Low awareness and use of post-exposure prophylaxis among adolescents and young adults in South Africa: implications for the prevention of new HIV infections

Ajayi, Anthony Idowu; Yusuf, Mohammed; Mudefi, Elmon; Adeniyi, Oladele Vincent; Rala, Ntombana; Goon, Daniel Ter

doi:10.2989/16085906.2020.1811356

Cited by 3 publications

(3 citation statements)

References 25 publications

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“…Community education, in addition to the existence of packs of TLD in public places, would enhance PEP and PrEP awareness. 24 For people who have HIV and are accessing TLD without attending a clinic, there would be advice to attend clinic when possible, in particular when there is an onset of any symptoms. We would argue that implementation in the community should be full-scale Parameter names are from hiv_synthesis_community_tld.sas.…”

Section: Discussionmentioning

confidence: 99%

Potential cost-effectiveness of community availability of tenofovir, lamivudine, and dolutegravir for HIV prevention and treatment in east, central, southern, and west Africa: a modelling analysis

Phillips,

Bansi-Matharu,

Shahmanesh

et al. 2023

The Lancet Global Health

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Section: Discussionmentioning

confidence: 99%

Potential cost-effectiveness of community availability of tenofovir, lamivudine, and dolutegravir for HIV prevention and treatment in east, central, southern, and west Africa: a modelling analysis

Phillips,

Bansi-Matharu,

Shahmanesh

et al. 2023

The Lancet Global Health

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“…More females were included in the study, given that the ratio of male to female students is 2:3. The full details of the study methodology have been presented elsewhere [26,27]. Overall, 833 respondents took part in the main study.…”

Section: Methodsmentioning

confidence: 99%

“I enjoy sex more without condoms": revisiting barriers and facilitators of consistent condom use among adolescents and young adults in South Africa

Ajayi

Omonaiye

Nwogwugwu

2021

Preprint

Self Cite

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Background Previous studies have examined consistent condom use correlates in South Africa, focusing on sociodemographic factors, HIV risk perceptions, relationship conflict, multiple sexual partners, and masculinity. However, the effect of family financial support, HIV testing, partner communication and self-efficacy for HIV prevention is less studied. We drew from a cross-sectional survey to address this gap and highlight the key barriers and facilitators of consistent condom use among young people. Methods We analysed data obtained from 631 unmarried sexually active male and females students selected using stratified sampling from a university in Eastern Cape Province of South Africa. Consistent condom use was defined as regular use of condoms in all sexual encounters in the past year. We used an open-ended question to probe the reasons for inconsistent condom use. Adjusted and unadjusted regression analysis were fitted to examine factors associated with consistent condom use. Results The prevalence of consistent condom use was 39.3% (CI: 35.5%-43.2%), with no significant gender and age differences. After adjusting for relevant covariates, living with foster parents (AOR; 1.80 95% CI; 1.09-2.97), adequate family financial support (AOR; 2.49 95% CI; 1.71-3.62), partner knew status (AOR; 1.91 95% CI; 1.09-3.37) and feeling confident in one's ability to prevent HIV (AOR; 1.77 95% CI; 1.09-2.86) were associated with increased odds of consistent condom use. However, self-report of low condom self-efficacy (AOR; 0.58 95% CI; 0.40-0.85) and alcohol use (AOR; 0.83 95% CI; 0.58-1.19) were associated with lower odds of consistent condom use. Young people who inconsistently used condoms reiterated that sex is often unplanned and condoms are not always available. The desire for maximum pleasure, partner's objection, trust, and use of hormonal contraceptives were further reasons others inconsistently use condoms. Conclusions Inconsistent condom use remains a challenge among unmarried sexually active young people in South Africa. Education of young people on the need for partner communication about HIV, HIV testing uptake, and condom use should happen more rigorously in school and through the media to improve their consistent use of condoms.

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“…AGYW often experience challenges in accessing pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP). These challenges emanate from the stigma and discrimination they experience from healthcare workers while trying to access these services, and the lack of financial resources to travel to health centers that offer the services ( Skovdal et al., 2022 ; Ajayi et al., 2020 ). Increasing access to PrEP and PEP among AGYW will help reduce HIV transmission.…”

Section: Strategies To Reduce Hiv Transmission Among Agywmentioning

confidence: 99%

HIV and adolescent girls and young women in sub‐Saharan Africa: A call for expedited action to reduce new infections

Murewanhema¹,

Musuka²,

Moyo³

et al. 2022

IJID Regions

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Low awareness and use of post-exposure prophylaxis among adolescents and young adults in South Africa: implications for the prevention of new HIV infections

Cited by 3 publications

References 25 publications

Potential cost-effectiveness of community availability of tenofovir, lamivudine, and dolutegravir for HIV prevention and treatment in east, central, southern, and west Africa: a modelling analysis

Potential cost-effectiveness of community availability of tenofovir, lamivudine, and dolutegravir for HIV prevention and treatment in east, central, southern, and west Africa: a modelling analysis

“I enjoy sex more without condoms": revisiting barriers and facilitators of consistent condom use among adolescents and young adults in South Africa

HIV and adolescent girls and young women in sub‐Saharan Africa: A call for expedited action to reduce new infections

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