AIDS and Behavior

, Volume 17, Issue 9, pp 2977–2985

Daily Short Message Service Surveys to Measure Sexual Behavior and Pre-exposure Prophylaxis Use Among Kenyan Men and Women

  • Kathryn Curran
  • Nelly R. Mugo
  • Ann Kurth
  • Kenneth Ngure
  • Renee Heffron
  • Deborah Donnell
  • Connie Celum
  • Jared M. Baeten
Original Paper

DOI: 10.1007/s10461-013-0510-4

Cite this article as:
Curran, K., Mugo, N.R., Kurth, A. et al. AIDS Behav (2013) 17: 2977. doi:10.1007/s10461-013-0510-4

Abstract

Pre-exposure prophylaxis (PrEP) is a novel HIV prevention strategy which requires high adherence. We tested the use of daily short message service (i.e., SMS/text message) surveys to measure sexual behavior and PrEP adherence in Kenya. Ninety-six HIV-uninfected adult individuals, taking daily oral PrEP in a clinical trial, received daily SMS surveys for 60 days. Most participants (96.9 %) reported taking PrEP on ≥80 % days, but 69.8 % missed at least one dose. Unprotected sex was reported on 4.9 % of days; however, 47.9 % of participants reported unprotected sex at least once. Unprotected sex was not correlated with PrEP use (OR = 0.95). Participants reporting more sex were less likely to report PrEP non-adherence and those reporting no sex were most likely to report missing a PrEP dose (adjusted OR = 1.87). PrEP adherence was high, missed doses were correlated with sexual abstinence, and unprotected sex was not associated with decreased PrEP adherence.

Keywords

HIV prevention Pre-exposure prophylaxis Sexual behavior Adherence HIV serodiscordant couples 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Kathryn Curran
    • 1
    • 2
  • Nelly R. Mugo
    • 2
    • 5
  • Ann Kurth
    • 2
    • 4
    • 6
  • Kenneth Ngure
    • 2
    • 7
  • Renee Heffron
    • 2
  • Deborah Donnell
    • 2
    • 8
  • Connie Celum
    • 1
    • 2
    • 3
  • Jared M. Baeten
    • 1
    • 2
    • 3
  1. 1.Department of EpidemiologyUniversity of WashingtonSeattleUSA
  2. 2.Department of Global HealthUniversity of WashingtonSeattleUSA
  3. 3.Department of MedicineUniversity of WashingtonSeattleUSA
  4. 4.School of Nursing, University of WashingtonSeattleUSA
  5. 5.Department of Obstetrics and GynaecologyKenyatta National HospitalNairobiKenya
  6. 6.College of Nursing, New York UniversityNew YorkUSA
  7. 7.Jomo Kenyatta University of Agriculture and TechnologyNairobiKenya
  8. 8.Vaccine and Infectious Disease DivisionFred Hutchinson Cancer Research CenterSeattleUSA

Personalised recommendations