Abstract：
BACKGROUND: Adolescents account for 15% of new HIV cases in Kenya. HIV pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) are highly effective prevention tools, but uptake is low among adolescents, particularly in resource-limited settings. We assessed awareness and acceptability of PrEP and PEP among Kenyan adolescents.
METHODS: Focus group discussions were conducted with 120 adolescent boys and girls ages 15 to 19 in Kisumu. Data were analyzed using the Framework Approach.
RESULTS: Adolescent participants often had not heard of or could not differentiate between PrEP and PEP. They also confused these HIV prevention tools with emergency contraceptives. Taking a daily pill to prevent HIV was perceived as analogous to taking a pill to treat HIV. Boys were aware of and willing to consider using PrEP and PEP due to their dislike for using condoms. Adolescents identified insufficient information, cost, and uncomfortableness speaking with healthcare workers about their HIV prevention needs due to sexuality stigma as barriers to using PrEP and PEP.
CONCLUSIONS: Low awareness and poor understanding of PrEP and PEP among adolescents reveal the need for increased education and sensitization about these HIV prevention options. Expanding access to sexual and reproductive health services that are tailored to the needs of adolescents and staffed with non-judgmental providers could help reduce sexuality stigma as a barrier to accessing care. New HIV prevention approaches such as long-acting injectables or implants, on-demand regimens, and multipurpose prevention technologies may encourage increased uptake of PrEP and PEP by adolescents.
METHODS: Focus group discussions were conducted with 120 adolescent boys and girls ages 15 to 19 in Kisumu. Data were analyzed using the Framework Approach.
RESULTS: Adolescent participants often had not heard of or could not differentiate between PrEP and PEP. They also confused these HIV prevention tools with emergency contraceptives. Taking a daily pill to prevent HIV was perceived as analogous to taking a pill to treat HIV. Boys were aware of and willing to consider using PrEP and PEP due to their dislike for using condoms. Adolescents identified insufficient information, cost, and uncomfortableness speaking with healthcare workers about their HIV prevention needs due to sexuality stigma as barriers to using PrEP and PEP.
CONCLUSIONS: Low awareness and poor understanding of PrEP and PEP among adolescents reveal the need for increased education and sensitization about these HIV prevention options. Expanding access to sexual and reproductive health services that are tailored to the needs of adolescents and staffed with non-judgmental providers could help reduce sexuality stigma as a barrier to accessing care. New HIV prevention approaches such as long-acting injectables or implants, on-demand regimens, and multipurpose prevention technologies may encourage increased uptake of PrEP and PEP by adolescents.
摘要：
背景：青少年占肯尼亚新增HIV病例的15%。HIV暴露前预防（PrEP）和暴露后预防（PEP）是非常有效的预防工具。但是青少年的摄入量很低，特别是在资源有限的环境中。我们评估了肯尼亚青少年对PrEP和PEP的认识和可接受性。
方法：在基苏木，对120名15至19岁的青少年男孩和女孩进行了焦点小组讨论。使用框架方法分析数据。
结果：青少年参与者通常没有听说过或无法区分PrEP和PEP。他们还将这些艾滋病毒预防工具与紧急避孕药具混淆。每天服用药丸来预防艾滋病毒被认为类似于服用药丸来治疗艾滋病毒。男孩们知道并愿意考虑使用PrEP和PEP，因为他们不喜欢使用避孕套。青少年发现信息不足，成本,与医护人员谈论他们的艾滋病毒预防需求时感到不舒服，因为性耻辱是使用PrEP和PEP的障碍。
结论：青少年对PrEP和PEP的认识不足和理解不足表明，需要增加对这些HIV预防选择的教育和敏感性。扩大获得适合青少年需求的性健康和生殖健康服务的机会，并配备非判断性提供者，可以帮助减少作为获得护理障碍的性耻辱。新的艾滋病毒预防方法，如长效注射剂或植入物，按需方案，和多用途预防技术可能会鼓励青少年增加PrEP和PEP的摄取。
方法：在基苏木，对120名15至19岁的青少年男孩和女孩进行了焦点小组讨论。使用框架方法分析数据。
结果：青少年参与者通常没有听说过或无法区分PrEP和PEP。他们还将这些艾滋病毒预防工具与紧急避孕药具混淆。每天服用药丸来预防艾滋病毒被认为类似于服用药丸来治疗艾滋病毒。男孩们知道并愿意考虑使用PrEP和PEP，因为他们不喜欢使用避孕套。青少年发现信息不足，成本,与医护人员谈论他们的艾滋病毒预防需求时感到不舒服，因为性耻辱是使用PrEP和PEP的障碍。
结论：青少年对PrEP和PEP的认识不足和理解不足表明，需要增加对这些HIV预防选择的教育和敏感性。扩大获得适合青少年需求的性健康和生殖健康服务的机会，并配备非判断性提供者，可以帮助减少作为获得护理障碍的性耻辱。新的艾滋病毒预防方法，如长效注射剂或植入物，按需方案，和多用途预防技术可能会鼓励青少年增加PrEP和PEP的摄取。
