Evidence map›Paper›PMID 34496781›Full record

ArticleBMC infectious diseases2021

Understanding issues around use of oral pre exposure prophylaxis among female sex workers in India.

Seema Sahay, Archana Verma, Suhas Shewale, Sampada Bangar, Athokpam Bijeshkumar, Mubashir Angolkar, Thilakavathi Subramanian, Nomita Chandhiok

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
6.4field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 22 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

8 authors at 4 institutions in 1 country.

Seema SahayDivision of Social and Behavioral Research, ICMR-National AIDS Research Institute, Pune, Maharashtra, India. ssahay@nariindia.org.
Archana VermaDivision of Social and Behavioral Research, ICMR-National AIDS Research Institute, Pune, Maharashtra, India.
Suhas ShewaleDivision of Social and Behavioral Research, ICMR-National AIDS Research Institute, Pune, Maharashtra, India.
Sampada BangarDivision of Epidemiology and Biostatistics, ICMR-National AIDS Research Institute, 73, G-Block, MIDC, Bhosari, Pune, Maharashtra, 411026, India.
Athokpam BijeshkumarDivision of Social and Behavioral Research, ICMR-National AIDS Research Institute, Pune, Maharashtra, India.
Mubashir AngolkarDepartment of Public Health, Jawaharlal Nehru Medical College, KLE University, Belagavi, Karnataka, India.
Thilakavathi SubramanianDivision of Social and Behavioral Research, ICMR-National Institute of Epidemiology, Chennai, Tamil Nadu, India.
Nomita ChandhiokDivision of Reproductive and Child Health, Indian Council of Medical Research, New Delhi, Delhi, India.
National AIDS Research Institute · INIndian Council of Medical Research · INKLE University · INNational Institute of Epidemiology · IN

Funding

Indian Council of Medical Research 5/7/703/09-RHN
6 · The paper itself

Abstract

backgroundEmpowering female sex workers (FSWs) through women controlled HIV prevention option has been in focus globally. FSWs are important target for oral pre exposure prophylaxis (PrEP). A multi-centric qualitative study was conducted to explore the FSWs' willingness to use oral PrEP in India.

methodsSeventy three interviews and 02 focus group discussions were conducted at 3 high HIV prevalent states in India during 2013-14. Study explored issues around willingness to use oral PrEP. The study was approved by the respective institutional ethics committee of the study sites. Thematic analysis using grounded theory approach was used to analyze the data in N-VIVO version 8.0.

resultsThematic analysis showed events of forced condom-less sex. FSWs believed that oral PrEP could provide independence, financial gains, and privacy and therefore hoped to use it as an alternative to male condom. However, any impact on physical/ aesthetic attributes and reproductive system were not acceptable and could become a barrier. Provider initiated oral PrEP was not preferred. Providers voiced safety monitoring concerns. Adherence emerged as a challenge because of: (1) alcohol use; (2) taking PrEP tablet each day being boring; (3) Stigma because Oral PrEP is ARV based. Alcohol use and dread of repetitive dose brings forth the need for long acting oral PrEP.

conclusionOral PrEP is acceptable among FSWs; it should be rolled out alongside strong messages on STI protection and PrEP as compliment to condoms. PrEP roll out requires educating communities about HIV treatment versus prevention. Long-acting oral PrEP could address both 'boredom' and alcoholism and sustain adherence.

Indexed as

HIV InfectionsPre-Exposure ProphylaxisSex WorkersCondomsFemaleHumansIndiaMaleAdherenceAlcohol useFear of side-effectsFSWIndiaOral PrEPQualitative researchReproductive healthStigmaViolence

Identifiers

PMID34496781
PMCPMC8424160
OpenAlexW3159165268

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.