학술논문
Salient beliefs and intention to use pre-exposure prophylaxis among pregnant and breastfeeding women in Zambia: Application of the Theory of Planned Behaviour.
Document Type
Article
Source
Subject
*HIV prevention
*PLANNED behavior theory
*BREASTFEEDING techniques
*CROSS-sectional method
*MULTIPLE regression analysis
*MULTIVARIATE analysis
*PREGNANT women
*PRE-exposure prophylaxis
*QUALITATIVE research
*PSYCHOLOGY of women
*HEALTH attitudes
*DESCRIPTIVE statistics
*RESEARCH funding
*INTENTION
*STATISTICAL sampling
*JUDGMENT sampling
*PREGNANCY
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Language
ISSN
1744-1692
Abstract
Primary HIV prevention is a priority for pregnant and breastfeeding women in sub-Saharan Africa; however, such services should be designed to optimise uptake and continuation. Between September and December 2021, we enrolled 389 women who were not living with HIV into a cross-sectional study from antenatal/postnatal settings at Chipata Level 1 Hospital. We used the Theory of Planned Behaviour to study the relationship between salient beliefs and intention to use pre-exposure prophylaxis (PrEP) among eligible pregnant and breastfeeding women. On a seven-point scale, participants had positive attitudes towards PrEP (mean = 6.65, SD = 0.71), anticipated approval of PrEP use from significant others (mean = 6.09, SD = 1.51), felt confident that they could take PrEP if they desired (mean = 6.52, SD = 1.09) and had favourable intentions to use PrEP (mean = 6.01, SD = 1.36). Attitude, subjective norms, and perceived behavioural control significantly predicted intention to use PrEP respectively (β = 0.24; β = 0.55; β = 0.22, all p < 0.01). Social cognitive interventions are needed to promote social norms supportive of PrEP use during pregnancy and breastfeeding. [ABSTRACT FROM AUTHOR]