Impact of HIV risk perception on both pre-exposure prophylaxis and condom use

Ciaccio, Marion Di; Sagaon-Teyssier, Luis; Protière, Christel; Mimi, Mohamed; Suzan‐Monti, Marie; Meyer, Laurence; Castro, Daniela Rojas; Pialoux, Gilles; Pintado, Claire; Molina, Jean Michel; Préau, Marie; Spire, Bruno

doi:10.1177/1359105319883927

Cited by 14 publications

(14 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In another study among MSM, risk perception was positively related with PrEP adherence, but not with condom use 27 . This furthermore underscores the need for interventions to improve the evaluation of risk perception among PrEP users.…”

Section: Discussionmentioning

confidence: 89%

“…This finding makes an interesting comparison with findings from a study among MSM using PrEP, where there was a significant increase in number of unprotected anal sex partners at the 6-month visit compared to the baseline visit 26 . In another study among MSM, risk perception was positively related with PrEP adherence, but not with condom use 27 . This furthermore underscores the need for interventions to improve the evaluation of risk perception among PrEP users.…”

Section: Discussionmentioning

confidence: 89%

See 1 more Smart Citation

Adherence to oral HIV pre-exposure prophylaxis among female sex workers in Kampala, Uganda

Nalukwago¹,

Isunju²,

Muwonge³

et al. 2021

Afr H. Sci.

View full text Add to dashboard Cite

Introduction: In Kampala Uganda, female sex workers (FSWs) have high HIV prevalence (33%). Oral PrEP is a novel HIV prevention intervention that offers hope to decrease HIV incidence in key populations especially among FSWs. Studies have shown that with poor adherence, oral PrEP has no efficacy, and therefore adherence to PrEP is critical among FSWs to maximize HIV prevention. However, implementation data on adherence to PrEP among FSWs is limited so this study sought to assess adherence to PrEP. Specifically, we sought to 1) determine the level of adherence to PrEP among FSWs, and 2) determine factors associated with PrEP adherence. Methods: This cross-sectional study was conducted from November to December 2018; 126 FSWs using PrEP were inter- viewed using a questionnaire. Adherence was categorically defined as high adherence and low adherence. Logistic regression was done. Results: Using long-term contraception methods (OR 0.06, 95% CI: 0.04-0.77) and not using condoms with clients (OR 0.07, 95% CI: 0.01-0.42) were negatively associated with high PrEP adherence. Conclusion: Barriers to PrEP adherence need to be addressed for successful PrEP implementation to improve adherence going forward. Service care providers should reinforce positive behaviors such as use of condoms devotedly during PrEP breaks. Keywords: Oral PrEP; adherence; female sex workers.

show abstract

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 89%

Adherence to oral HIV pre-exposure prophylaxis among female sex workers in Kampala, Uganda

Nalukwago¹,

Isunju²,

Muwonge³

et al. 2021

Afr H. Sci.

View full text Add to dashboard Cite

show abstract

“…According to Di Ciaccio et al (2019), 22 theories of rational action and planned behavior may partially explain the results achieved since they show that factors other than risk perception can predict condom use. 22 In fact, according to the authors, condom use is influenced by intention to use, subjective attitudes and norms toward condoms, and, to a lesser extent, the associated perceived behavioral control. 22,23 In parallel, no increase in STI prevalence was observed.…”

Section: Discussionmentioning

confidence: 99%

“…22 In fact, according to the authors, condom use is influenced by intention to use, subjective attitudes and norms toward condoms, and, to a lesser extent, the associated perceived behavioral control. 22,23 In parallel, no increase in STI prevalence was observed. This concern was related to the phenomenon of risk compensation or behavioral disinhibition, in which PrEP users' perception of reduced risk of HIV acquisition could lead them to engage in riskier sexual practices and thus increase their chances of acquiring STI.…”

Section: Discussionmentioning

confidence: 99%

HIV Pre-exposure Prophylaxis: Characterization and Adherence of Users at Risk of Infection

França¹,

Passos²,

Medeiros³

et al. 2022

JYP

View full text Add to dashboard Cite

Objectives: To delineate the sociodemographic and clinical characteristics, sexual behavior, and the degree of adherence of users to Human Immunodeficiency Virus (HIV) Pre-Exposure Prophylaxis (PrEP), as well as the factors that impact their full adherence. Materials and Methods: This is an analytical, cross-sectional, retrospective study carried out in reference services in infectology. Subjects with at least three clinical monitoring of PrEP were included in the study. We considered as 'full adherence' those individuals who took 100% of the recommended doses. Bivariate and multivariate analysis was performed to investigate the association between full adherence to PrEP and selected variables. Results: Most participants were male (80.1%; n=185), homosexual (61.9%; n=143), with a mean age of 32±8.6 years. Regarding the clinical aspects, the presence of subjects with chronic kidney disease using prophylaxis drew attention. Concerning the use of PrEP, only 5.6% (n=13) had a degree of adherence lower than 80%. In this context, it was observed that user characteristics, such as meretriciousness and homosexuality, impacted full adherence to the method (p= 0.033; p=0.049, respectively). Conclusion: The results achieved pointed to high adherence to PrEP. However, it was observed that factors such as homosexuality and prostitution had a negative association with widespread adherence to prophylaxis. In this sense, clinical follow-up by a multidisciplinary team is essential, given the need to adopt strategies to strengthen the use of prophylaxis by specific groups and the existence of patients with clinical conditions that the use of PrEP can aggravate.

show abstract

“…[22][23][24] Inconsistency in condom use could also be linked to low earnings limiting FSWs to buy condoms. 25,26 As the sex work industry in Bangladesh remains very competitive 27 as the brothels spread out from hotels to residents, 7 most of the time client satisfaction is given priority above regulating health safety practices. As more than half of the participants earned 10000 BDT per month or less, FSWs needed to access lower-cost condoms provided mainly by DICs and their peer educators (95.85% and 11.8% of FSWs get their condoms from DICs and peer educators, respectively).…”

Section: Discussionmentioning

confidence: 99%

Condom use, symptoms of suggestive sexually transmitted infections, and health care seeking among female sex workers in Bangladesh

Alam

Wahed²,

Alam

et al. 2021

Int J STD AIDS

View full text Add to dashboard Cite

This article presents a mixed-method cross-sectional study reporting condom use, sexually transmitted infection (STI) symptoms, and care seeking of female sex workers (FSWs) in Dhaka, Bangladesh. A survey of 1228 FSWs, in-depth interviews ( n = 24), and key informants’ interviews ( n = 26) were used for data collection. Among the 1228 FSWs included in this study, 50% of them were illiterate and 39.3% were married, and their mean age was 27.1 years. The consistent use of condoms was reported by 75.6% of the FSWs, 88.7% reported having STI symptoms in the last 6 months, while 91.8% visited one of the drop-in centers for services. FSWs without formal education had lower odds of using condoms consistently (AOR: 0.72; 95% CI: 0.55–0.95), and those working elsewhere than in the streets showed higher odds (AOR: 1.63; 95% CI: 1.23–2.15) to use condoms. Stigma to access health care services, poor knowledge about STI/HIV, and low perceived risk were mentioned as causes of having STI symptoms in the survey as well as in qualitative in-depth interviews. Self-reported condom use, STI symptoms, and care-seeking practices were found to be high among the FSWs. Inconsistent condom use and a high number of sex partners could be the reasons for high levels of STI symptoms. Innovative objectively verifiable approaches should be tested to collect condom use data.

show abstract

Impact of HIV risk perception on both pre-exposure prophylaxis and condom use

Cited by 14 publications

References 41 publications

Adherence to oral HIV pre-exposure prophylaxis among female sex workers in Kampala, Uganda

Adherence to oral HIV pre-exposure prophylaxis among female sex workers in Kampala, Uganda

HIV Pre-exposure Prophylaxis: Characterization and Adherence of Users at Risk of Infection

Condom use, symptoms of suggestive sexually transmitted infections, and health care seeking among female sex workers in Bangladesh

Contact Info

Product

Resources

About