The potential effect of pre-exposure prophylaxis (PrEP) roll-out on sexual-risk behaviour among adolescents and young people in East and southern Africa.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Andrew Sentoogo Ssemata, Richard Muhumuza, Lynda Stranix-Chibanda, Teacler Nematadzira, Nadia Ahmed, Stefanie Hornschuh, Janan Janine Dietrich, Gugulethu Tshabalala, Millicent Atujuna, Denis Ndekezi, Phiona Nalubega, Esther Awino, Helen A Weiss, Julie Fox, Janet Seeley
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引用次数: 3

Abstract

Pre-exposure prophylaxis (PrEP) is an HIV-prevention strategy recommended for those at high-risk of infection, including adolescents and young people (AYP). We explored how PrEP roll-out could influence sexual risk behaviour among AYP in East and southern Africa. Twenty-four group discussions and 60 in-depth interviews were conducted with AYP between 13 and 24 years old, recruited from community settings in Uganda, Zimbabwe and South Africa, from September 2018 to January 2019. Participants perceived that PrEP availability could change sexual behaviour among AYP, influencing: (1) condom use (increased preference for condomless sex, reduced need and decrease in use of condoms, relief from condom use discomfort, consistent condom use to curb sexually transmitted infections and pregnancies); (2) sexual activities (increase in sexual partners and sexual encounters, early sexual debut, sexual experimentation and peace of mind during risky sex, sexual violence and perversion); (3) HIV risk perception (neglect of other HIV prevention strategies, unknown sexual partner HIV status, adoption of PrEP). PrEP initiation may be associated with increased interest in sexual activities and risky sexual behaviour among AYP. PrEP should be included as part of a combination package of HIV prevention strategies for AYP with methods to prevent other sexually transmitted infections and unwanted pregnancies.

暴露前预防(PrEP)在东非和南部非洲青少年和年轻人中推广对性风险行为的潜在影响
暴露前预防(PrEP)是一种建议用于感染高危人群(包括青少年和年轻人)的艾滋病毒预防策略。我们探讨了预防措施的推广如何影响东非和南部非洲青少年的性风险行为。2018年9月至2019年1月,研究人员从乌干达、津巴布韦和南非的社区环境中招募了13至24岁的青少年,对他们进行了24次小组讨论和60次深度访谈。与会者认为,提供预防措施可以改变青少年的性行为,影响:(1)避孕套的使用(增加对无避孕套性行为的偏好,减少对避孕套的需求和使用,减轻使用避孕套的不适,坚持使用避孕套以抑制性传播感染和怀孕);(2)性活动(性伴侣和性接触增加,性初次行为提前,性实验和在危险的性行为、性暴力和变态行为中心安理得);(3) HIV风险认知(忽视其他HIV预防策略、性伴侣HIV状况未知、采用PrEP)。PrEP的开始可能与青少年对性活动和危险性行为的兴趣增加有关。预防措施应作为青少年发展计划艾滋病毒预防战略的一部分,与预防其他性传播感染和意外怀孕的方法相结合。
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来源期刊
Ajar-African Journal of Aids Research
Ajar-African Journal of Aids Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.80
自引率
8.30%
发文量
38
审稿时长
>12 weeks
期刊介绍: African Journal of AIDS Research (AJAR) is a peer-reviewed research journal publishing papers that make an original contribution to the understanding of social dimensions of HIV/AIDS in African contexts. AJAR includes articles from, amongst others, the disciplines of sociology, demography, epidemiology, social geography, economics, psychology, anthropology, philosophy, health communication, media, cultural studies, public health, education, nursing science and social work. Papers relating to impact, care, prevention and social planning, as well as articles covering social theory and the history and politics of HIV/AIDS, will be considered for publication.
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