Risk perception and sex behaviour in pregnancy and breastfeeding in high HIV prevalence settings: Programmatic implications for PrEP delivery

PloS One
Dvora Joseph DaveyLandon Myer

Abstract

HIV acquisition during pregnancy and breastfeeding significantly contributes toward paediatric HIV infection; however, little is known about risk behaviours in HIV-uninfected pregnant and postpartum women. We conducted twenty-six in-depth-interviews between July and December 2016 using a semi-structured interview guide among HIV-uninfected pregnant and recently postpartum women at-risk of HIV acquisition (defined as reporting ≥1 of the following: partner's serostatus unknown or HIV-infected, recent condomless sex in pregnancy, and/or alcohol use during pregnancy) who attended primary healthcare services. Our study contextualizes factors related to risky sexual behaviours during pregnancy and postpartum periods and assesses knowledge and hypothetical acceptability of pre-exposure prophylaxis (PrEP) in pregnancy. Translated and transcribed data were coded and analysed by three researchers using a thematic analysis approach. In interviews with HIV-uninfected pregnant/postpartum women at-risk of HIV acquisition, we identified common themes associated with sexual risk behaviours during pregnancy, including: lack of control over decisions in sex and condom use in pregnancy, low perceived risk (e.g. beliefs that their partner has the ...Continue Reading

References

Jul 2, 2002·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Jeanne M TschannJonathan M Ellen
Jan 25, 2011·Sexually Transmitted Diseases·Annie E SteffensonPaul D Cleary
Dec 24, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Leigh F JohnsonGayle G Sherman
Mar 21, 2013·BMC Pregnancy and Childbirth·Karl Peltzer, Gladys Mlambo
Sep 24, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Adaora A AdimoraUNKNOWN HPTN 064 Protocol Team
Jan 21, 2016·Journal of the International AIDS Society·Jayleen K L GunnJohn E Ehiri
Jan 24, 2016·Global Health Action·Charles Bitamazire BusingeVerona Mathews
Feb 27, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jennifer E BalkusJared M Baeten
Nov 27, 2016·Journal of the International AIDS Society·Anna Joy RogersLynae A Darbes

❮ Previous
Next ❯

Citations

Jul 17, 2019·Drugs·Ioannis Hodges-MameletzisRachel Baggaley
Jun 12, 2020·Journal of the International AIDS Society·Ariane van der StratenUNKNOWN MTN-041/MAMMA Study Team
May 29, 2020·AIDS Research and Therapy·Kristen SullivanAnne Drapkin Lyerly
Aug 30, 2019·International Journal of STD & AIDS·David J DiTullioDvora L Joseph Davey

❮ Previous
Next ❯

Methods Mentioned

BETA
contraception

Software Mentioned

NVivo

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.