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Citation

Bonner, Courtney Peasant; Minnis, Alexandra M.; Ndirangu, Jacqueline W.; Browne, Felicia A.; Speizer, Ilene S.; Nyblade, Laura; Ahmed, Khatija; & Wechsberg, Wendee M. (2023). The Importance of the Individual in PrEP Uptake: Multilevel Correlates of PrEP Uptake among Adolescent Girls and Young Women in Tshwane, South Africa. AIDS and Behavior, 27(12), 4124-4130.

Abstract

Adolescent girls and young women (AGYW) account for 25% of new HIV infections in South Africa. Pre-exposure prophylaxis (PrEP) is approved by the South African Government, but the factors that promote PrEP uptake among AGYW are not well understood. This study examines multilevel factors associated with PrEP uptake among AGYW in six clinic catchment areas in Tshwane (Pretoria), South Africa. After consent/assent, PrEP-eligible AGYW (n = 448) completed a questionnaire assessing factors at the individual, network/interpersonal, and community levels and were prescribed PrEP in study clinics, if interested. A multivariable model, adjusting for clustering, assessed factors associated with PrEP uptake over a 9-month period. At the individual level, multiple partners in the past 3 months (OR = 0.47), perceived risk of HIV (OR = 0.71), and PrEP-related shame (OR = 0.63) were correlated with lower odds of PrEP uptake (ps 

URL

http://dx.doi.org/10.1007/s10461-023-04126-9

Reference Type

Journal Article

Year Published

2023

Journal Title

AIDS and Behavior

Author(s)

Bonner, Courtney Peasant
Minnis, Alexandra M.
Ndirangu, Jacqueline W.
Browne, Felicia A.
Speizer, Ilene S.
Nyblade, Laura
Ahmed, Khatija
Wechsberg, Wendee M.

Article Type

Regular

Continent/Country

South Africa

Sex/Gender

Women

ORCiD

Speizer - 0000-0001-6204-1316