Repeat Use of Post-exposure Prophylaxis for HIV Among Nairobi-Based Female Sex Workers Following Sexual Exposure

Preston Izulla, Lyle R. McKinnon, Julius Munyao, Naomi Ireri, Nico Nagelkerke, Gloria Gakii, Lawrence Gelmon, Mabel Nangami, Rupert Kaul, Joshua Kimani

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

As ART-based prevention becomes available, effectively targeting these interventions to key populations such as female sex workers (FSW) will be critical. In this study we analyze patterns of repeated post-exposure prophylaxis (PEP) access in the context of a large FSW program in Nairobi. During close to 6000 person-years of follow-up, 20 % of participants (n = 1119) requested PEP at least once and 3.7 % requested PEP more than once. Repeat PEP users were younger, had a higher casual partner volume, and were more likely to use condoms with casual and regular partners, have a regular partner, and test for HIV prior to enrolment. Barriers to PEP included stigma, side effects, and lack of knowledge, suggesting repeated promotion may be required for higher rates of uptake. A small subset of FSW, potentially those with heightened risk perception, showed a higher frequency of PEP use; these individuals may be most amenable to rollout of pre-exposure prophylaxis.

Original languageEnglish
Pages (from-to)1549-1555
Number of pages7
JournalAIDS and Behavior
Volume20
Issue number7
DOIs
Publication statusPublished - Jul 1 2016

Keywords

  • FSW
  • HIV prevention
  • PEP
  • PrEP
  • Risk perception

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Fingerprint

Dive into the research topics of 'Repeat Use of Post-exposure Prophylaxis for HIV Among Nairobi-Based Female Sex Workers Following Sexual Exposure'. Together they form a unique fingerprint.

Cite this