HIV risk perception, trust and PrEP adherence among participants in an HIV prevention trial: a qualitative longitudinal study, South Africa
Introduction Ensuring the effectiveness of HIV prevention and treatment methods requires high levels of adherence. Studies have recognised the significance of trust in shaping HIV risk perception.Aim In this qualitative analysis, our aim was to explore risk perceptions and understand how individuals...
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2025-04-01
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| author | Giuseppe Pantaleo Glenda Gray Pontiano Kaleebu Said Aboud David Dunn Merlin Robb Janet Seeley Sheena McCormack Julie Fox Jim Rooney Tom Miller Agricola Joachim Ilesh Jani Mary Amondi Peter Hughes Sarah Joseph Eugene Ruzagira Vincent Basajja Jonathan Weber Cherry Kingsley Eligius Lyamuya Lucas Maganga Doreen Pamba Edna Viegas Charlotta Nilsson Arne Kroidl Angela Crook Anne Gumbe Phindile Khanyile Jennifer Serwanga Carter Lee Kundai Chinyenze Song Ding Muhammad Bakari Neetha Morar Ayoub Kakande Tumaini Nagu Henry Bern Sylvia Kusemererwa Patricia Munseri Lwitiho Sudi Jorge Ribeiro Igor Capitine Diana Faini Edna Nhacule Kubashni Woeber Yolanda Manganhe Abisai Kisinda Wiston William Rujeko Samanthia Chimukuche Londiwe Shandu Silindile Zulu Nishanta Singh Zakir Gaffoor Rachel Kawuma Thandiwe Sithole Samantha Siva Eldinah Hwengwere Rujeko Samanthia Chidawanyika Nteboheleng Mahapa Isabel Remane Odete Bule Patricia Ramgi Raquel Chissumba Eduardo Namalango Carmelia Massingue Emmanuel Kapesa Elizabeth Danstan Marco Missanga Amani Kway Lilian Njovu Revocatus Kunambi Frank Msafiri Edith Tarimo Deus Buma Freddie Mukasa Kibengo Christian Hansen Holmes Sheila Kansiime Sylvia Masawi Tobias Vudriko Shamim Nabukenya Gertrude Mutonyi Rita Nakiboneka Susan Mugaba Aminata Sy Liz Brodnicki Claire Wenden Jacqueline Musau Mabela Matsoso Paramesh Chetty Gustavo Doncel Allison Matthews |
| author_facet | Giuseppe Pantaleo Glenda Gray Pontiano Kaleebu Said Aboud David Dunn Merlin Robb Janet Seeley Sheena McCormack Julie Fox Jim Rooney Tom Miller Agricola Joachim Ilesh Jani Mary Amondi Peter Hughes Sarah Joseph Eugene Ruzagira Vincent Basajja Jonathan Weber Cherry Kingsley Eligius Lyamuya Lucas Maganga Doreen Pamba Edna Viegas Charlotta Nilsson Arne Kroidl Angela Crook Anne Gumbe Phindile Khanyile Jennifer Serwanga Carter Lee Kundai Chinyenze Song Ding Muhammad Bakari Neetha Morar Ayoub Kakande Tumaini Nagu Henry Bern Sylvia Kusemererwa Patricia Munseri Lwitiho Sudi Jorge Ribeiro Igor Capitine Diana Faini Edna Nhacule Kubashni Woeber Yolanda Manganhe Abisai Kisinda Wiston William Rujeko Samanthia Chimukuche Londiwe Shandu Silindile Zulu Nishanta Singh Zakir Gaffoor Rachel Kawuma Thandiwe Sithole Samantha Siva Eldinah Hwengwere Rujeko Samanthia Chidawanyika Nteboheleng Mahapa Isabel Remane Odete Bule Patricia Ramgi Raquel Chissumba Eduardo Namalango Carmelia Massingue Emmanuel Kapesa Elizabeth Danstan Marco Missanga Amani Kway Lilian Njovu Revocatus Kunambi Frank Msafiri Edith Tarimo Deus Buma Freddie Mukasa Kibengo Christian Hansen Holmes Sheila Kansiime Sylvia Masawi Tobias Vudriko Shamim Nabukenya Gertrude Mutonyi Rita Nakiboneka Susan Mugaba Aminata Sy Liz Brodnicki Claire Wenden Jacqueline Musau Mabela Matsoso Paramesh Chetty Gustavo Doncel Allison Matthews |
| collection | DOAJ |
| description | Introduction Ensuring the effectiveness of HIV prevention and treatment methods requires high levels of adherence. Studies have recognised the significance of trust in shaping HIV risk perception.Aim In this qualitative analysis, our aim was to explore risk perceptions and understand how individuals assess and respond to HIV risks, as well as their uptake and adherence to oral pre-exposure prophylaxis (PrEP).Setting The study was based on the setting of an HIV prevention trial conducted in South Africa.Methods Thirty individuals, 9% of the total clinical trial participants, enrolled in the clinical trial were purposively selected and interviewed at three time points within the trial during the follow-up phase. Data analysis was conducted using the Trust, Confidence and Cooperation framework that included constructs of trust, confidence and cooperation.Results The findings show that the ongoing participation in the clinical trial played a significant role in influencing participants’ decision to continue PrEP as HIV prevention. This decision was grounded in their trust that PrEP would effectively reduce their vulnerability to HIV and infection.Conclusion Clear and consistent health-promoting initiatives enhance participants’ self-awareness of HIV risks and promote understanding (uptake) and effectiveness of HIV prevention methods.Trial registration number NCT04066881. |
| format | Article |
| id | doaj-art-1f0922a5769d4f6782f0870ae4b5a6df |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-1f0922a5769d4f6782f0870ae4b5a6df2025-08-20T02:55:28ZengBMJ Publishing GroupBMJ Open2044-60552025-04-0115410.1136/bmjopen-2024-086742HIV risk perception, trust and PrEP adherence among participants in an HIV prevention trial: a qualitative longitudinal study, South Africa 0Giuseppe Pantaleo1Glenda Gray2Pontiano Kaleebu3Said Aboud4David Dunn5Merlin RobbJanet Seeley6Sheena McCormack7Julie Fox8Jim RooneyTom Miller9Agricola Joachim10Ilesh Jani11Mary AmondiPeter Hughes12Sarah Joseph13Eugene Ruzagira14Vincent Basajja15Jonathan Weber16Cherry Kingsley17Eligius Lyamuya18Lucas Maganga19Doreen Pamba20Edna Viegas21Charlotta Nilsson22Arne Kroidl23Angela Crook24Anne Gumbe25Phindile Khanyile26Jennifer Serwanga27Carter Lee28Kundai Chinyenze29Song Ding30Muhammad Bakari31Neetha Morar32Ayoub Kakande33Tumaini Nagu34Henry Bern35Sylvia Kusemererwa36Patricia Munseri37Lwitiho SudiJorge Ribeiro38Igor Capitine39Diana Faini40Edna Nhacule41Kubashni Woeber42Yolanda Manganhe43Abisai Kisinda44Wiston William45Rujeko Samanthia Chimukuche46Londiwe Shandu47Silindile Zulu48Nishanta Singh49Zakir Gaffoor50Rachel Kawuma51Thandiwe SitholeSamantha SivaEldinah HwengwereRujeko Samanthia ChidawanyikaNteboheleng MahapaIsabel RemaneOdete BulePatricia RamgiRaquel ChissumbaEduardo NamalangoCarmelia MassingueEmmanuel KapesaElizabeth DanstanMarco MissangaAmani KwayLilian NjovuRevocatus KunambiFrank MsafiriEdith TarimoDeus BumaFreddie Mukasa KibengoChristian Hansen HolmesSheila KansiimeSylvia MasawiTobias VudrikoShamim NabukenyaGertrude MutonyiRita NakibonekaSusan MugabaAminata SyLiz BrodnickiClaire WendenJacqueline MusauMabela MatsosoParamesh ChettyGustavo DoncelAllison MatthewsSPRinG Network, Severn and Peninsula Deaneries, UKCentre Hospitalier Universitaire Vaudois (CHUV), Division of Immunology and Allergology, Lausanne, SwitzerlandHIV and Other Infectious Diseases Research Unit, South African Medical Research Council, Cape Town, South Africa1 MRC/UVRI and LSHTM Uganda Research Unit, Kampala, UgandaMicrobiology and Immunology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania2 MRC CTU, University College London, London, UKDepartment of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK4 MRC CTU, University College London, London, UKAnnexe Communities Glasgow, Glasgow, UK1Hull Institute of Learning and Simulation, Hull, UKDepartment of Microbiology and Immunology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of TanzaniaInstituto Nacional de Saúde, Maputo, MozambiqueConsultant Psychiatrist1Imperial College London, UK1 Viral Pathogens Epidemiology and Interventions, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda2MRC/UVRI and LSHTM Uganda Research Unit1Imperial College London, UK1Imperial College London, UKDepartment of Microbiology and Immunology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, United Republic of5NIMR-Mbeya Medical Research Center3 National Institute for Medical Research, Mbeya Medical Research Center, Mbeya, Tanzania, United Republic ofCentro de Investigação e Treino em Saúde da Polana Caniço, Instituto Nacional de Saúde, Maputo, Mozambique9Public Health Agency of Sweden; Stockholm, Sweden4Division of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, GermanyMRC Clinical Trials Unit at UCL, London, UK3International AIDS Vaccine Inititative, New York, USAAfrica Health Research Institute, Somkhele, South Africa1MRC-UVRI AIDS, Uganda9GSID, United States of America6IAVI, United States14EuroVacc Foundation, SwitzerlandMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, United Republic ofHIV Prevention Research Unit, South African Medical Research Council, Durban, South AfricaMRC/UVRI and LSHTM Uganda Research Unit, Entebbe, UgandaInternal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, TanzaniaMRC Clinical Trials Unit at UCL, Institute of Clinical Trials and Methodology, London, UK1 Viral Pathogens Epidemiology and Interventions, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, UgandaInternal Medicine, Muhimbili University of Health and Allied Sciences School of Medicine, Dar es Salaam, TanzaniaCentro de Investigação e Treino em Saúde da Polana Caniço, Instituto Nacional de Saúde, Maputo, MozambiqueNational Department for Surveillance and Surveys in Health, National Institute of Health, Maputo, MozambiqueMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, United Republic ofDelegation Maputo City, Instituto Nacional de Saúde, Maputo, Mozambique1South African Medical Research Council (SAMRC), South Africa5Ifakara Health Institute, Tanzania4Mbeya Medical Research Centre-National Institute for Medical Research, TanzaniaNational Institute for Medical Research-Mbeya Medical Research Center, Mbeya, TanzaniaAfrica Health Research Institute, Durban, KwaZulu-Natal, South AfricaAfrica Health Research Institute, Durban, KwaZulu-Natal, South AfricaAfrica Health Research Institute, Durban, KwaZulu-Natal, South AfricaHIV and Other Infectious Diseases Research Unit, South African Medical Research Council, Cape Town, South AfricaHIV and Other Infectious Diseases Research Unit, South African Medical Research Council, Cape Town, South AfricaSocial Science, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, UgandaIntroduction Ensuring the effectiveness of HIV prevention and treatment methods requires high levels of adherence. Studies have recognised the significance of trust in shaping HIV risk perception.Aim In this qualitative analysis, our aim was to explore risk perceptions and understand how individuals assess and respond to HIV risks, as well as their uptake and adherence to oral pre-exposure prophylaxis (PrEP).Setting The study was based on the setting of an HIV prevention trial conducted in South Africa.Methods Thirty individuals, 9% of the total clinical trial participants, enrolled in the clinical trial were purposively selected and interviewed at three time points within the trial during the follow-up phase. Data analysis was conducted using the Trust, Confidence and Cooperation framework that included constructs of trust, confidence and cooperation.Results The findings show that the ongoing participation in the clinical trial played a significant role in influencing participants’ decision to continue PrEP as HIV prevention. This decision was grounded in their trust that PrEP would effectively reduce their vulnerability to HIV and infection.Conclusion Clear and consistent health-promoting initiatives enhance participants’ self-awareness of HIV risks and promote understanding (uptake) and effectiveness of HIV prevention methods.Trial registration number NCT04066881.https://bmjopen.bmj.com/content/15/4/e086742.full |
| spellingShingle | Giuseppe Pantaleo Glenda Gray Pontiano Kaleebu Said Aboud David Dunn Merlin Robb Janet Seeley Sheena McCormack Julie Fox Jim Rooney Tom Miller Agricola Joachim Ilesh Jani Mary Amondi Peter Hughes Sarah Joseph Eugene Ruzagira Vincent Basajja Jonathan Weber Cherry Kingsley Eligius Lyamuya Lucas Maganga Doreen Pamba Edna Viegas Charlotta Nilsson Arne Kroidl Angela Crook Anne Gumbe Phindile Khanyile Jennifer Serwanga Carter Lee Kundai Chinyenze Song Ding Muhammad Bakari Neetha Morar Ayoub Kakande Tumaini Nagu Henry Bern Sylvia Kusemererwa Patricia Munseri Lwitiho Sudi Jorge Ribeiro Igor Capitine Diana Faini Edna Nhacule Kubashni Woeber Yolanda Manganhe Abisai Kisinda Wiston William Rujeko Samanthia Chimukuche Londiwe Shandu Silindile Zulu Nishanta Singh Zakir Gaffoor Rachel Kawuma Thandiwe Sithole Samantha Siva Eldinah Hwengwere Rujeko Samanthia Chidawanyika Nteboheleng Mahapa Isabel Remane Odete Bule Patricia Ramgi Raquel Chissumba Eduardo Namalango Carmelia Massingue Emmanuel Kapesa Elizabeth Danstan Marco Missanga Amani Kway Lilian Njovu Revocatus Kunambi Frank Msafiri Edith Tarimo Deus Buma Freddie Mukasa Kibengo Christian Hansen Holmes Sheila Kansiime Sylvia Masawi Tobias Vudriko Shamim Nabukenya Gertrude Mutonyi Rita Nakiboneka Susan Mugaba Aminata Sy Liz Brodnicki Claire Wenden Jacqueline Musau Mabela Matsoso Paramesh Chetty Gustavo Doncel Allison Matthews HIV risk perception, trust and PrEP adherence among participants in an HIV prevention trial: a qualitative longitudinal study, South Africa BMJ Open |
| title | HIV risk perception, trust and PrEP adherence among participants in an HIV prevention trial: a qualitative longitudinal study, South Africa |
| title_full | HIV risk perception, trust and PrEP adherence among participants in an HIV prevention trial: a qualitative longitudinal study, South Africa |
| title_fullStr | HIV risk perception, trust and PrEP adherence among participants in an HIV prevention trial: a qualitative longitudinal study, South Africa |
| title_full_unstemmed | HIV risk perception, trust and PrEP adherence among participants in an HIV prevention trial: a qualitative longitudinal study, South Africa |
| title_short | HIV risk perception, trust and PrEP adherence among participants in an HIV prevention trial: a qualitative longitudinal study, South Africa |
| title_sort | hiv risk perception trust and prep adherence among participants in an hiv prevention trial a qualitative longitudinal study south africa |
| url | https://bmjopen.bmj.com/content/15/4/e086742.full |
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