Evidence map›Paper›PMID 27073896›Full record

Trial reportPloS one2016

"How I Wish This Thing Was Initiated 100 Years Ago!" Willingness to Take Daily Oral Pre-Exposure Prophylaxis among Men Who Have Sex with Men in Kenya.

Robinson Njoroge Karuga, Serah Nduta Njenga, Rueben Mulwa, Nduku Kilonzo, Prince Bahati, Kevin O'reilley, Lawrence Gelmon, Stephen Mbaabu, Charles Wachihi, George Githuka and 1 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Robinson Njoroge KarugaLVCT Health, Nairobi, Kenya.ORCID http://orcid.org/0000-0003-3249-5047
Serah Nduta NjengaLVCT Health, Nairobi, Kenya.
Rueben MulwaLVCT Health, Nairobi, Kenya.
Nduku KilonzoNational AIDS Control Council (NACC), Nairobi, Kenya.
Prince BahatiInternational AIDS Vaccine Initiative, Nairobi, Kenya.
Kevin O'reilleyWorld Health Organization, Geneva, Switzerland.
Lawrence GelmonUniversity of Manitoba/University of Nairobi-SWOP Clinics, Nairobi, Kenya.
Stephen MbaabuLVCT Health, Nairobi, Kenya.
Charles WachihiUniversity of Manitoba/University of Nairobi-SWOP Clinics, Nairobi, Kenya.
George GithukaNational AIDS and STIs Control Program (NASCOP), Nairobi, Kenya.
Michael KiraguLVCT Health, Nairobi, Kenya.
LVCT Health · KENational Aids Control Council · KEUniversity of Nairobi · KEKenya AIDS Vaccine Initiative · KEWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThe MSM population in Kenya contributes to 15% of HIV incidence. This calls for innovative HIV prevention interventions. Pre-exposure prophylaxis (PrEP) has been efficacious in preventing HIV among MSM in trials. There is limited data on the willingness to take daily oral PrEP in sub-Sahara Africa. PrEP has not been approved for routine use in most countries globally. This study aimed to document the willingness to take PrEP and barriers to uptake and adherence to PrEP in Kenya. The findings will inform the design of a PrEP delivery program as part of the routine HIV combination prevention.

methodsEighty MSM were recruited in 2 Counties in December 2013. Quantitative data on sexual behaviour and willingness to take PrEP were collected using semi-structured interviews and analysed using SPSS. Qualitative data on knowledge of PrEP, motivators and barriers to uptake and adherence to PrEP were collected using in-depth interviews and FGDs and analysed using Nvivo. Analysis of data in willingness to take PrEP was conducted on the HIV negative participants (n = 55).

results83% of MSM were willing to take daily oral HIV PrEP. Willingness to take PrEP was higher among the bi-sexual and younger men. Motivators for taking PrEP were the need to stay HIV negative and to protect their partners. History of poor medication adherence, fear of side effects and HIV stigma were identified as potential barriers to adherence. Participants were willing to buy PrEP at a subsidized price.

conclusionsThere is willingness to take PrEP among MSM in Kenya and there is need to invest in targeted education and messaging on PrEP to enhance adherence, proper use and reduce stigma in the general population and among policy makers.

Indexed as

Homosexuality, MaleMotivationAdolescentAdultHIV InfectionsHumansIncidenceKenyaMaleMedication Adherence

Identifiers

PMID27073896
PMCPMC4830617
OpenAlexW2338312032

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.