Knowledge and attitudes of HIV pre-exposure prophylaxis among nurses in South Africa.
HIV and/or AIDS
attitudes
knowledge.
nurses
pre-exposure prophylaxis
Journal
African journal of primary health care & family medicine
ISSN: 2071-2936
Titre abrégé: Afr J Prim Health Care Fam Med
Pays: South Africa
ID NLM: 101520860
Informations de publication
Date de publication:
19 Sep 2023
19 Sep 2023
Historique:
received:
15
03
2023
accepted:
26
07
2023
revised:
10
07
2023
medline:
3
11
2023
pubmed:
2
11
2023
entrez:
2
11
2023
Statut:
epublish
Résumé
Human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) has shown efficacy and effectiveness in populations who practise high-risk sexual activity. Nurses' knowledge and positive attitudes enhance PrEP implementation. This study aimed to investigate the knowledge of and attitudes towards PrEP among nurses in primary health care facilities. The study was conducted in 10 health facilities that offer comprehensive services in Tshwane, South Africa. A cross-sectional survey assessed the knowledge of and attitudes towards PrEP among 114 nurses. Univariate, bivariate and logistic regressions were performed to estimate odds ratios and to determine whether age, sex and education had an association with the knowledge and attitudes. Majority of the study sample consisted of female nurses (92.1%), and most respondents (68%) had moderate PrEP knowledge. Logistic regression showed that age and education were not associated with high level of knowledge. Pre-exposure prophylaxis was viewed negatively by 84.5% of the respondents. The odds of positive attitudes towards PrEP were 1.92 times higher among males than females (95% CI 0.54-6.83) and 1.24 times higher among nurses who had bachelor's degree than diploma holders (95% CI 0.51-3.01). This study found that there is a need to strengthen the dissemination of information about PrEP, and nurses in South Africa require training to improve their knowledge of and attitudes towards PrEP.Contribution: The findings of the study add to the current knowledge base regarding PrEP access in the public healthcare system and it highlights gaps in the training of healthcare providers.
Sections du résumé
BACKGROUND
BACKGROUND
Human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) has shown efficacy and effectiveness in populations who practise high-risk sexual activity. Nurses' knowledge and positive attitudes enhance PrEP implementation.
AIM
OBJECTIVE
This study aimed to investigate the knowledge of and attitudes towards PrEP among nurses in primary health care facilities.
SETTING
METHODS
The study was conducted in 10 health facilities that offer comprehensive services in Tshwane, South Africa.
METHODS
METHODS
A cross-sectional survey assessed the knowledge of and attitudes towards PrEP among 114 nurses. Univariate, bivariate and logistic regressions were performed to estimate odds ratios and to determine whether age, sex and education had an association with the knowledge and attitudes.
RESULTS
RESULTS
Majority of the study sample consisted of female nurses (92.1%), and most respondents (68%) had moderate PrEP knowledge. Logistic regression showed that age and education were not associated with high level of knowledge. Pre-exposure prophylaxis was viewed negatively by 84.5% of the respondents. The odds of positive attitudes towards PrEP were 1.92 times higher among males than females (95% CI 0.54-6.83) and 1.24 times higher among nurses who had bachelor's degree than diploma holders (95% CI 0.51-3.01).
CONCLUSION
CONCLUSIONS
This study found that there is a need to strengthen the dissemination of information about PrEP, and nurses in South Africa require training to improve their knowledge of and attitudes towards PrEP.Contribution: The findings of the study add to the current knowledge base regarding PrEP access in the public healthcare system and it highlights gaps in the training of healthcare providers.
Identifiants
pubmed: 37916728
doi: 10.4102/phcfm.v15i1.4086
pmc: PMC10698804
doi:
Substances chimiques
Anti-HIV Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1-e6Références
Curr Opin HIV AIDS. 2016 Jan;11(1):80-6
pubmed: 26575147
J Acquir Immune Defic Syndr. 2015 Dec 15;70(5):520-8
pubmed: 26247895
Medicine (Baltimore). 2016 Aug;95(32):e4511
pubmed: 27512869
Medicine (Baltimore). 2021 Dec 10;100(49):e28120
pubmed: 34889271
AIDS Behav. 2021 Aug;25(8):2517-2532
pubmed: 33763802
AIDS Res Hum Retroviruses. 2014 May;30(5):416-24
pubmed: 24319983
J Clin Epidemiol. 1991;44(4-5):381-90
pubmed: 2010781
PLOS Glob Public Health. 2022 Oct 3;2(10):e0000762
pubmed: 36962565
N Engl J Med. 2012 Aug 2;367(5):399-410
pubmed: 22784037
PLoS One. 2016 Jun 03;11(6):e0156592
pubmed: 27258374
N Engl J Med. 2012 Aug 2;367(5):423-34
pubmed: 22784038
Clin Infect Dis. 2014 Mar;58(5):704-12
pubmed: 24319083
J Am Pharm Assoc (2003). 2016 Sep-Oct;56(5):527-532.e1
pubmed: 27594106
N Engl J Med. 2010 Dec 30;363(27):2587-99
pubmed: 21091279
Curr Pharm Teach Learn. 2019 Apr;11(4):352-360
pubmed: 31040011
BMC Infect Dis. 2013 May 14;13:217
pubmed: 23672424
AIDS Behav. 2014 Sep;18(9):1712-21
pubmed: 24965676
AIDS Patient Care STDS. 2012 Jul;26(7):395-405
pubmed: 22694239
HIV Med. 2016 Feb;17(2):133-42
pubmed: 26172217
Curr Opin HIV AIDS. 2012 Nov;7(6):593-9
pubmed: 23032736
Afr J Reprod Health. 2015 Mar;19(1):54-62
pubmed: 26103695
J Assoc Nurses AIDS Care. 2015 Sep-Oct;26(5):520-5
pubmed: 26096627
PLoS One. 2022 May 12;17(5):e0268407
pubmed: 35551288