التفاصيل البيبلوغرافية
| العنوان: |
The Effect of Stigma on Family Planning and HIV Pre-exposure Prophylaxis Decisions of Young Women Accessing Post-Abortion Care in Kenya. |
| المؤلفون: |
Zia, Yasaman, Etyang, Lydia, Mwangi, Margaret, Njiru, Roy, Mogaka, Felix, June, Lavender, Njeru, Irene, Makoyo, Job, Kimani, Susan, Ngure, Kenneth, Wanyama, Inviolata, Bukusi, Elizabeth, Nyerere, Bernard, Nyamwaro, Cyprian, Mugo, Nelly, Heffron, Renee, Peacock, Sue, Thomas, Kathy, Odoyo, Josephine, Mwangi, Florence |
| المصدر: |
AIDS & Behavior; Jun2024, Vol. 28 Issue 6, p1834-1844, 11p |
| مصطلحات موضوعية: |
HIV prevention, FAMILY planning, HEALTH services accessibility, MATERNAL health services, TENOFOVIR, PRE-exposure prophylaxis, PATIENT decision making, WOMEN'S health, CONTRACEPTION, SOCIAL stigma, ABORTION |
| مصطلحات جغرافية: |
KENYA |
| مستخلص: |
Adolescent girls and young women (AGYW) in Eastern and Southern Africa face parallel epidemics of unintended pregnancy and HIV. Their sexual health decisions are often dominated by intersecting stigmas. In an implementation science project integrating delivery of daily, oral pre-exposure prophylaxis (PrEP) for HIV prevention into 14 post-abortion care (PAC) clinics in Kenya, we enrolled a subset of PrEP initiating AGYW (aged 15 to 30 years) into a research cohort. Utilizing log binomial models, we estimated the effect of PrEP stigma on PrEP continuation (measured via self-report and urine assay for tenofovir) and abortion stigma on contraceptive initiation. Between April 2022 and February 2023, 401 AGYW were enrolled after initiating PrEP through their PAC provider, of which 120 (29.9%) initiated highly-effective contraception. Overall, abortion and PrEP stigmas were high in this cohort. Abortion stigma was more prevalent among those that were adolescents, unmarried, and reported social harm. Among 114 AGYW returning for the month 1 follow-up visit, 83.5% reported continuing PrEP and 52.5% had tenofovir detected. In this subset, higher levels of PrEP stigma were significantly associated with greater likelihood of PrEP adherence, but not PrEP continuation. For abortion stigma, greater scores in the subdomain of isolation were significantly associated with greater likelihood of initiating a highly-effective contraception, while greater scores in the subdomain of community condemnation were significantly associated with reduced likelihood of initiating a highly-effective contraception. Given the burden of stigma documented by our work, PAC settings are a pivotal space to integrate stigma-informed counseling and to empower young women to optimize contraceptive and PrEP decisions. [ABSTRACT FROM AUTHOR] |
|
Copyright of AIDS & Behavior is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Find this article in full text from Springer Verlag. 
Full Text Finder