{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:42:11Z","timestamp":1777927331091,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"13","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"vor","delay-in-days":365,"URL":"http:\/\/www.sagepub.com\/licence-information-for-chorus"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","award":["OPP1056051"],"award-info":[{"award-number":["OPP1056051"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["F31 MH113420"],"award-info":[{"award-number":["F31 MH113420"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23AI120855"],"award-info":[{"award-number":["K23AI120855"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30A1027757"],"award-info":[{"award-number":["P30A1027757"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R00HD076679"],"award-info":[{"award-number":["R00HD076679"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01 MH095507"],"award-info":[{"award-number":["R01 MH095507"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","award":["AID-OAA-A-12-00023"],"award-info":[{"award-number":["AID-OAA-A-12-00023"]}],"id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>Women who have a prevention mindset may opt for concurrent use of oral pre-exposure prophylaxis (PrEP) and all forms of contraception; we therefore assessed how contraception may influence PrEP use or vice versa. We analyzed data from Kenyan and Ugandan HIV-uninfected non-pregnant women in sero-discordant partnerships who were participating in the Partners Demonstration Project. Using multivariable generalized estimating equation models, we estimated the associations between effective contraceptive use and 1) PrEP dispensation 2) high effective PrEP use. Among the 311 women (93.1% of all those followed in the Partners Demonstration Project) median age was 29\u2009years (interquartile range [IQR] 24.0\u201335.0) and 115 (37.0%) reported using effective contraception at baseline. All the women initiated PrEP during the study and moderately high PrEP adherence was recorded at 73.1% of visits over an average 7.5\u2009months following PrEP dispensation. Women (14.8%) consistently used an effective contraceptive throughout study follow-up. PrEP dispensation was more frequent among those concurrently using effective contraception, (adjusted relative risk [aRR]\u2009=\u20091.19; 95% confidence interval [CI]\u2009=\u20091.08\u20131.32) and contraceptive use was more common among those on PrEP (aRR\u2009=\u20091.63; 95% CI\u2009=\u20091.18\u20132.25). Among East African women at high risk of HIV infection, PrEP dispensation was more frequent among women using effective contraception, indicating that family planning outlets may be efficient locations to deliver PrEP.<\/jats:p>","DOI":"10.1177\/0956462420951501","type":"journal-article","created":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:55:07Z","timestamp":1601513707000},"page":"1263-1271","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Alignment of PrEP use and effective contraceptive use among East African women in HIV serodiscordant partnerships"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8062-0933","authenticated-orcid":false,"given":"Kenneth","family":"Ngure","sequence":"first","affiliation":[{"name":"Department of Community Health, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya"},{"name":"Department of Global Health, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Velloza","sequence":"additional","affiliation":[{"name":"Department of Global Health, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rena C","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Global Health, University of Washington, Seattle, WA, USA"},{"name":"Department of Medicine, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelly R","family":"Mugo","sequence":"additional","affiliation":[{"name":"Department of Global Health, University of Washington, Seattle, WA, USA"},{"name":"Center for Clinical Research, Kenya Medical Research Institute, Nairobi, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth A","family":"Bukusi","sequence":"additional","affiliation":[{"name":"Department of Global Health, University of Washington, Seattle, WA, USA"},{"name":"Center for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya"},{"name":"Department of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica E","family":"Haberer","sequence":"additional","affiliation":[{"name":"Center for Global Health, Massachusetts General Hospital, Boston, MA, USA"},{"name":"Department of Medicine, Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josephine","family":"Odoyo","sequence":"additional","affiliation":[{"name":"Center for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Connie","family":"Celum","sequence":"additional","affiliation":[{"name":"Department of Global Health, University of Washington, Seattle, WA, USA"},{"name":"Department of Medicine, University of Washington, Seattle, WA, USA"},{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared M","family":"Baeten","sequence":"additional","affiliation":[{"name":"Department of Global Health, University of Washington, Seattle, WA, USA"},{"name":"Department of Medicine, University of Washington, Seattle, WA, USA"},{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renee","family":"Heffron","sequence":"additional","affiliation":[{"name":"Department of Global Health, University of Washington, Seattle, WA, USA"},{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,30]]},"reference":[{"key":"bibr1-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2010.00250.x"},{"key":"bibr2-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.002"},{"key":"bibr3-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.09.007"},{"key":"bibr4-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30029-9"},{"key":"bibr5-0956462420951501","unstructured":"Kenya demographic health survey (KDHS\n                      )\n                      . Kenya: National Bureau of Statistics-Kenya and ICF International. 2015. 2014 KDHS Key Findings. Rockville, Maryland, USA: KNBS and ICF International."},{"key":"bibr6-0956462420951501","doi-asserted-by":"crossref","DOI":"10.31899\/rh4.1055","volume-title":"Unintended pregnancies in Kenya: a country profile. STEP UP Research Report","author":"Mumah J","year":"2014"},{"key":"bibr7-0956462420951501","unstructured":"UNAIDS. Fact Sheet, https:\/\/www.unaids.org\/en\/resources\/fact-sheet (2020, accessed 12 August 2020)."},{"key":"bibr8-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000114"},{"key":"bibr9-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000363785.73450.5a"},{"key":"bibr10-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1111\/sifp.12018"},{"key":"bibr11-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0172992"},{"key":"bibr12-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.08.001"},{"key":"bibr13-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2015.1080791"},{"key":"bibr14-0956462420951501","doi-asserted-by":"crossref","unstructured":"Mugwanya KK, Pintye J, Kinuthia J, et al., PrEP Implementation for Young Women and Adolescents (PrIYA) Program. Integrating preexposure prophylaxis delivery in routine family planning clinics: a feasibility programmatic evaluation in Kenya.\n                      PLoS medicine\n                      2019; 16(9): e1002885.","DOI":"10.1371\/journal.pmed.1002885"},{"key":"bibr15-0956462420951501","unstructured":"Kinuthia J, Pintye J, Abuna F, et al. Pre-exposure prophylaxis uptake and early continuation among pregnant and post-partum women within maternal and child health clinics in Kenya: results from an implementation programme.\n                      The Lancet HIV\n                      2020; 7(1): e38\u201348."},{"key":"bibr16-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002099"},{"key":"bibr17-0956462420951501","doi-asserted-by":"publisher","DOI":"10.12688\/gatesopenres.12752.1"},{"key":"bibr18-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31827e622d"},{"key":"bibr19-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-016-1899-y"},{"key":"bibr20-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1111\/bcp.12942"},{"key":"bibr21-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1363\/3506309"},{"key":"bibr22-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1089\/aid.2012.0215"},{"key":"bibr23-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25298"},{"key":"bibr24-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001955"},{"key":"bibr25-0956462420951501","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001024"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420951501","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462420951501","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420951501","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420951501","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:41:09Z","timestamp":1777675269000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462420951501"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,30]]},"references-count":25,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1177\/0956462420951501"],"URL":"https:\/\/doi.org\/10.1177\/0956462420951501","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,30]]}}}