Who falls between the cracks? Identifying eligible PrEP users among people with Sub-Saharan African migration background living in Antwerp, Belgium.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2021
Historique:
received: 05 01 2021
accepted: 03 08 2021
entrez: 18 8 2021
pubmed: 19 8 2021
medline: 15 12 2021
Statut: epublish

Résumé

This study produces an estimate of the proportion of eligible PrEP users among people of Sub-Saharan African background based on the Belgian PrEP eligibility criteria and examines associations with socio-economic and demographic characteristics. We performed logistic regression analysis on data of a representative community-based survey conducted among Sub-Saharan African communities (n = 685) living in Antwerp. Almost a third (30.3%) of the respondents were eligible to use PrEP. Those who were male, single, lower educated, undocumented, and had experienced forced sex were more likely to be eligible for PrEP use. The findings highlight the importance of taking intra-, interpersonal and structural HIV risk factors into account. The study shows high unmet PrEP needs in this population, especially among those with high vulnerability for HIV acquisition. A better understanding of barriers to PrEP use in this population group is needed to allow for equitable access.

Identifiants

pubmed: 34407146
doi: 10.1371/journal.pone.0256269
pii: PONE-D-21-00363
pmc: PMC8372948
doi:

Substances chimiques

Anti-HIV Agents 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0256269

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Veerle Buffel (V)

Department of Sociology, University of Antwerp, Antwerp, Belgium.

Caroline Masquillier (C)

Department of Sociology, University of Antwerp, Antwerp, Belgium.

Thijs Reyniers (T)

Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.

Ella Van Landeghem (E)

Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.

Edwin Wouters (E)

Department of Sociology, University of Antwerp, Antwerp, Belgium.

Bea Vuylsteke (B)

Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.

Christiana Nöstlinger (C)

Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.

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Classifications MeSH