000			02640nam a22003017a 4500
001			20240606185544.0
003			20240606185544.0
005			20240606190727.0
008			240606b |||||||| |||| 00| 0 eng d
040			_cddc
041			_aEnglish
100			_qChuru Mwanaidi
245			_a Factors associated with adherence to oral HIV pre-exposure prophylaxis among female sex workers in the Mara Region, Tanzania: A 2022 cross-sectional study
260			_aMwanza, Tanzania : _bCatholic University of Health and Allied Sciences [CUHAS – Bugando] : _c2023
300			_aIncludes References
490			_aMedicine 102(36):p e34824, September 08, 2023.
520			_aAbstract : Female sex workers (FSWs) have a higher risk of acquiring human immunodeficiency virus (HIV) infection compared with the general female population. Tanzania adopted pre-exposure prophylaxis (PrEP) use for HIV-negative key populations in 2019 as a strategy to reduce HIV transmission. We aimed to identify factors associated with PrEP adherence among FSWs in Tanzania. We conducted a cross-sectional study of FSWs using oral HIV PrEP from June-July 2022 in 5 Mara Region districts. Stata software was used to analyze the quantitative data. Poor overall PrEP adherence was observed among FSWs, with adherence of 48.3% (174/360) and 43.3% (156/360) according to pill count and self-reports, respectively. Participants living with family members had 2.32 higher odds of PrEP adherence (adjusted odds ratio [aOR] = 2.32, 95% confidence interval [CI] = 1.27–42.23, P = .006) versus participants living alone or with friends. Moreover, FSWs who preferred pill packages had 1.41 higher odds of adherence (aOR = 2.43, [95% CI = 1.41–4.19, P = .001]); participants with a good perception of PrEP had 1.71 higher odds (aOR = 1.71, [95% CI = 1.01–2.91, P = .047]) of PrEP adherence. We found that living with family, pill packaging, and PrEP perception played significant roles in PrEP adherence among FSWs. Interventions to improve pill packaging, social support, and the perception of PrEP among FSWs should be intensified to increase adherence in this vulnerable population.
600			_xadherence, female sex workers, human immunodeficiency virus, pre-exposure prophylaxis
700			_qKulemba Khamis
700			_qKapesa Anthony
700			_qKajura Alphaxard
700			_qWilfred Diana
700			_e _qBasinda Namanya
700			_qKaluvya Samwel
700			_qMageda Kihulya Pastory
856			_u http://dx.doi.org/10.1097/MD.0000000000034824 _y http://dx.doi.org/10.1097/MD.0000000000034824
942			_2ddc _cVM _n0
999			_c27944 _d27944