Evidence map›Paper›PMID 38942977›Full record

ArticleInternational journal of behavioral medicine2025

"Something Like That": Awareness and Acceptability of HIV PrEP and PEP Among Kenyan Adolescents.

Lara Miller, Beatrice Otieno, Sayo Amboka, Kevin Kadede, Damaris Odeny, Hanningtone Odhiambo, Irene Agot, Sophia Zamudio-Haas, Colette Auerswald, Elizabeth A Bukusi and 3 more

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Article in International journal of behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

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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

13 authors.

Lara MillerUniversity of California San Francisco, San Francisco, USA.
Beatrice OtienoUniversity of California Global Programs, Kisumu, Kenya.
Sayo AmbokaKenya Medical Research Institute, Kisumu, Kenya.
Kevin KadedeKenya Medical Research Institute, Kisumu, Kenya.
Damaris OdenyKenya Medical Research Institute, Kisumu, Kenya.
Hanningtone OdhiamboKenya Medical Research Institute, Kisumu, Kenya.
Irene AgotKenya Medical Research Institute, Kisumu, Kenya.
Sophia Zamudio-HaasUniversity of California San Francisco, San Francisco, USA.
Colette AuerswaldUniversity of California Berkeley, Berkeley, USA.
Elizabeth A BukusiKenya Medical Research Institute, Kisumu, Kenya.
Craig R CohenUniversity of California San Francisco, San Francisco, USA.
Hong-Ha M TruongUniversity of California San Francisco, San Francisco, USA. Hong-Ha.Truong@ucsf.edu.
Maneno Yetu Study Team

Funding

In Our Own Words: Peer-to-Peer Messaging to Increase Uptake of HIV Prevention Strategies among Adolescents in KenyaR01HD094683 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TRUONG, HONG-HA M · 2017 to 2021
$3.4M
NIH HHS R01 HD094683
6 · The paper itself

Abstract

backgroundAdolescents account for 15% of new HIV cases in Kenya. HIV pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) are highly effective prevention tools, but uptake is low among adolescents, particularly in resource-limited settings. We assessed awareness and acceptability of PrEP and PEP among Kenyan adolescents.

methodFocus group discussions were conducted with 120 adolescent boys and girls ages 15 to 19 in Kisumu. Data were analyzed using the Framework Approach.

resultsAdolescent participants often had not heard of or could not differentiate between PrEP and PEP. They also confused these HIV prevention tools with emergency contraceptives. Taking a daily pill to prevent HIV was perceived as analogous to taking a pill to treat HIV. Boys were aware of and willing to consider using PrEP and PEP due to their dislike for using condoms. Adolescents identified insufficient information, cost, and uncomfortableness speaking with healthcare workers about their HIV prevention needs due to sexuality stigma as barriers to using PrEP and PEP.

conclusionLow awareness and poor understanding of PrEP and PEP among adolescents reveal the need for increased education and sensitization about these HIV prevention options. Expanding access to sexual and reproductive health services that are tailored to the needs of adolescents and staffed with non-judgmental providers could help reduce sexuality stigma as a barrier to accessing care. New HIV prevention approaches such as long-acting injectables or implants, on-demand regimens, and multipurpose prevention technologies may encourage increased uptake of PrEP and PEP by adolescents.

Indexed as

Health Knowledge, Attitudes, PracticeHIV InfectionsPatient Acceptance of Health CarePost-Exposure ProphylaxisPre-Exposure ProphylaxisAdolescentAnti-HIV AgentsFemaleFocus GroupsHumansKenyaMaleYoung AdultAnti-HIV AgentsAdolescentsHIVKenyaPost-exposure prophylaxis (PEP)Pre-exposure prophylaxis (PREP)Sexuality stigma

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Registered trials

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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.