Motivating factors associated with oral pre-exposure prophylaxis use among female sex workers in South Africa

J Health Psychol. 2022 Oct;27(12):2820-2833. doi: 10.1177/13591053211072674. Epub 2022 Jan 6.

Abstract

To explore the motivating factors that encourage female sex workers to take oral PrEP, despite the challenges that come with adherence. The 39 participants in this study consisted of female sex workers, peer educators, a counselor, and a researcher. Participants took PrEP as an expression of self-love. Some participants described PrEP as empowering because they could independently prevent HIV. They were also motivated by parenting, hope and future aspirations. It is important for future PrEP interventions to incorporate behavioral strategies that appeal to the user's personal and deeper motivations for living.

Keywords: HIV; adherence; female sex workers; motivation; pre-exposure prophylaxis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Female
  • HIV Infections* / drug therapy
  • HIV Infections* / prevention & control
  • Humans
  • Motivation
  • Pre-Exposure Prophylaxis*
  • Sex Workers*
  • South Africa