A decade of PrEP

The evolution of HIV pre-exposure prophylaxis content and sentiments in South African print news media, 2012–2021

Dados Bibliográficos

ID15099666
AutoresSimmona M Coelho (Johns Hopkins University), Joseph G Rosen (0000-0003-4991-4033, Johns Hopkins University, autor correspondente), Gretchen Schulz (Johns Hopkins University), Kristin Meek (Johns Hopkins University), Lillian Shipp (0000-0001-9332-6488, Johns Hopkins University), Chitra Singh (0000-0003-3278-7234, TB HIV Care, Pietermaritzburg, South Africa), Kalai Willis (0000-0003-0157-0593, Johns Hopkins University), Alison Best (TB HIV Care, Cape Town, South Africa), Mfezi Mcingana (TB HIV Care, Cape Town, South Africa), Jenny Mcloughlin (TB HIV Care, Cape Town, South Africa), Harry Hausler (0000-0001-5896-4089, TB HIV Care, Cape Town, South Africa), Chris Beyrer (0000-0003-0665-9124, Global Health Institute, Duke University, Durham, NC, USA), Stefan D Baral (0000-0002-5482-2419, Johns Hopkins University), Sheree R Schwartz, Sheree Schwartz (0000-0001-6090-2880, Johns Hopkins University)
Ano2024
Volume26
Fascículo12
Páginas1618-1634
Data de publicação2024-12-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoCulture Health & Sexuality (JOURNAL)
Identificadores do periódicoISSN: 1369-1058 • E-ISSN: 1464-5351
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2024.2344111
PMID38656915
OpenAlexW4395114812
IdiomaEN
Citações recebidas2
Referências citadas69

After nearly a decade of HIV pre-exposure prophylaxis (PrEP) rollout in sub-Saharan Africa, there has been limited study of PrEP messaging in news media. We selected twenty South African newspapers with the highest circulation volumes to retrieve articles published in 2012–2021 mentioning PrEP (N = 249). Using inductive content analysis, we developed a structured codebook to characterise PrEP-related content and sentiments, as well as their evolution over time, in the South African press. Many articles espoused favourable attitudes towards PrEP (52%), but a sizeable fraction espoused unfavourable attitudes (11%). Relative to PrEP-favourable articles, PrEP-unfavourable articles were significantly more likely to emphasise the drawbacks/consequences of PrEP use, including adherence/persistence requirements (52% vs. 24%, p = .007), cost (48% vs. 11%, p < .001), and risk compensation (52% vs. 5%, p < .001). Nevertheless, the presence of these drawbacks/consequences in print media largely declined over time. Key populations (e.g. adolescents, female sex workers) were frequently mentioned potential PrEP candidates. Despite message variations over time, prevention effectiveness and adherence/persistence requirements were the most widely cited PrEP benefits and drawbacks, respectively. Study findings demonstrate the dynamic nature of PrEP coverage in the South African press, likely in response to PrEP scale-up and real-world PrEP implementation during the study period

Advertising · Business · Family medicine · Media content · Men who have sex with men · Multimedia · Newspaper · Pre-exposure prophylaxis · Print media · Adolescent Sexual and Reproductive Health · Computer Science · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues