Culture, Health and Sexuality
Volume 19, Issue 12, 2017, Pages 1389-1403

Willingness to use short-term oral pre-exposure prophylaxis (PrEP) by migrant miners and female partners of migrant miners in Mozambique (Article)

Falcao J.* , Ahoua L. , Zerbe A. , di Mattei P. , Baggaley R. , Chivurre V. , Mulondo P. , Ramiro I. , Dalal S. , Morales F. , O’Reilly K. , El-Sadr W.
  • a ICAP, Mailman School of Public Health, Columbia University, Maputo, United States
  • b ICAP, Mailman School of Public Health, Columbia University, Maputo, United States
  • c ICAP, Mailman School of Public Health, ICAP, Columbia University, New York, United States
  • d ICAP, Mailman School of Public Health, Columbia University, Maputo, United States
  • e HIV Department, World Health Organization, Geneva, Switzerland
  • f Provincial Health Authorities, Ministry of Health Mozambique, Gaza, Mozambique
  • g Independent Consultant, Gaza, Mozambique
  • h Provincial Health Authorities, Ministry of Health Mozambique, Gaza, Mozambique
  • i HIV Department, World Health Organization, Geneva, Switzerland
  • j ICAP, Mailman School of Public Health, Columbia University, Dar es-Salaam, United States
  • k The Medical University of South Carolina, Charleston, United States
  • l ICAP, Mailman School of Public Health, ICAP, Columbia University, New York, United States

Abstract

Migrant miners from Mozambique who work in South Africa and their partners are at substantial risk for HIV infection. We conducted a cross-sectional study to assess the willingness of migrant miners and female partners of miners to take short-term pre-exposure prophylaxis (PrEP) for prevention of HIV acquisition. The study was conducted in Gaza Province, Mozambique, between September and October 2015. A total of 131 male miners and female partners of male miners completed a questionnaire. Subsequently, 48 in-depth interviews among male miners and female partners of miners and 3 focus-group discussions (6 participants each) among female partners of miners were conducted. Quantitative data were tabulated using Stata. A structured coding scheme was developed and qualitative data were analysed using Atlas.ti. Most participants (94%) were willing to take PrEP for short-term use. Facilitating factors for willingness to use PrEP were concerns about partner’s sexual behaviour, desire for pregnancy and one’s own sexual behaviour. The main barriers to PrEP use were concerns regarding side-effects, perceived difficulty adhering to daily pill taking and concern about partner/family disapproval. Overall, participants saw potential barriers for PrEP as minor obstacles that could be overcome. The male partner’s influence on PrEP use was significant. © 2017 Informa UK Limited, trading as Taylor & Francis Group.

Author Keywords

Migrant populations Mozambique PrEP HIV prevention

Index Keywords

HIV Infections Human immunodeficiency virus infection human Miners sexuality Sexual Partners statistics and numerical data Cross-Sectional Studies South Africa Surveys and Questionnaires interview cross-sectional study Humans psychology Interviews as Topic male female Mozambique questionnaire miner adult migration Transients and Migrants pre-exposure prophylaxis
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018352473&doi=10.1080%2f13691058.2017.1316424&partnerID=40&md5=e87e64fb23b646464643ddff21e7d967
DOI: 10.1080/13691058.2017.1316424
ISSN: 13691058
Cited by: 4
Original Language: English