Evidence map›Paper›PMID 36357877›Full record

ArticleBMC health services research2022

Examining oral pre-exposure prophylaxis (PrEP) literacy among participants in an HIV vaccine trial preparedness cohort study.

Rujeko Samanthia Chimukuche, Rachel Kawuma, Nteboheleng Mahapa, Smanga Mkhwanazi, Nishanta Singh, Samantha Siva, Eugene Ruzagira, Janet Seeley, PrEPVacc Study Group

Registry-linked trialAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04066881 (A Phase IIb Three-arm, Two-stage HIV Prophylactic Vaccine Trial With a Second Randomisation to Compare TAF/FTC to TDF/FTC as Pre-exposure Prophylaxis), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT04066881 phase2completednot on this map

A Phase IIb Three-arm, Two-stage HIV Prophylactic Vaccine Trial With a Second Randomisation to Compare TAF/FTC to TDF/FTC as Pre-exposure Prophylaxis

TypeinterventionalSponsorMRC/UVRI and LSHTM Uganda Research UnitRan2020 to 2024Enrolled1,512ConditionsHIV InfectionsArmsVaccine Group A: DNA-HIV-PT123 and AIDSVAX® B/E (weeks 0,4,24,48), Vaccine Group B: DNA-HIV-PT123 and CN54gp140+MPLA-L (weeks 0,4), then MVA and CN54gp140+MPLA-L (weeks 24,48), Vaccine Group C: Saline placebo (weeks 0,4,24,48), Control PrEP:TDF/FTC once daily (weeks 0-26), Experimental PrEP:TAF/FTC once daily (weeks 0-26)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
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

9 authors.

Rujeko Samanthia ChimukucheAfrica Health Research Institute, KwaZulu-Natal, South Africa. Rujeko.Chidawanyika@ahri.org.ORCID https://orcid.org/0000-0002-4890-2105
Rachel KawumaSocial Aspects of Health Programme, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.ORCID https://orcid.org/0000-0001-5338-3517
Nteboheleng MahapaAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Smanga MkhwanaziGender and Health Research Unit, South African Medical Research Council, Durban, South Africa.
Nishanta SinghHIV and Other Infectious Diseases Research Unit, South African Medical Research Council, Durban, South Africa.
Samantha SivaHIV and Other Infectious Diseases Research Unit, South African Medical Research Council, Durban, South Africa.
Eugene RuzagiraHIV Epidemiology and Interventions Programme, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.ORCID https://orcid.org/0000-0002-7291-1693
Janet SeeleyAfrica Health Research Institute, KwaZulu-Natal, South Africa.ORCID https://orcid.org/0000-0002-0583-5272
PrEPVacc Study Group

Funding

University of KwaZulu-Natal - CAPRISA HIV/AIDS Clinical Trials UnitUM1AI069469 · NIAID · UNIVERSITY OF KWAZULU-NATAL · PI QUARRAISHA ABDOOL KARIM · 2012 to 2026
$36.4M
Medical Research Council MC_UU_00004/03NIAID NIH HHS UM1 AI069469
6 · The paper itself

Abstract

backgroundPrEP literacy is influenced by many factors including the types of information available and how it is interpreted. The level of PrEP literacy may influence acceptability and uptake.

methodsWe conducted 25 in-depth interviews in a HIV vaccine trial preparedness cohort study. We explored what participants knew about PrEP, sources of PrEP knowledge and how much they know about PrEP. We used the framework approach to generate themes for analysis guided by the Social Ecological Model and examined levels of PrEP literacy using the individual and interpersonal constructs of the SEM.

resultsWe found that PrEP awareness is strongly influenced by external factors such as social media and how much participants know about HIV treatment and prevention in the local community. However, while participants highlighted the importance of the internet/social media as a source of information about PrEP they talked of low PrEP literacy in their communities. Participants indicated that their own knowledge came as a result of joining the HIV vaccine trial preparedness study. However, some expressed doubts about the effectiveness of the drug and worried about side effects. Participants commented that at the community level PrEP was associated with being sexually active, because it was used to prevent the sexual transmission of HIV. As a result, some participants commented that one could feel judged by the health workers for asking for PrEP at health facilities in the community.

conclusionThe information collected in this study provided an understanding of the different layers of influence around individuals that are important to address to improve PrEP acceptability and uptake. Our findings can inform strategies to address the barriers to PrEP uptake, particularly at structural and community levels.

trial registrationhttps://clinicaltrials.gov/ct2/show/NCT04066881.

Indexed as

AIDS VaccinesAnti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisCohort StudiesHumansLiteracyAIDS VaccinesAnti-HIV AgentsHIVPre-exposure prophylaxisPrEP literacy

Identifiers

PMID36357877
PMCPMC9649006

What OpenQuestion holds

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Registered trials

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.