{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T18:15:59Z","timestamp":1776104159239,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T00:00:00Z","timestamp":1620604800000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Post\u2010abortion clinics located in regions with high HIV burden may ideal locations to integrate counselling and delivery of HIV pre\u2010exposure prophylaxis (PrEP), aligning with normative goals for integrated delivery of HIV and reproductive health care. The objective of this study was to gauge the degree to which Kenyan women seeking care for a pregnancy loss, including induced abortion, are at risk for HIV and whether women would welcome an introduction to PrEP prior to discharge from post\u2010abortion care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a mixed\u2010methods study from August 2019 to February 2020 with women ages 15 to 30 recruited sequentially as they were accessing post\u2010abortion care at public and private facilities in Thika and Kisumu, Kenya. Data collection was through a cross\u2010sectional survey and laboratory testing for common sexually transmitted infections (N\u00a0=\u00a0200), and in\u2010depth interviews (N\u00a0=\u00a030). Descriptive statistics summarize PrEP knowledge and referrals and a multivariable log\u2010link binomial model estimated correlates of receiving a referral for PrEP. Qualitative data were analysed using inductive and deductive approaches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 200 HIV\u2010negative women (median age 21.0, interquartile range 19.0 to 22.0), the prevalence of <jats:italic>Chlamydia trachomatis<\/jats:italic> was 18.2% and <jats:italic>Neisseria gonorrhoeae<\/jats:italic> was 2.0%. Half of the women scored \u22655 on a validated tool that would correspond to an expected HIV incidence of 9.5% per year. Approximately half (55.8%) of women were familiar with PrEP prior to the study and 33.3% received a referral from study staff to a clinic offering PrEP. In qualitative interviews, women expressed interest in accessing PrEP from the gynaecology ward that provided post\u2010abortion care but they preferred alternative locations for PrEP refills.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Kenyan women accessing post\u2010abortion care have substantial HIV risk and were favourable about the idea of receiving support to initiate PrEP as part of care offered during post\u2010abortion care. These settings can be integrated into national PrEP programmes as locations providing PrEP referrals and initiation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.25703","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T05:30:24Z","timestamp":1620711024000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["HIV risk and pre\u2010exposure prophylaxis interest among women seeking post\u2010abortion care in Kenya: a cross\u2010sectional study"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6039-0352","authenticated-orcid":false,"given":"Renee","family":"Heffron","sequence":"first","affiliation":[{"name":"Department of Global Health University of Washington Seattle USA"},{"name":"Department of Epidemiology University of Washington Seattle WA 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Medical Research Institute Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilda","family":"Machafu","sequence":"additional","affiliation":[{"name":"Center for Microbiology Research Kenya Medical Research Institute Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6049-3706","authenticated-orcid":false,"given":"Yasaman","family":"Zia","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle USA"},{"name":"Department of Epidemiology University of Washington Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorothy","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin","family":"Scoville","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taryn","family":"Barker","sequence":"additional","affiliation":[{"name":"Children\u2019s Investment Fund Foundation London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Bukusi","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle USA"},{"name":"Department of Obstetrics and Gynecology University of Washington Seattle USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelly","family":"Mugo","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle USA"},{"name":"Partners in Health and Research Development Thika Kenya"},{"name":"Center for Clinical Research Kenya Medical Research Institute Nairobi 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