"THE DRUG WILL HELP PROTECT MY TOMORROW": PERCEPTIONS OF INTEGRATING PREP INTO HIV PREVENTION BEHAVIORS AMONG FEMALE SEX WORKERS IN LILONGWE, MALAWI
"THE DRUG WILL HELP PROTECT MY TOMORROW": PERCEPTIONS OF INTEGRATING PREP INTO HIV PREVENTION BEHAVIORS AMONG FEMALE SEX WORKERS IN LILONGWE, MALAWI
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DOI：
10.1521/aeap.2019.31.5.421
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发表时间：
2019-10-01
影响因子：
1.8
通讯作者：
Lancaster, Kathryn E.
中科院分区：
文献类型：
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作者：
Shea, Jaclyn;Bula, Agatha;Lancaster, Kathryn E.
女性性工作者感染艾滋病毒的风险不成比例。暴露前预防(PrEP)是一种有效的艾滋病毒预防方法，但FSW使用的预防策略缺乏将PrEP纳入预防策略的方法。在马拉维的利隆圭，对44名HIV阴性的FSW进行了半结构化焦点小组讨论，以探索PrEP的认知：可接受性、融入HIV预防行为和使用障碍。PrEP的可接受性较高。使用PrEP的动机植根于对一个人一生的热爱，预期与艾滋病毒感染相关的负面经济影响。PREP被认为是对现有从事健康性行为的规范的补充。许多人认为PrEP可能会提供额外的预防艾滋病毒的保护，以及避孕套和频繁的STI检测。不可预测的日常生活、耻辱和副作用是可能影响PrEP使用的障碍。利用现有的艾滋病毒预防战略和围绕艾滋病毒预防行为的社会规范，可能会积极影响马拉维和撒哈拉以南非洲妇女的PrEP感染情况。
Female sex workers (FSW) are disproportionately at risk for HIV. Pre-exposure prophylaxis (PrEP) is an effective HIV prevention method, yet approaches for incorporating PrEP within prevention strategies used by FSW are lacking. Semistructured focus group discussions were conducted with 44 HIV-negative FSW in Lilongwe, Malawi to explore perceptions of PrEP: acceptability, integration within HIV prevention behaviors, and barriers to use. Acceptability of PrEP was high. Motivation to use PrEP was rooted in love for one's life, anticipated negative economic effects associated with HIV acquisition. PrEP was viewed as complementary to existing norms for engaging in healthy sexual behaviors. Many felt PrEP may provide extra protection from HIV, along with condoms and frequent STI testing. Unpredictable daily lives, stigma, and side effects were barriers that could affect PrEP use. Leveraging existing HIV prevention strategies and social norms surrounding HIV prevention behaviors may positively impact PrEP uptake among FSW in Malawi and sub-Saharan Africa.