A Review of Pre-Exposure Prophylaxis Adherence among Female Sex Workers

Ghayda, Ramy A. and Hong, Sung Hwi and Yang, Jae Won and Jeong, Gwang Hun and Lee, Keum Hwa and Kronbichler, Andreas and Solmi, Marco and Stubbs, Brendon and Koyanagi, Ai and Jacob, Louis and Oh, Hans and Kim, Jong Yeob and Shin, Jae Il and Smith, Lee (2020) A Review of Pre-Exposure Prophylaxis Adherence among Female Sex Workers. Yonsei Medical Journal, 61 (5). pp. 349-358. ISSN 1976-2437

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Official URL: https://doi.org/10.3349/ymj.2020.61.5.349


Globally and in Africa specifically, female sex workers (FSWs) are at an extraordinarily high risk of contracting HIV. Pre-exposure prophylaxis (PrEP) has emerged as an effective and ethical method with which to prevent HIV infection among FSWs. PrEP efficacy is, however, closely linked to adherence, and adherence to PrEP among FSWs is a complex and interrelated process that has been shown to be of importance to public health policies and HIV control and intervention programs. This comprehensive review categorizes barriers to and facilitators of adherence to human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) for FSWs, and describes five strategies for promoting PrEP adherence among FSWs. These strategies encompass (1) a long-term educational effort to decrease the stigma associated with sex work and PrEP use, (2) education on how PrEP works, (3) lifestyle modification, (4) research on next-generation PrEP products to address the inconvenience of taking daily pills, and (5) integration of PrEP into existing services, such as social services and routine primary care visits, to reduce the economic burden of seeking the medication. Our review is expected to be useful for the design of future PrEP intervention programs. Multidisciplinary intervention should be considered to promote PrEP adherence among FSWs in order to help control the HIV epidemic.

Item Type: Journal Article
Keywords: human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) prevention, pre-exposure prophylaxis (PrEP), drug adherence, female sex workers (FSWs)
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 14 Apr 2020 09:47
Last Modified: 15 Jun 2021 11:25
URI: https://arro.anglia.ac.uk/id/eprint/705406

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