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A decade of PrEP: the evolution of HIV pre-exposure prophylaxis content and sentiments in South African print news media, 2012-2021.

Publication ,  Journal Article
Coelho, SM; Rosen, JG; Schulz, G; Meek, K; Shipp, L; Singh, C; Willis, K; Best, A; Mcingana, M; Mcloughlin, J; Hausler, H; Beyrer, C ...
Published in: Cult Health Sex
April 24, 2024

After nearly a decade of HIV pre-exposure prophylaxis (PrEP) rollout in sub-Saharan Africa, there has been limited study of PrEP messaging in news media. We selected twenty South African newspapers with the highest circulation volumes to retrieve articles published in 2012-2021 mentioning PrEP (N = 249). Using inductive content analysis, we developed a structured codebook to characterise PrEP-related content and sentiments, as well as their evolution over time, in the South African press. Many articles espoused favourable attitudes towards PrEP (52%), but a sizeable fraction espoused unfavourable attitudes (11%). Relative to PrEP-favourable articles, PrEP-unfavourable articles were significantly more likely to emphasise the drawbacks/consequences of PrEP use, including adherence/persistence requirements (52% vs. 24%, p = .007), cost (48% vs. 11%, p < .001), and risk compensation (52% vs. 5%, p < .001). Nevertheless, the presence of these drawbacks/consequences in print media largely declined over time. Key populations (e.g. adolescents, female sex workers) were frequently mentioned potential PrEP candidates. Despite message variations over time, prevention effectiveness and adherence/persistence requirements were the most widely cited PrEP benefits and drawbacks, respectively. Study findings demonstrate the dynamic nature of PrEP coverage in the South African press, likely in response to PrEP scale-up and real-world PrEP implementation during the study period.

Duke Scholars

Published In

Cult Health Sex

DOI

EISSN

1464-5351

Publication Date

April 24, 2024

Start / End Page

1 / 17

Location

England

Related Subject Headings

  • Public Health
  • 4405 Gender studies
  • 4401 Anthropology
  • 4206 Public health
  • 2002 Cultural Studies
  • 1608 Sociology
  • 1117 Public Health and Health Services
 

Citation

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Coelho, S. M., Rosen, J. G., Schulz, G., Meek, K., Shipp, L., Singh, C., … Schwartz, S. R. (2024). A decade of PrEP: the evolution of HIV pre-exposure prophylaxis content and sentiments in South African print news media, 2012-2021. Cult Health Sex, 1–17. https://doi.org/10.1080/13691058.2024.2344111
Coelho, Simmona M., Joseph G. Rosen, Gretchen Schulz, Kristin Meek, Lillian Shipp, Chitra Singh, Kalai Willis, et al. “A decade of PrEP: the evolution of HIV pre-exposure prophylaxis content and sentiments in South African print news media, 2012-2021.Cult Health Sex, April 24, 2024, 1–17. https://doi.org/10.1080/13691058.2024.2344111.
Coelho SM, Rosen JG, Schulz G, Meek K, Shipp L, Singh C, et al. A decade of PrEP: the evolution of HIV pre-exposure prophylaxis content and sentiments in South African print news media, 2012-2021. Cult Health Sex. 2024 Apr 24;1–17.
Coelho, Simmona M., et al. “A decade of PrEP: the evolution of HIV pre-exposure prophylaxis content and sentiments in South African print news media, 2012-2021.Cult Health Sex, Apr. 2024, pp. 1–17. Pubmed, doi:10.1080/13691058.2024.2344111.
Coelho SM, Rosen JG, Schulz G, Meek K, Shipp L, Singh C, Willis K, Best A, Mcingana M, Mcloughlin J, Hausler H, Beyrer C, Baral SD, Schwartz SR. A decade of PrEP: the evolution of HIV pre-exposure prophylaxis content and sentiments in South African print news media, 2012-2021. Cult Health Sex. 2024 Apr 24;1–17.

Published In

Cult Health Sex

DOI

EISSN

1464-5351

Publication Date

April 24, 2024

Start / End Page

1 / 17

Location

England

Related Subject Headings

  • Public Health
  • 4405 Gender studies
  • 4401 Anthropology
  • 4206 Public health
  • 2002 Cultural Studies
  • 1608 Sociology
  • 1117 Public Health and Health Services