Table 4.
Unadjusted and adjusted analyses to identify knowledge, behavioral, and experiential correlates of PrEP consultations among PrEP-eligible AGYW
| Adolescent girls | Young women | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| No (n = 105) n(%) | Yes (n = 34) n (%) | z test statistica | p valuea | aPR (95% CI) | No (n = 160) n (%) | Yes (n = 112) n (%) | Chi-square test statistic | p value | aPR (95% CI) | |
| Characteristics | ||||||||||
| Socioeconomic position | ||||||||||
| Low | 19 (82.61) | 4 (17.39) | 21 (50.00) | 21 (50.00) | ||||||
| Middle/High | 86 (74.14) | 30 (25.86) | − 0.84 | 0.399 | 139 (60.43) | 91 (39.57) | 1.60 | 0.206 | ||
| Orphanhood | ||||||||||
| Never | 65 (80.25) | 16 (19.75) | 63 (55.26) | 51 (44.74) | ||||||
| Ever | 40 (68.97) | 18 (31.03) | 1.52 | 0.128 | 97 (61.39) | 61 (38.61) | 1.03 | 0.311 | ||
| Married | ||||||||||
| Never | 90 (77.59) | 26 (22.41) | 77 (62.10) | 47 (37.90) | ||||||
| Ever | 15 (65.22) | 8 (34.78) | 1.35 | 0.177 | 83 (56.08) | 65 (43.92) | 1.01 | 0.315 | ||
| Pregnant | ||||||||||
| Never | 66 (77.65) | 19 (22.35) | 36 (69.23) | 16 (30.77) | ||||||
| Ever | 39 (72.22) | 15 (27.78) | 0.76 | 0.449 | 124 (56.36) | 96 (43.64) | 2.88 | 0.090 | ||
| School enrollment | ||||||||||
| Not enrolled | 46 (69.70) | 20 (30.30) | 130 (61.03) | 83 (38.97) | ||||||
| Currently enrolled | 59 (80.82) | 14 (19.18) | − 1.53 | 0.126 | 30 (50.85) | 29 (49.15) | 1.98 | 0.160 | ||
| Perceived HIV risk | ||||||||||
| Low | 78 (74.29) | 27 (25.71) | 122 (61.31) | 77 (38.69) | ||||||
| High | 27 (79.41) | 7 (20.59) | − 0.59 | 0.555 | 38 (52.05) | 35 (47.95) | 1.89 | 0.170 | ||
| Travel outside the community | ||||||||||
| Once a year or less | 87 (79.82) | 22 (20.18) | 123 (62.44) | 74 (37.56) | ||||||
| Once a month or more | 18 (60.00) | 12 (40.00) | 2.36 | 0.018 | 37 (49.33) | 38 (50.67) | 3.85 | 0.050 | ||
| Location | ||||||||||
| Peri-urban | 53 (75.71) | 17 (24.29) | 81 (63.28) | 47 (36.72) | ||||||
| Urban | 52 (75.36) | 17 (24.64) | 0.05 | 0.960 | 79 (54.86) | 65 (45.14) | 1.98 | 0.159 | ||
| Travel time to clinic/hospital | ||||||||||
| < 15 min | 19 (76.00) | 6 (24.00) | 31 (64.58) | 17 (35.42) | ||||||
| 15–29 min | 33 (75.00) | 11 (25.00) | 0.09 | 0.928 | 44 (53.66) | 38 (46.34) | ||||
| 30–44 min | 26 (74.29) | 9 (25.71) | 0.15 | 0.881 | 51 (64.56) | 28 (35.44) | ||||
| 45–59 min | 11 (78.57) | 3 (21.43) | − 0.18 | 0.853 | 14 (63.64) | 8 (36.36) | ||||
| ≥ 60 min | 16 (76.19) | 5 (23.81) | − 0.02 | 0.982 | 20 (48.78) | 21 (51.22) | 4.55 | 0.337 | ||
| Ministry of health PrEP eligibility criteria | ||||||||||
| Trying to conceive in a serodiscordant relationship | ||||||||||
| No | 105 (75.54) | 34 (24.46) | 157 (59.02) | 109 (40.98) | ||||||
| Yes | 0 (0.00) | 0 (0.00) | b | b | 3 (50.00) | 3 (50.00) | c | 0.693d | ||
| Recurrent sex with alcohol/drugs | ||||||||||
| No | 103 (76.30) | 32 (23.70) | 143 (58.85) | 100 (41.15) | ||||||
| Yes | 2 (50.00) | 2 (50.00) | 1.42 | 0.156 | 17 (58.62) | 12 (41.38) | < 0.01 | 0.981 | ||
| Engaged in transactional sex | ||||||||||
| No | 93 (74.40) | 32 (25.60) | 148 (60.91) | 95 (39.09) | – | |||||
| Yes | 12 (85.71) | 2 (14.29) | − 0.86 | 0.390 | 12 (41.38) | 17 (58.62) | 4.08 | 0.043 | – | |
| Recurrent PEP use | ||||||||||
| No | 104 (84.55) | 19 (15.45) | Ref | 159 (67.37) | 77 (32.63) | Ref | ||||
| Yes | 1 (6.25) | 15 (93.75) | 8.15 | < 0.001 | 5.63 (3.53–8.97) | 1 (2.78) | 35 (97.22) | 53.81 | < 0.001 | 2.81 (2.30–3.43) |
| Do not know partner(s) HIV status | ||||||||||
| No | 93 (77.50) | 27 (22.50) | 146 (60.58) | 95 (39.42) | ||||||
| Yes | 12 (63.16) | 7 (36.84) | 1.42 | 0.155 | 14 (45.16) | 17 (54.84) | 2.70 | 0.101 | ||
| Sex with more than 1 person | ||||||||||
| No | 91 (77.12) | 27 (22.88) | 144 (62.88) | 85 (37.12) | Ref | |||||
| Yes | 14 (66.67) | 7 (33.33) | 1.07 | 0.286 | 16 (37.21) | 27 (62.79) | 9.85 | 0.002 | 1.39 (1.06–1.82) | |
| Recent STI | ||||||||||
| No | 81 (76.42) | 25 (23.58) | 127 (61.06) | 81 (38.94) | ||||||
| Yes | 24 (72.73) | 9 (27.27) | 0.43 | 0.667 | 33 (51.56) | 31 (48.44) | 1.82 | 0.177 | ||
| Ongoing IPV/GBV | ||||||||||
| No | 62 (78.48) | 17 (21.52) | 100 (60.24) | 66 (39.76) | ||||||
| Yes | 43 (71.67) | 17 (28.33) | 0.92 | 0.356 | 60 (56.60) | 46 (43.40) | 0.35 | 0.552 | ||
| Inconsistent/no condom use | ||||||||||
| No | 18 (72.00) | 7 (28.00) | 8 (57.14) | 6 (42.86) | ||||||
| Yes | 87 (76.32) | 27 (23.68) | − 0.46 | 0.643 | 152 (58.91) | 106 (41.09) | 0.02 | 0.896 | ||
Row percentages are presented
A dash (–) represents eligibility criteria that were included in the initial adjusted model but were removed during the backward selection process
For AG, the adjusted model (aPR column) included travel outside the community and program targeting
PrEP pre-exposure prophylaxis, AGYW adolescent girls and young women, aPR adjusted prevalence ratio, CI confidence intervals, PEP post-exposure prophylaxis, ref reference category, STI sexually transmitted infection, IPV intimate partner violence, GBV gender-based violence
aTest statistic and p values were generated using a model that controlled for differential program targeting
bTest statistic and p value cannot be calculated due to zero respondents in one category
cData omitted because the Fisher’s Exact Test does not have a corresponding test statistic
dp value based on Fisher's Exact Test