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Pre‑exposure Prophylaxis Awareness and Endorsement among Adolescents and Young Adults in Tanzania: Insights from the 2022 Demographic and Health Survey Cover

Pre‑exposure Prophylaxis Awareness and Endorsement among Adolescents and Young Adults in Tanzania: Insights from the 2022 Demographic and Health Survey

Open Access
|Jan 2025

Figures & Tables

Table 1

Characteristics of study participants.

CHARACTERISTICSAWARENESS OF PRE‑EXPOSURE PROPHYLAXISENDORSEMENT OF PRE‑EXPOSURE PROPHYLAXIS USE
OVERALLAWARENOT AWAREP‑VALUEOVERALLENDORSEDNOT ENDORSEDP‑VALUE
(N = 8,268)(N = 522)(N = 7,746)(N = 8,185)(N = 439)(N = 7,746)
Age (years)
 15–194,599 (55.3)222 (38.8)4,377 (56.5)< 0.0014,570 (54.2)193 (41.5)4,377 (56.5)< 0.001
 20–243,669 (44.7)300 (61.2)3,369 (43.5)3,615 (42.9)246 (58.5)3,369 (43.5)
Gender
 Female5,852 (71.0)158 (32.4)2,258 (28.8)0.2192,397 (29.1)139 (33.6)2,258 (28.8)0.099
 Male2,416 (29.0)364 (67.6)5,488 (71.2)5,788 (70.9)300 (66.4)5,488 (71.2)
Education
 No education780 (9.9)46 (8.4)734 (10.0)0.291772 (9.9)38 (8.2)734 (10.0)0.299
 Primary education or higher7,488 (90.1)476 (91.6)7,012 (90.0)7,413 (89.1)401 (91.8)7,012 (90.0)
Marital status
 Never married5,655 (66.5)316 (57.0)5,339 (67.2)< 0.0015,608 (66.7)269 (58.5)5,339 (67.2)0.005
 Married/living together2,294 (29.6)177 (37.4)2,117 (29.0)2,263 (29.4)146 (36.6)2,117 (29.0)
 Divorced/separated/widowed319 (3.9)29 (5.6)290 (3.8)314 (3.9)24 (4.8)290 (3.8)
Residence
 Urban2,886 (34.9)202 (41.6)2,684 (34.4)0.0102,852 (34.7)168 (39.5)2,684 (34.4)0.094
 Rural5,382 (65.1)320 (58.4)5,062 (65.6)5,333 (65.3)271 (60.5)5,062 (65.6)
Wealth quantile
 Lowest1,172 (15.4)60 (12.1)1,112 (15.7)0.0061,162 (15.5)50 (12.4)1,112 (15.7)0.113
 Second1,428 (17.9)74 (13.7)1,354 (18.2)1,423 (18.1)69 (15.6)1,354 (18.2)
 Middle1,741 (19.8)111 (19.7)1,630 (19.8)1,725 (19.8)95 (21.0)1,630 (19.8)
 Fourth1,841 (22.4)116 (23.2)1,725 (22.3)1,815 (22.3)90 (20.8)1,725 (22.3)
 Highest2,086 (24.5)161 (31.1)1,925 (24.0)2,060 (24.3)135 (30.1)1,925 (24.0)
Tested for HIV and received results
 No4,104 (48.1)180 (30.3)3,924 (49.4)< 0.0014,078 (48.4)154 (31.7)3,924 (49.4)< 0.001
 Yes4,164 (51.9)342 (69.7)3,822 (50.6)4,107 (51.6)285 (68.3)3,822 (50.6)
Knowledge of HIV prevention
 Mean (SD)4.6 (1.5)4.6 (1.5)4.8 (1.3)0.0024.6 (1.5)4.6 (4.6)4.8 (1.3)0.012

[i] HIV means human immunodeficiency virus.

Table 2

Factors associated with PrEP awareness among adolescents and young adults in Tanzania, 2022.

CHARACTERISTICSAWARENESSBIVARIATE ANALYSISMULTIVARIABLE ANALYSIS
N (%)OR (95% CI)P‑VALUEaOR (95% CI)P‑VALUE
Age (years)
 15–19222 (4.9)Ref.Ref.
 20–24300 (9.5)2.05 (1.65–2.54)< 0.0011.47 (1.13–1.90)0.004
Gender
 Male158 (7.7)Ref.Ref.
 Female364 (6.6)0.84 (0.64–1.11)0.2190.66 (0.50–0.88)0.005
Education
 No education46 (5.9)Ref.Ref.
 Primary education or higher476 (7.1)1.22 (0.84–1.77)0.2941.15 (0.78–1.70)0.294
Marital status
 Never married316 (5.9)Ref.Ref.
 Married/living together177 (8.8)1.52 (1.20–1.93)< 0.0011.15 (0.86–1.55)0.344
Divorced/separated/widowed29 (9.8)1.71 (1.06–2.76)0.0281.21 (0.72–2.03)0.467
Residence
 Urban202 (8.3)Ref.Ref.
 Rural320 (6.2)0.74 (0.56–0.94)0.0130.72 (0.60–0.99)0.049
Wealth quantile
 Lowest60 (5.5)Ref.Ref.
 Second or higher462 (7.2)1.34 (0.98–1.83)0.0641.12 (0.81–1.55)0.482
Tested for HIV and received results
 No180 (4.4)Ref.Ref.
 Yes342 (9.3)2.25 (1.77–2.86)< 0.0011.88 (1.38–2.56)< 0.001
Knowledge of HIV prevention1.12 (1.03–1.22)0.0081.04 (0.95–1.14)0.379

[i] N indicates the number of people. Ref. indicates the reference category. HIV means human immune deficiency virus; OR means odds ratio; aOR means adjusted odds ratio; CI means confidence interval.

Table 3

Predictors of PrEP use endorsement among adolescents and young adults in Tanzania, 2022.

CHARACTERISTICSENDORSEMENT OF USEBIVARIATE ANALYSISMULTIVARIABLE ANALYSIS
N (%)OR (95% CI)P‑VALUEaOR (95% CI)P‑VALUE
Age (years)
 15–19193 (4.3)Ref.Ref.
 20–24246 (7.6)1.84 (1.45–2.33)< 0.0011.34 (1.00–1.80)0.048
Gender
 Male139 (6.6)Ref.Ref.
 Female300 (5.4)0.80 (0.61–1.04)0.0990.64 (0.47–0.86)0.004
Education
 No education38 (4.7)Ref.Ref.
 Primary education or higher401 (5.8)1.25 (0.82–1.90)0.3011.18 (0.77–1.81)0.431
Marital status
 Never married269 (5.0)Ref.Ref.
 Married/living together146 (7.2)1.45 (1.14–1.84)0.0021.14 (0.85–1.53)0.390
 Divorced/separated/widowed24 (7.1)1.44 (0.85–2.44)0.1711.08 (0.61–1.90)0.788
Residence
 Urban168 (6.5)Ref.Ref.
 Rural271 (5.3)0.80 (0.62–1.04)0.0980.84 (0.64–1.11)0.221
Wealth quantile
 Lowest50 (4.6)Ref.Ref.
 Second or higher389 (6.0)1.31 (0.93–1.86)0.1251.13 (0.79–1.63)0.492
Tested for HIV and received results
 No154 (3.8)Ref.Ref.
 Yes285 (7.6)2.10 (1.61–2.73)< 0.0011.87 (1.33–2.63)< 0.001
Knowledge of HIV prevention1.11 (1.02–1.21)0.0191.04 (0.94–1.14)0.456

[i] N indicates the number of people. Ref. indicated reference category. HIV means human immune deficiency virus; OR means odds ratio; aOR means adjusted odds ratio; CI means confidence interval.

DOI: https://doi.org/10.5334/aogh.4589 | Journal eISSN: 2214-9996
Language: English
Submitted on: Oct 18, 2024
|
Accepted on: Dec 19, 2024
|
Published on: Jan 24, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Alpha Johnson Kapola, Rahma Musoke, Glenda Marie Manayon, Hassan Fredrick Fussi, Hafidha Mhando Bakari, Haji Mbwana Ally, Swalehe Mustafa Salim, Zuhura Mbwana Ally, Lynn Moshi, Mariam Salim Mbwana, Habib Omari Ramadhani, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.