Daily short message service surveys to measure sexual behavior and pre-exposure prophylaxis use among kenyan men and women

Kathryn Curran, Nelly R. Mugo, Ann Kurth, Kenneth Ngure, Renee Heffron, Deborah Donnell, Connie Celum, Jared M. Baeten

Research output: Contribution to journalArticle

Abstract

Pre-exposure prophylaxis (PrEP) is a novel HIV prevention strategy which requires high adherence. We tested the use of daily short message service (i.e., SMS/text message) surveys to measure sexual behavior and PrEP adherence in Kenya. Ninety-six HIV-uninfected adult individuals, taking daily oral PrEP in a clinical trial, received daily SMS surveys for 60 days. Most participants (96.9 %) reported taking PrEP on ≥80 % days, but 69.8 % missed at least one dose. Unprotected sex was reported on 4.9 % of days; however, 47.9 % of participants reported unprotected sex at least once. Unprotected sex was not correlated with PrEP use (OR = 0.95). Participants reporting more sex were less likely to report PrEP non-adherence and those reporting no sex were most likely to report missing a PrEP dose (adjusted OR = 1.87). PrEP adherence was high, missed doses were correlated with sexual abstinence, and unprotected sex was not associated with decreased PrEP adherence.

Original languageEnglish (US)
Pages (from-to)2977-2985
Number of pages9
JournalAIDS and Behavior
Volume17
Issue number9
DOIs
StatePublished - Nov 2013

Fingerprint

Text Messaging
Sexual Behavior
Unsafe Sex
Sexual Abstinence
HIV
Pre-Exposure Prophylaxis
Surveys and Questionnaires
Kenya
Clinical Trials

Keywords

  • Adherence
  • HIV prevention
  • HIV serodiscordant couples
  • Pre-exposure prophylaxis
  • Sexual behavior

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

Cite this

Curran, K., Mugo, N. R., Kurth, A., Ngure, K., Heffron, R., Donnell, D., ... Baeten, J. M. (2013). Daily short message service surveys to measure sexual behavior and pre-exposure prophylaxis use among kenyan men and women. AIDS and Behavior, 17(9), 2977-2985. https://doi.org/10.1007/s10461-013-0510-4

Daily short message service surveys to measure sexual behavior and pre-exposure prophylaxis use among kenyan men and women. / Curran, Kathryn; Mugo, Nelly R.; Kurth, Ann; Ngure, Kenneth; Heffron, Renee; Donnell, Deborah; Celum, Connie; Baeten, Jared M.

In: AIDS and Behavior, Vol. 17, No. 9, 11.2013, p. 2977-2985.

Research output: Contribution to journalArticle

Curran, K, Mugo, NR, Kurth, A, Ngure, K, Heffron, R, Donnell, D, Celum, C & Baeten, JM 2013, 'Daily short message service surveys to measure sexual behavior and pre-exposure prophylaxis use among kenyan men and women', AIDS and Behavior, vol. 17, no. 9, pp. 2977-2985. https://doi.org/10.1007/s10461-013-0510-4
Curran, Kathryn ; Mugo, Nelly R. ; Kurth, Ann ; Ngure, Kenneth ; Heffron, Renee ; Donnell, Deborah ; Celum, Connie ; Baeten, Jared M. / Daily short message service surveys to measure sexual behavior and pre-exposure prophylaxis use among kenyan men and women. In: AIDS and Behavior. 2013 ; Vol. 17, No. 9. pp. 2977-2985.
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