Back to Search
Start Over
The Effect of PrEP Use Disclosure on Adherence in a Cohort of Adolescent Girls and Young Women in South Africa
- Source :
- AIDS Behav
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Effective strategies to support PrEP adherence among adolescent girls and young women (AGYW) are needed. We examined PrEP use disclosure and its effect on adherence among 200 AGYW ages 16-25 initiating PrEP in South Africa to help inform these strategies. We estimated the relative prevalence of high adherence (intracellular tenofovir-diphosphate concentration ≥ 700 fmol/punch) 3- and 6-months after PrEP initiation among those who disclosed vs. did not disclose their PrEP use, both overall and by age. Most AGYW disclosed to a parent (58%), partner (58%), or friend (81%) by month 6. We did not observe a strong effect of disclosure on adherence overall; however, among younger AGYW (≤ 18 years), those who disclosed to a parent were 6.8 times as likely to have high adherence at month 6 than those who did not (95% CI 1.02, 45.56). More work is needed to understand parents' roles as allies and identify ways peers and partners can motivate PrEP use for AGYW.
- Subjects :
- Adult
medicine.medical_specialty
Adolescent
Social Psychology
Anti-HIV Agents
business.industry
Public health
Public Health, Environmental and Occupational Health
HIV Infections
Disclosure
Article
South Africa
Young Adult
Health psychology
Pre-exposure prophylaxis
Infectious Diseases
Family medicine
Cohort
Humans
Medicine
Female
Pre-Exposure Prophylaxis
business
Subjects
Details
- ISSN :
- 15733254 and 10907165
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- AIDS and Behavior
- Accession number :
- edsair.doi.dedup.....a6adab61d4f564a72d1593a8c925e0d8