Decomposing Education-Based Inequalities in Pre-Exposure Prophylaxis Knowledge for HIV Prevention Among Women in Cote d'Ivoire.

Publisher: Dove Medical Press Country of Publication: New Zealand NLM ID: 101531698 Publication Model: eCollection Cited Medium: Print ISSN: 1179-1411 (Print) Linking ISSN: 11791411 NLM ISO Abbreviation: Int J Womens Health Subsets: PubMed not MEDLINE

Original Publication: [Auckland, N.Z.] : Dove Medical Press, c2009-

Background: Antiretroviral chemoprophylaxis is a promising strategy for preventing the spread of human immunodeficiency virus (HIV). The knowledge of pre-exposure prophylaxis (PrEP) is required for intervention uptake and adherence to prevent the spread of HIV. This study aimed to decompose education-based inequalities in PrEP knowledge for HIV prevention among reproductive-aged women in Cote d'Ivoire.
Methods: A cross-sectional study design with a nationally representative sample of 12,934 women aged 15-49 years was analyzed from the 2021 Cote d'Ivoire Demographic and Health Survey. The survey was conducted between September to December, 2021. The outcome variable was the knowledge of PrEP for HIV prevention. Statistical analysis was conducted using percentage, concentration index, and Lorenz curve. The level of significance was set at p<0.05.
Results: A weighted prevalence of 14.5% (95% CI: 12.5-16.3%) was estimated for PrEP knowledge for HIV prevention. Overall, educated women had a higher knowledge of PrEP for HIV prevention (Conc. Index= 0.225; SE= 0.012; p<0.001). Across the levels of women's characteristics, the results showed higher PrEP knowledge for HIV prevention among educated women. Education (Contri: 40.7327%, E c : 0.5390), exposure to internet (Contri: 20.1039%, E c : 0.3484), place of residence (Contri: 12.9801%, E c : -0.0537), household wealth (Contri: 10.0062%, E c : 0.0642) and religion (Contri: 5.7509%, E c : 0.0354) were positive contributors to PrEP knowledge for HIV prevention. On the other hand, age (Contri: -8.8298%, E c : -0.0950) and region (Contri: -3.5942, E c : -0.0768) were negative contributors to PrEP knowledge regarding HIV prevention among women of reproductive age in Cote d'Ivoire.
Conclusion: There is limited knowledge of PrEP for HIV prevention among women in Cote d'Ivoire. Educated women had greater knowledge of PrEP for HIV prevention. The results of this study could guide interventions targeted to enhance the knowledge of PrEP as an HIV prevention option.
Competing Interests: The authors declare no potential conflicts of interest with respect to the research, authorship, or publication of this article.
(© 2024 Ekholuenetale and Barrow.)

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Keywords: HIV/AIDS; PrEP; Sub-Saharan Africa; ivory coast; women

Date Created: 20240621 Latest Revision: 20240622

20250114

PMC11187275

10.2147/IJWH.S464008

38903155