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Ajiboye W, Nelson L, Odhiambo A, Yusuf A, Djiadeu P, Turner DA, Abubakari M, Pedersen C, Brown R, Ni Z, Guillaume G, Lofters A, Williams G. Decision conflict and the decision support needs of HIV PrEP-eligible Black patients in Toronto regarding the adoption of PrEP for HIV prevention. J Int Assoc Provid AIDS Care 2022; 21:23259582211073399. [PMID: 35098770 PMCID: PMC8808024 DOI: 10.1177/23259582211073399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Objectives: This study examined factors contributing to decision conflict and the decision support needs of PrEP-eligible Black patients. Methods:The Ottawa Decision Support Framework (ODSF) was used to guide the development of a key informant guide used for qualitative data collection. Black patients assessed by healthcare providers as meeting the basic criteria for starting PrEP were recruited through the St. Michael's Hospital Academic Family Health Team and clinical and community agencies in Toronto. Participants were interviewed by trained research staff. Qualitative content analysis was guided by the ODSF, and analysis was done using the Nvivo. Results: Four women and twenty-five men (both heterosexual and men who have sex with men) were interviewed. Participants reported having difficulty in decision making regarding adoption of PrEP. The main reasons for decision-conflict regading PrEP adoption were: lack of adequate information about PrEP, concerns about the side effects of PrEP, inability to ascertain the benefits or risk of taking PrEP, provider's lack of adequate time for interaction during clinical consultation, and perceived pressure from healthcare provider. Participants identified detailed information about PrEP, and being able to clarify how their personal values align with the benefits and drawbacks of PrEP as their decision support needs. Conclusion:Many PrEP-eligible Black patients who are prescribed PrEP have decision conflict which often causes delay in decision making and sometimes rejection of PrEP. Healthcare providers should offer decision support to Black patients who are being asked to consider PrEP for HIV prevention.
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Affiliation(s)
- Wale Ajiboye
- St. Michael’s Hospital, Toronto, ON, Canada,Wale Ajiboye, PhD, St. Michael’s Hospital Toronto, ON, Canada.
| | - LaRon Nelson
- St. Michael’s Hospital, Toronto, ON, Canada,Yale School of Nursing, New Haven, CT, USA
| | | | | | | | | | | | | | | | - Zhao Ni
- Yale School of Nursing, New Haven, CT, USA
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Khan SZ, Garza CV, Sirohi B, Ponde N, Habeeb B, Brandão M, Azim H, Chowdhury A, Spasojevic I, Kovalenko I, Odhiambo A, Seid F, Mutombo A, Petracci F, Vidra R, Mujica SA, Gyawali B, Trapani D, Tagliamento M, Lambertini M. 8P Knowledge, practice and attitudes of physicians in low- and middle-income countries (LMIC) on fertility and pregnancy-related issues in young breast cancer patients. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.10.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Abubakari GM, Nelson LE, Ogunbajo A, Boakye F, Appiah P, Odhiambo A, Sa T, Zhang N, Ngozi I, Scott A, Maina G, Manu A, Torpey K. Implementation and evaluation of a culturally grounded group-based HIV prevention programme for men who have sex with men in Ghana. Glob Public Health 2020; 16:1028-1045. [PMID: 33050773 DOI: 10.1080/17441692.2020.1832555] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This study examined the feasibility and acceptability of an evidence-based HIV prevention programme for men who have sex with men (MSM) in Ghana through a participatory approach. The programme involved 57 self-identified adult cisgender MSM and led by a community-based organisation in collaboration with local nurses. We used an explanatory mixed-method design to evaluate the programme. We computed descriptive statistics, relative frequency, and paired proportionate analysis for the survey data and subjected the focus groups data to summative content analysis. Five key themes from the qualitative data indicated strong evidence of the acceptability and efficacy of the programme among MSM. The programme contributed to building social support networks, a sense of social justice among MSM, and facilitated the development of personalised HIV prevention menus by the participants. We observed increases in HIV testing (from 4% to 17%) and increases in the relative frequency of condom use for anal, oral, and vaginal sex. The programme served as an example of a successfully implemented culturally grounded intervention that has the potential to increase HIV and STI awareness and prevention among MSM in Ghana and other highly stigmatised environments.
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Affiliation(s)
- Gamji M'Rabiu Abubakari
- Center for Interdisciplinary Research on AIDS, School of Public Health/Medicine, New Haven, CT, USA
| | - LaRon E Nelson
- Yale University School of Nursing, New Haven, CT, USA.,Center for Interdisciplinary Research on AIDS, Yale University, New haven, CT, USA.,Yale Institute of Global Health, Yale University, New haven, CT, USA.,MAP Center for Urban Health Solutions, Unity Health Toronto, Toronto, Canada
| | | | | | | | - Apondi Odhiambo
- Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
| | - Ting Sa
- Department of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Centre, Cincinnati, OH, USA
| | - Nanhua Zhang
- Faculty of Health Sciences, York University, Toronto, Canada
| | - Ironyah Ngozi
- Faculty of Nursing, University of Saskatchewan, Prince Albert, Canada
| | - Adjei Scott
- Faculty of Nursing, University of Saskatchewan, Prince Albert, Canada
| | - Geoffrey Maina
- Faculty of Nursing, University of Saskatchewan, Prince Albert, Canada
| | - Abubakar Manu
- School of Public Health, University of Ghana, Legon, Ghana
| | - Kwasi Torpey
- University of Ghana School of Public Health, Accra, Ghana
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Odhiambo A, Rotich EC, Chindia ML, Macigo FG, Ndavi M, Were F. Craniofacial anomalies amongst births at two hospitals in Nairobi, Kenya. Int J Oral Maxillofac Surg 2012; 41:596-603. [PMID: 22386656 DOI: 10.1016/j.ijom.2012.01.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2011] [Revised: 10/24/2011] [Accepted: 01/13/2012] [Indexed: 10/28/2022]
Abstract
The pattern of congenital oral and craniofacial anomalies (CFAs) in the Kenyan population remains unknown. The objective of this study was to describe the pattern of occurrence of CFAs at two hospitals in Nairobi. A descriptive cross-sectional study at the Kenyatta National Hospital and Pumwani Maternity Hospital was carried out from November 2006 to March 2007. Mothers who delivered at the hospitals consented to an interview and physical examination of their babies within 48 h of delivery. The anomalies were classified for type and magnitude. Data were analysed to determine the association of these anomalies with ages of the mothers, gender, weight, birth order, mode of delivery and birth status of the babies. During the study period, 7989 babies were born. The CFAs manifested in 1.8% of the total births and were more common in female (1.4%) than in male (1.0%) live births. 12.8% of stillbirths had CFAs, with lesions manifesting more in males (16.7%) than in females (6.9%). The commonest CFA was preauricular sinus (4.3/1000) followed by hydrocephalus (1.9/1000) then preauricular tags and cleft lip and palate (1.5/1000 and 1.3/1000 total births, respectively).
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Affiliation(s)
- A Odhiambo
- University of Nairobi, School of Dental Sciences, Nairobi, Kenya.
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