The Role of Families in Adolescent and Young Adults' PrEP Use.

Journal: AIDS and behavior

Volume: 26

Issue: 5

Year of Publication: 2022

Affiliated Institutions:  Desmond Tutu HIV Centre, Cape Town, South Africa. Millicent.atujuna@hiv-research.org.za. Women's Global Health Imperative, RTI International, Berkeley, CA, USA. Desmond Tutu HIV Centre, Cape Town, South Africa.

Abstract summary 

While pre-exposure prophylaxis (PrEP) is a key HIV prevention tool for adolescents and young adults (AYAs), its initiation and sustained use is shaped by AYAs' unique social contexts, including family. We explored the role of families in AYAs' PrEP use through qualitative in-depth interview (IDI) data from iPrevent, an end-user study designed to identify factors that could optimize PrEP adherence among South African youth (18-24 years old). These data were collected using a semi structured guide and were analysed using an inductive approach. Several themes describing family influence on AYAs' PrEP use emerged including family support; family attitude towards PrEP; and the family's ability to obviate PrEP disclosure challenges. In addition, dimensions of family closeness, categorized as 'close', 'in-between' and 'loose-knit,' appeared important in contextualizing family influence on AYAs' PrEP use. We found that family remains a proximal and fundamental social system in which AYA are socialized and greater family engagement could aid PrEP implementation in this priority population.

Authors & Co-authors:  Atujuna Millicent M Montgomery Elizabeth T ET Hartmann Miriam M Ndwayana Sheily S Browne Erica N EN Sindelo Siyaxolisa S Bekker Linda-Gail LG Minnis Alexandra M AM

Study Outcome 

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Citations :  Eakle R, Venter F, Rees H. Pre-exposure prophylaxis (PrEP) in an era of stalled HIV prevention: can it change the game? Retrovirology. 2018. https://doi.org/10.1186/s12977-018-0408-3 .
Authors :  8
Identifiers
Doi : 10.1007/s10461-021-03514-3
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Adolescent and young adults (AYAs);Family;HIV/AIDS;Pre-exposure prophylaxis (PrEP) use;South Africa
Study Design
Cross Sectional Study
Study Approach
Qualitative
Country of Study
South Africa
Publication Country
United States