Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

“Now that PrEP is reducing the risk of transmission of HIV, why then do you still insist that we use condoms?” the condom quandary among PrEP users and health care providers in Kenya

Bibliographic Data

ID19440639
AuthorsElizabeth Irungu (0000-0002-7401-3758, University of Washington, corresponding author), Kenneth Ngure (0000-0002-8062-0933, University of Washington), Kenneth K Mugwanya (0000-0001-5208-7468, University of Washington), Merceline Awuor (Kenya Medical Research Institute), Annabelle Dollah (Kenya Medical Research Institute), Fernandos Ongolly (Kenya Medical Research Institute), Nelly Mugo (0000-0002-2347-006X, University of Washington), Elizabeth A Bukusi (0000-0002-2031-2808, University of Washington), Elizabeth Bukusi, Elizabeth Wamoni (Kenya Medical Research Institute), Josephine Odoyo (0000-0003-1749-8645, Kenya Medical Research Institute), Jennifer F Morton (0000-0002-3080-6254, University of Washington), Gena Barnabee (0000-0001-9703-0975, University of Washington), Irene Mukui (0000-0002-3699-1841), Jared M Baeten (0000-0001-8242-8438, University of Washington), Gabrielle O’Malley (0000-0002-7514-8240, University of Washington), for the Partners Scale-Up Project Team
Year2021
Volume33
Issue1
Pages92-100
Publication date2021-01-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2020.1744507
PMID32207327
OpenAlexW3012774271
LanguageEN
Citations received8
References cited55

Communication around condom use in the context of PrEP services presents a potential conundrum for patients and providers. Within the Partners Scale-Up Project, which supports integration of PrEP delivery in HIV care clinics, we interviewed 41 providers and 61 PrEP users and identified themes relating to condom messaging and use. Most providers counselled PrEP initiators to always use both PrEP and condoms, except when trying to conceive. However, others reported contexts and rationales for not emphasizing condom use. Providers reported that PrEP users were sometimes confused, even frustrated, with their insistence on using condoms in addition to PrEP. PrEP users generally regarded PrEP as a more feasible and desirable HIV prevention method than condoms, enabling increased sexual pleasure and conception, and reducing the conflict and stigma associated with condom use. Innovative approaches to condom counselling in PrEP programs are needed

Condom · Family medicine · Men who have sex with men · Pre-exposure prophylaxis · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues

  • Knowledge and attitudes about HIV pre-exposure prophylaxis

    Open Access•Pascal Geldsetzer, Joy J Chebet et al.•PLOS Global Public Health•2022

  • Serodiscordance predictors among couples in the HIV context

    Open Access•Marcela Antonini, Priscila Silva Pontes et al.•BMC Public Health•2021

  • “At the end of the day I’d still have to use a condom!”

    Open Access•Carlos Cheruiyot, Peter Mwenda Kaberia et al.•PLOS Global Public Health•2026

  • Assessment of awareness and willingness to use pre-exposure prophylaxis for HIV prevention among female sex workers in Rwanda

    Open Access•Albert Nzungize, Athanase Munyaneza•Frontiers in Public Health•2025

  • HIV pre-exposure prophylaxis use during periods of unprotected sex among female sex workers in Tanga city, Tanzania

    Open Access•Wigilya P Mikomangwa, Kåre Moen et al.•Frontiers in Public Health•2024

  • “I will take PrEP because that’s what will help me not to get infected with HIV”

    Open Access•Kate Bergh, Kim Jonas et al.•Frontiers in Public Health•2025

  • ‘Why are PrEP gays always like this … ’

    Open Access•Anthony J Gifford, R Jaspal et al.•Psychology and Sexuality•2025

  • “Condoms Are Boring”

    Open Access•Zoe Duby, Kim Jonas et al.•International Journal of Sexual…•2021

  • What's Love Got to Do With It? Explaining Adherence to Oral Antiretroviral Pre-Exposure Prophylaxis for HIV-Serodiscordant Couples

    N C Ware, Monique A Wyatt et al.•JAIDS Journal of Acquired Immune…•2012

  • Antiretroviral Prophylaxis for HIV Prevention in Heterosexual Men and Women

    Jared M Baeten, Deborah Donnell et al.•New England Journal of Medicine•2012

  • Effectiveness and safety of oral HIV preexposure prophylaxis for all populations

    Open Access•Virginia A Fonner, Sarah L Dalglish et al.•AIDS•2016

  • Intimacy Motivations and Pre-exposure Prophylaxis (PrEP) Adoption Intentions Among HIV-Negative Men Who Have Sex with Men (MSM) in Romantic Relationships

    Kristi E Gamarel, Sarit A Golub•Annals of Behavioral Medicine•2015

  • Antiretroviral Preexposure Prophylaxis for Heterosexual HIV Transmission in Botswana

    Michael C Thigpen, Poloko Kebaabetswe et al.•New England Journal of Medicine•2012

  • Antiretroviral prophylaxis for HIV infection in injecting drug users in Bangkok, Thailand (the Bangkok Tenofovir Study)

    Kachit Choopanya, Michael E Martins et al.•The Lancet•2013

  • Self-Determination Theory Applied to Health Contexts

    Open Access•Johan Y Y Ng, Nikos Ntoumanis et al.•Perspectives on Psychological…•2012

  • Effects of Pre-exposure Prophylaxis for the Prevention of Human Immunodeficiency Virus Infection on Sexual Risk Behavior in Men Who Have Sex With Men

    Open Access•Michael W Traeger, Sophia E Schroeder et al.•Clinical Infectious Diseases•2018

  • HIV Voluntary Counseling and Testing and Behavioral Risk Reduction in Developing Countries

    Open Access•Julie A Denison, Kevin R O’Reilly et al.•AIDS and Behavior•2008

  • Pre-exposure prophylaxis to prevent the acquisition of HIV-1 infection (PROUD)

    Open Access•Sheena McCormack, D Dunn et al.•The Lancet•2016

  • Supporting Patient Autonomy

    Open Access•Vikki Entwistle, Vikki A Entwistle et al.•Journal of General Internal…•2010

  • The Values and Value of Patient-Centered Care

    Open Access•Ronald M Epstein, Richard L Street•The Annals of Family Medicine•2011

  • Preexposure Chemoprophylaxis for HIV Prevention in Men Who Have Sex with Men

    Robert M Grant, Javier R Lama et al.•New England Journal of Medicine•2010

  • Fostering implementation of health services research findings into practice

    Open Access•Laura J Damschroder, David C Aron et al.•Implementation Science•2009

  • “I never thought that it would happen … ” Experiences of HIV seroconverters among HIV-discordant partnerships in a prospective HIV prevention study in Kenya

    Kenneth Ngure, Sophie Vusha et al.•AIDS Care•2016

  • A qualitative study of barriers to consistent condom use among HIV-1 serodiscordant couples in Kenya

    Kenneth Ngure, Nelly Mugo et al.•AIDS Care•2012

  • Training health care providers to provide PrEP for HIV serodiscordant couples attending public health facilities in Kenya

    Open Access•Elizabeth Irungu, Kenneth Ngure et al.•Global Public Health•2019

  • Individual and Interpersonal Characteristics that Influence Male-Dominated Sexual Decision-Making and Inconsistent Condom Use Among Married HIV Serodiscordant Couples in Gujarat, India

    Open Access•Shilpa N Patel, Gina M Wingood et al.•AIDS and Behavior•2014

  • What motivates serodiscordant couples to prevent HIV transmission within their relationships

    Rena C Patel, Anna M Leddy et al.•Culture Health & Sexuality•2018

  • Blockage and flow

    Jonathan Stadler, Eirik Saethre•Culture Health & Sexuality•2011

  • A Little Thing Called Love

    Open Access•Alicia Corbett, Julia Dickson‐gómez et al.•Perspectives on Sexual and…•2009

  • Correlations of HIV Preexposure Prophylaxis Indications and Uptake, Chicago, Illinois, 2015–2018

    Maria Pyra, Laura Rusie et al.•American Journal of Public Health•2020

Unique citing works8
Citations per year1.6
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 7

Tools

Open DOISci-HubOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae