Title |
Adherence and Acceptability in MTN 001: A Randomized Cross-Over Trial of Daily Oral and Topical Tenofovir for HIV Prevention in Women
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Published in |
AIDS and Behavior, October 2012
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DOI | 10.1007/s10461-012-0333-8 |
Pubmed ID | |
Authors |
Alexandra M. Minnis, Sharavi Gandham, Barbra A. Richardson, Vijayanand Guddera, Beatrice A. Chen, Robert Salata, Clemensia Nakabiito, Craig Hoesley, Jessica Justman, Lydia Soto-Torres, Karen Patterson, Kailazarid Gomez, Craig W. Hendrix |
Abstract |
We compared adherence to and acceptability of daily topical and oral formulations of tenofovir (TFV) used as pre-exposure prophylaxis (PrEP) for HIV prevention among women in South Africa, Uganda and the United States. 144 sexually active, HIV-uninfected women participated in a cross-over study of three regimens: oral tablet, vaginal gel, or both. We tested for differences in adherence and evaluated product acceptability. Self-reported adherence for all regimens was high (94 %), but serum TFV concentrations indicated only 64 % of participants used tablets consistently. Most women in the U.S. (72 %) favored tablets over gel; while preferences varied at the African sites (42 % preferred gel and 40 % tablets). Findings indicate a role for oral and vaginal PrEP formulations and highlight the importance of integrating pharmacokinetics-based adherence assessment in future trials. Biomedical HIV prevention interventions should consider geographic and cultural experience with product formulations, partner involvement, and sexual health benefits that ultimately influence use. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 4 | 2% |
Malaysia | 1 | <1% |
United Kingdom | 1 | <1% |
Canada | 1 | <1% |
Unknown | 170 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 28 | 16% |
Student > Ph. D. Student | 25 | 14% |
Student > Master | 20 | 11% |
Other | 11 | 6% |
Student > Bachelor | 11 | 6% |
Other | 42 | 24% |
Unknown | 40 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 45 | 25% |
Nursing and Health Professions | 21 | 12% |
Social Sciences | 21 | 12% |
Psychology | 10 | 6% |
Pharmacology, Toxicology and Pharmaceutical Science | 6 | 3% |
Other | 26 | 15% |
Unknown | 48 | 27% |