Abstract：
Pre-exposure prophylaxis, or PrEP, is a pill that has been hailed as a \'game changer\' for HIV prevention, based on the belief it provides adolescent girls and young women (AGYW) with a level of user-control. However, engagement with PrEP is often dependent on societal factors, such as social attitudes towards gender, sexuality, and PrEP. As parents\' communication on sexual and reproductive health issues with AGYW are central to HIV prevention, it is critical to explore how parents talk and think about PrEP.
To examine parental attitudes towards PrEP for HIV prevention amongst adolescent girls and young women in eastern Zimbabwe.
A qualitative interview study with 14 parents from two districts in Manicaland, eastern Zimbabwe. Interviews were transcribed, translated, and subjected to thematic network analysis. The concept of \'attitudes\' steered the analytical work.
Parents\' attitudes towards PrEP are conflictual, multi-layered, and contingent on the context in which they reflect and talk about PrEP. While parents aspired to be supportive of innovative HIV prevention methods and wanted to see girl-children protected from HIV, they struggled to reconcile this positive and accepting attitude towards PrEP with traditional \'good girl\' notions, which stigmatize pre-marital sex. Although a few parents articulated an acceptance of PrEP use amongst their daughters, for many this was simply not possible. Many parents thus co-produce public gender orders that prevent adolescent girls and young women from engaging with PrEP.
While parents\' conflicting attitudes towards PrEP may provide spaces and opportunities for change, harmful gender norms and negative attitudes towards PrEP must be addressed at a community and cultural level. Only then can parents and their children have productive conversations about sexual health.
To examine parental attitudes towards PrEP for HIV prevention amongst adolescent girls and young women in eastern Zimbabwe.
A qualitative interview study with 14 parents from two districts in Manicaland, eastern Zimbabwe. Interviews were transcribed, translated, and subjected to thematic network analysis. The concept of \'attitudes\' steered the analytical work.
Parents\' attitudes towards PrEP are conflictual, multi-layered, and contingent on the context in which they reflect and talk about PrEP. While parents aspired to be supportive of innovative HIV prevention methods and wanted to see girl-children protected from HIV, they struggled to reconcile this positive and accepting attitude towards PrEP with traditional \'good girl\' notions, which stigmatize pre-marital sex. Although a few parents articulated an acceptance of PrEP use amongst their daughters, for many this was simply not possible. Many parents thus co-produce public gender orders that prevent adolescent girls and young women from engaging with PrEP.
While parents\' conflicting attitudes towards PrEP may provide spaces and opportunities for change, harmful gender norms and negative attitudes towards PrEP must be addressed at a community and cultural level. Only then can parents and their children have productive conversations about sexual health.
摘要：
背景：暴露前预防，或PrEP，是一种被誉为预防艾滋病毒的“游戏规则改变者”的药丸，基于这种信念，它为青春期女孩和年轻女性（AGYW）提供了一定程度的用户控制。然而,参与PrEP通常取决于社会因素，比如社会对性别的态度，性,和PrEP。由于父母与AGYW就性健康和生殖健康问题进行沟通是预防艾滋病毒的核心，探索父母如何谈论和思考PrEP是至关重要的。
目的：在津巴布韦东部的青春期女孩和年轻妇女中，检查父母对PrEP预防艾滋病毒的态度。
方法：对来自Manicaland两个地区的14位父母进行了定性访谈研究，津巴布韦东部。采访被转录，翻译,并进行专题网络分析。“态度”的概念指导了分析工作。
结果：父母对PrEP的态度是冲突的，多层,并取决于他们反映和谈论PrEP的背景。虽然父母渴望支持创新的艾滋病毒预防方法，并希望看到女童免受艾滋病毒感染，他们努力将这种积极和接受的态度与传统的“好女孩”观念相协调，污名化婚前性行为。尽管一些父母表达了对女儿使用PrEP的接受，对许多人来说，这根本是不可能的。因此，许多父母共同制定了公共性别命令，以防止青春期女孩和年轻妇女参与PrEP。
结论：虽然父母对PrEP的矛盾态度可能为改变提供空间和机会，必须在社区和文化层面解决有害的性别规范和对PrEP的消极态度。只有这样，父母和他们的孩子才能就性健康进行富有成效的对话。
目的：在津巴布韦东部的青春期女孩和年轻妇女中，检查父母对PrEP预防艾滋病毒的态度。
方法：对来自Manicaland两个地区的14位父母进行了定性访谈研究，津巴布韦东部。采访被转录，翻译,并进行专题网络分析。“态度”的概念指导了分析工作。
结果：父母对PrEP的态度是冲突的，多层,并取决于他们反映和谈论PrEP的背景。虽然父母渴望支持创新的艾滋病毒预防方法，并希望看到女童免受艾滋病毒感染，他们努力将这种积极和接受的态度与传统的“好女孩”观念相协调，污名化婚前性行为。尽管一些父母表达了对女儿使用PrEP的接受，对许多人来说，这根本是不可能的。因此，许多父母共同制定了公共性别命令，以防止青春期女孩和年轻妇女参与PrEP。
结论：虽然父母对PrEP的矛盾态度可能为改变提供空间和机会，必须在社区和文化层面解决有害的性别规范和对PrEP的消极态度。只有这样，父母和他们的孩子才能就性健康进行富有成效的对话。
