Factors Affecting PrEP Retention and Adherence Among MSM in Kigali, Rwanda
Author Information
Author(s): Mubezi Sezi, Malamba Samuel S., Rwibasira Gallican N., Uwineza Jeanne, Kayisinga Jean de Dieu, Remera Eric, Ikuzo Basile, Ndengo Emah, Umuhoza Nadege, Sangwayire Beata, Mwesigwa Richard C. N., Stamatakis Caroline E., Wandera Manasseh G., Oluoch Tom O., Kayirangwa Eugenie
Primary Institution: Society for Family Health (SFH), Kigali, Rwanda
Hypothesis
What factors are associated with retention and adherence to Pre-Exposure Prophylaxis (PrEP) among men who have sex with men (MSM) in Kigali, Rwanda?
Conclusion
The study found that MSM who were sex workers, lived in larger households, had more sexual partners, completed secondary education, and were circumcised were more likely to be retained on PrEP.
Supporting Evidence
- 90% of MSM respondents were retained on PrEP at 3 months.
- 73% of those retained reported good adherence to PrEP.
- Sex workers had a significantly higher likelihood of being retained on PrEP.
Takeaway
This study looked at how well men who have sex with men stick to their HIV prevention medication in Rwanda, finding that those with more sexual partners and who are sex workers are more likely to keep taking it.
Methodology
A retrospective cross-sectional study using questionnaires to assess PrEP retention and adherence among MSM attending health facilities.
Potential Biases
Self-reported adherence could underestimate true adherence levels.
Limitations
The study's retrospective design limits the ability to establish cause-effect relationships, and self-reported data may introduce bias.
Participant Demographics
Participants were MSM aged 18 and above, with a majority employed and a significant portion identifying as sex workers.
Statistical Information
P-Value
0.004
Confidence Interval
95%CI: 1.569, 10.921
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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