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Influences on PrEP Uptake and Adherence Among South African Women During Periconception and Pregnancy: A Qualitative Analysis.
- Source :
- AIDS & Behavior; Jan2023, Vol. 27 Issue 1, p208-217, 10p, 1 Chart
- Publication Year :
- 2023
-
Abstract
- Pre-exposure prophylaxis (PrEP) is highly effective for HIV prevention, yet PrEP delivery to women in periconception and pregnancy has lagged. We report qualitative research from a study evaluating PrEP use as part of safer conception care for 330 South African women. Fifty-two semi-structured interviews were conducted with 25 study participants to identify influences on PrEP adherence. Influences were: (1) changing proximity to male partners; (2) COVID-19 lockdown; (3) mobile lifestyle; (4) PrEP-related stigma; (5) disclosure of PrEP use; and (6) pregnancy and motherhood. Data also revealed important contextual information shaping adherence influences for women, including: (a) not living with partners, (b) partners as drivers of pregnancy intention, and (c) feeling at high risk for HIV. Disclosure of PrEP use, addressing stigma, strategies for traveling with pills, and counseling on prevention effective adherence are promising components of PrEP-inclusive HIV prevention interventions for South African women who are pregnant or planning pregnancy. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV prevention
HIV infection risk factors
LIFESTYLES
FAMILY planning
COUNSELING
RESEARCH methodology
ORAL drug administration
CONCEPTION
PREGNANT women
INTERVIEWING
SOCIAL stigma
PRE-exposure prophylaxis
MEDICAL care use
QUALITATIVE research
MOTHERHOOD
RISK assessment
DRUGS
DATE of conception
RESEARCH funding
PATIENT compliance
STAY-at-home orders
INTENTION
PATIENT safety
COVID-19 pandemic
PREGNANCY
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Volume :
- 27
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- AIDS & Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 161396814
- Full Text :
- https://doi.org/10.1007/s10461-022-03757-8