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Perspectives on oral pre-exposure prophylaxis use amongst female sex workers in Harare, Zimbabwe

Southern African journal of HIV medicine, 2020, Vol.21 (1), p.1-6 [Peer Reviewed Journal]

2020. The Authors. ;COPYRIGHT 2020 African Online Scientific Information Systems (Pty) Ltd t/a AOSIS ;COPYRIGHT 2020 African Online Scientific Information Systems (Pty) Ltd t/a AOSIS ;2020. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2020. The Authors 2020 ;This work is licensed under a Creative Commons Attribution 4.0 International License. ;ISSN: 1608-9693 ;ISSN: 2078-6751 ;EISSN: 2078-6751 ;DOI: 10.4102/sajhivmed.v21i1.1039 ;PMID: 32158559

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Title:
Perspectives on oral pre-exposure prophylaxis use amongst female sex workers in Harare, Zimbabwe
Author: Maponga, Charles C. ; Morse, Gene D. ; Ngara, Bernard ; Monera-Penduka, Tsitsi G. ; Dhliwayo, Anesu ; Chingombe, Byrone ; Mudzviti, Tinashe
Subjects: Barriers ; Biology ; Central business districts ; Disease prevention ; Emtricitabine ; Female sex workers ; Health aspects ; Health Care Sciences & Services ; Health Policy & Services ; HIV ; HIV (Viruses) ; Human immunodeficiency virus ; Immunodeficiency ; Immunology ; Knowledge ; Medical tests ; Metropolitan areas ; Occupational exposure ; Original Research ; Pre-exposure prophylaxis ; Prophylaxis ; Questionnaires ; Sex industry ; Sex oriented businesses ; Sexual behavior ; Sexual intercourse ; Studies ; Truvada ; Variables ; Workers ; Working women
Is Part Of: Southern African journal of HIV medicine, 2020, Vol.21 (1), p.1-6
Description: Background: Pre-exposure prophylaxis (PrEP) could provide protection from human immunodeficiency virus (HIV) infection in sexually active persons at risk. Limited data are available in Zimbabwe with regard to the perceptions about PrEP amongst female sex workers (FSWs).Objectives: The aim of this study was to evaluate the knowledge levels of oral PrEP and the likelihood of its use amongst FSWs.Method: This was a cross-sectional study in the peri-urban areas of Harare, Zimbabwe. Human immunodeficiency virus-negative FSWs were interviewed to assess their awareness of and likelihood to use PrEP. The relative importance index was used to evaluate the levels of knowledge and the likelihood of, and barriers to, PrEP use. A set of 10 questions was designed and validated that evaluated participants’ understanding of PrEP. A bivariate logistic regression model was utilised to identify predictors of PrEP use.Results: A total of 131 FSWs with a median age of 25 years (interquartile range: 21–31) participated in this study. Of the 71 (54%) FSWs who had heard about PrEP, 46 (35%) participants had adequate knowledge of its use. A total of 102 (78%) participants revealed that they would be willing to continuously use PrEP if it was provided free of cost. Increasing age of the participants was associated with an increase in the likelihood of using PrEP (r = 0.0033, p = 0.038). More knowledge about PrEP increased the likelihood of its use (r = 0.21, p = 0.0153). This likelihood increased amongst participants with an unprotected sexual intercourse encounter in the preceding 3 months (r = 0.0448, p = 0.026).Conclusion: Knowledge of PrEP amongst FSWs was low. To increase the uptake of PrEP, there is a need to further sensitise FSWs about this intervention. Programmes should also promote awareness training in FSW subgroups that are less likely to use PrEP.
Publisher: South Africa: AOSIS
Language: English;Portuguese
Identifier: ISSN: 1608-9693
ISSN: 2078-6751
EISSN: 2078-6751
DOI: 10.4102/sajhivmed.v21i1.1039
PMID: 32158559
Source: PubMed (Medline)
Open Access: African Journals Online
SciELO
Alma/SFX Local Collection
ProQuest Central
DOAJ Directory of Open Access Journals

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Perspectives on oral pre-exposure prophylaxis use amongst female sex workers in Harare, Zimbabwe

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