Determinants of Intention to Use HIV Pre-exposure Prophylaxis and Condom Use Among a Sample of Cisgender Female Sex Workers Working Mostly Outdoors in Madrid, Spain.
There is scant knowledge regarding pre-exposure prophylaxis (PrEP) use among female sex workers (FSWs) in Europe. Spain recognized FSWs as a population at high risk of acquiring HIV and granted them subsidized access to PrEP when the medication first became nationally available in 2019. Nevertheless...
| Published in: | Archives of Sexual Behavior Vol. 53; no. 7; pp. 2817 - 2832 |
|---|---|
| Main Authors: | , , , , , , , |
| Format: | Article |
| Published: |
Springer Nature
Jul2024
|
| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=178232044&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 178232044 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00040002 ASX jtl: Archives of Sexual Behavior issn: 00040002 maglogo: N pubinfo: dt: Jul2024 vid: 53 iid: 7 pid: 237 pub: Springer Nature artinfo: ui: 178232044 10.1007/s10508-024-02834-4 ppf: 2817 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P size: 758KB tig: atl: Determinants of Intention to Use HIV Pre-exposure Prophylaxis and Condom Use Among a Sample of Cisgender Female Sex Workers Working Mostly Outdoors in Madrid, Spain. aug: au: Vazquez Guillamet, Laia J. Valencia, Jorge Ryan, Pablo Cuevas-Tascón, Guillermo del-Olmo-Morales, Miguel Angel Cobo, Ines Lazarus, Jeffrey V. Chevance, Guillaume affil: Health Systems Research Group, Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Calle del Rossellón 171, 1 Floor, ES 08036, Barcelona, Spain eHealth Group, Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain https://ror.org/021018s57 Facultat de Medicina i Ciencies de la Salut, Universitat de Barcelona (UB), c. Casanova 143, 08036, Barcelona, Spain Fundación de Investigación Biomédica, Hospital Infanta Leonor, Madrid, Spain Madrid Positivo Non-Governmental Organization, Madrid, Spain Departamento de Medicina Interna, Hospital Infanta Leonor, Madrid, Spain Centro de Investigación Biomédica en Red en Enfermedades Infecciosas, Madrid, Spain Asociación in Genero (Interculturalidad y Género), Ciudad Real, Spain https://ror.org/021018s57 Faculty of Medicine, Hospital Clínic, University of Barcelona, Barcelona, Spain su: Women's health Medical care Sex work Condoms Social stigma Pre-exposure prophylaxis sug: subj: Women's health Medical care Sex work Condoms Social stigma Other rubber product manufacturing All Other Rubber Product Manufacturing Pre-exposure prophylaxis keyword: HIV Pre-exposure prophylaxis (PrEP) Stigma Women's health services HIV Pre-exposure prophylaxis (PrEP) Stigma Women's health services ab: There is scant knowledge regarding pre-exposure prophylaxis (PrEP) use among female sex workers (FSWs) in Europe. Spain recognized FSWs as a population at high risk of acquiring HIV and granted them subsidized access to PrEP when the medication first became nationally available in 2019. Nevertheless, FSWs represented just 0.2% of PrEP users in 2022. A total of 102 HIV-negative FSWs reached through field activities of local NGOs located in Madrid were interviewed between January and March 2022. Participants were selected through convenience sampling over a fixed recruitment period. FSWs completed a 73-item survey with questions about individual, occupational, social, and structural determinants. The objective of this study was to identify (1) the prevalence of intention to use oral PrEP and its determinants, and (2) the prevalence of inconsistent condom use, which is the risk factor that qualifies FSWs for subsidized PrEP in the national health system, and its determinants. Importantly, the study sample overrepresented street-based FSWs (71.6%). A quarter (25.5%) of the study participants used condoms inconsistently. PrEP awareness was low (9.8%), but intention to use PrEP was high (72.5%). Intention to use oral PrEP was significantly associated with feeling protected against HIV by taking PrEP and perceiving insufficient protection by condom use alone. Inconsistent condom use was significantly associated with frequent heroin/cocaine use, having clients who inject drugs, and willingness to take PrEP despite it not protecting 100% against HIV infection. FSWs, in this specific sample, are likely to benefit from targeted PrEP awareness campaigns and implementation projects that prioritize those who use drugs and are more likely to engage in condomless sex. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|