深,这表明有必要加强对这些艾滋病预防方法的教育和宣传。扩大针对青少年需求的性健康和生殖健康服务的覆盖面,并配备不带偏见的服务提供者,将有助于减少性污名对获得医疗服务的阻碍。新的艾滋病预防方法,如长效注射剂或植入剂、按需治疗方案和多用途预防技术,可能会鼓励更多青少年接受 PrEP 和 PEP。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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