{"id":"https://openalex.org/W7223974722","doi":"https://doi.org/10.3390/ijerph23111361","title":"I Don\u2019t Think I Am at Risk Because I Still Use Condoms When I Can: Exploring Social Barriers to PrEP Uptake and Use Among Adolescent Girls Using Contraceptives in Berea, Lesotho","display_name":"I Don\u2019t Think I Am at Risk Because I Still Use Condoms When I Can: Exploring Social Barriers to PrEP Uptake and Use Among Adolescent Girls Using Contraceptives in Berea, Lesotho","publication_year":2026,"publication_date":"2026-10-27","ids":{"openalex":"https://openalex.org/W7223974722","doi":"https://doi.org/10.3390/ijerph23111361"},"language":"en","primary_location":{"id":"doi:10.3390/ijerph23111361","doi":"https://doi.org/10.3390/ijerph23111361","is_oa":true,"landing_page_url":"https://doi.org/10.3390/ijerph23111361","pdf_url":null,"source":{"id":"https://openalex.org/S15239247","display_name":"International Journal of Environmental Research and Public Health","issn_l":"1660-4601","issn":["1660-4601","1661-7827"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","erih-plus","medline","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Environmental Research and Public Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/ijerph23111361","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5159812258","display_name":"Tsotang R. Moeketsi","orcid":"https://orcid.org/0009-0001-4524-5402","observed_orcids":["https://orcid.org/0009-0001-4524-5402"]},"institutions":[{"id":"https://openalex.org/I165390105","display_name":"University of South Africa","ror":"https://ror.org/048cwvf49","country_code":"ZA","type":"education","lineage":["https://openalex.org/I165390105"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Tsotang R. Moeketsi","raw_affiliation_strings":["Department of Sociology, University of South Africa, Pretoria 0002, South Africa"],"raw_orcid":"https://orcid.org/0009-0001-4524-5402","affiliations":[{"raw_affiliation_string":"Department of Sociology, University of South Africa, Pretoria 0002, South Africa","institution_ids":["https://openalex.org/I165390105"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5071359515","display_name":"Tshepo B. Maake","orcid":"https://orcid.org/0000-0002-7523-9871","observed_orcids":["https://orcid.org/0000-0002-7523-9871"]},"institutions":[{"id":"https://openalex.org/I165390105","display_name":"University of South Africa","ror":"https://ror.org/048cwvf49","country_code":"ZA","type":"education","lineage":["https://openalex.org/I165390105"]}],"countries":["ZA"],"is_corresponding":true,"raw_author_name":"Tshepo B. Maake","raw_affiliation_strings":["Department of Sociology, University of South Africa, Pretoria 0002, South Africa"],"raw_orcid":"https://orcid.org/0000-0002-7523-9871","affiliations":[{"raw_affiliation_string":"Department of Sociology, University of South Africa, Pretoria 0002, South Africa","institution_ids":["https://openalex.org/I165390105"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5071359515"],"corresponding_institution_ids":["https://openalex.org/I165390105"],"apc_list":{"value":2500,"currency":"CHF","value_usd":3016},"apc_paid":{"value":2500,"currency":"CHF","value_usd":3016},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.84071388,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"23","issue":"11","first_page":"1361","last_page":"1361"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.8198000192642212,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.8198000192642212,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10327","display_name":"Adolescent Sexual and Reproductive Health","score":0.17260000109672546,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.00419999985024333,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hiv-pre-exposure-prophylaxis","display_name":"HIV pre-exposure prophylaxis","score":0.9229999780654907},{"id":"https://openalex.org/keywords/prep-uptake","display_name":"PrEP uptake","score":0.9300000071525574},{"id":"https://openalex.org/keywords/adolescent-girls","display_name":"adolescent girls","score":0.9440000057220459},{"id":"https://openalex.org/keywords/contraceptive-use","display_name":"contraceptive use","score":0.6330000162124634},{"id":"https://openalex.org/keywords/family-planning-services","display_name":"family planning services","score":0.8709999918937683},{"id":"https://openalex.org/keywords/social-barriers","display_name":"social barriers","score":0.6809999942779541},{"id":"https://openalex.org/keywords/hiv-prevention","display_name":"HIV prevention","score":0.7009999752044678},{"id":"https://openalex.org/keywords/unintended-pregnancy","display_name":"unintended pregnancy","score":0.5740000009536743},{"id":"https://openalex.org/keywords/condom-use","display_name":"condom use","score":0.7020000219345093},{"id":"https://openalex.org/keywords/early-sexual-debut","display_name":"early sexual initiation","score":0.8100000023841858},{"id":"https://openalex.org/keywords/multiple-sexual-partners","display_name":"multiple sexual partners","score":0.7559999823570251},{"id":"https://openalex.org/keywords/age-disparate-relationships","display_name":"age-disparate relationships","score":0.9810000061988831},{"id":"https://openalex.org/keywords/hiv-stigma","display_name":"HIV stigma","score":0.7009999752044678},{"id":"https://openalex.org/keywords/hiv-risk-perception","display_name":"HIV risk perception","score":0.7699999809265137},{"id":"https://openalex.org/keywords/lesotho","display_name":"Lesotho","score":0.6209999918937683}],"concepts":[{"id":"https://openalex.org/C2779076696","wikidata":"https://www.wikidata.org/wiki/Q1280670","display_name":"Family planning","level":4,"score":0.7129999995231628},{"id":"https://openalex.org/C2780620491","wikidata":"https://www.wikidata.org/wiki/Q3817591","display_name":"Unintended pregnancy","level":5,"score":0.6941999793052673},{"id":"https://openalex.org/C2779379456","wikidata":"https://www.wikidata.org/wiki/Q14076","display_name":"Condom","level":4,"score":0.6873000264167786},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5792999863624573},{"id":"https://openalex.org/C121752807","wikidata":"https://www.wikidata.org/wiki/Q1981388","display_name":"Reproductive health","level":3,"score":0.4697999954223633},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.39640000462532043},{"id":"https://openalex.org/C163355716","wikidata":"https://www.wikidata.org/wiki/Q2154783","display_name":"Risk perception","level":3,"score":0.38510000705718994},{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.37549999356269836},{"id":"https://openalex.org/C2776889888","wikidata":"https://www.wikidata.org/wiki/Q1135789","display_name":"Unintended consequences","level":2,"score":0.366100013256073},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.3653999865055084},{"id":"https://openalex.org/C518429986","wikidata":"https://www.wikidata.org/wiki/Q964401","display_name":"Fertility","level":3,"score":0.364300012588501},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.359499990940094},{"id":"https://openalex.org/C160050368","wikidata":"https://www.wikidata.org/wiki/Q132453","display_name":"Developed country","level":3,"score":0.35120001435279846},{"id":"https://openalex.org/C2778063736","wikidata":"https://www.wikidata.org/wiki/Q8059302","display_name":"Adolescent health","level":2,"score":0.3497999906539917},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.3452000021934509},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3434000015258789},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3431999981403351},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3100000023841858},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.3059999942779541},{"id":"https://openalex.org/C2779496540","wikidata":"https://www.wikidata.org/wiki/Q7239230","display_name":"Pre-exposure prophylaxis","level":5,"score":0.28209999203681946},{"id":"https://openalex.org/C53001019","wikidata":"https://www.wikidata.org/wiki/Q1920219","display_name":"Social issues","level":2,"score":0.27959999442100525},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2791999876499176},{"id":"https://openalex.org/C2776990098","wikidata":"https://www.wikidata.org/wiki/Q13579947","display_name":"Misinformation","level":2,"score":0.2770000100135803},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.2745000123977661},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.2712000012397766},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.26820001006126404},{"id":"https://openalex.org/C542059537","wikidata":"https://www.wikidata.org/wiki/Q156537","display_name":"Domestic violence","level":4,"score":0.2655999958515167}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3390/ijerph23111361","doi":"https://doi.org/10.3390/ijerph23111361","is_oa":true,"landing_page_url":"https://doi.org/10.3390/ijerph23111361","pdf_url":null,"source":{"id":"https://openalex.org/S15239247","display_name":"International Journal of Environmental Research and Public Health","issn_l":"1660-4601","issn":["1660-4601","1661-7827"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","erih-plus","medline","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Environmental Research and Public Health","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3390/ijerph23111361","doi":"https://doi.org/10.3390/ijerph23111361","is_oa":true,"landing_page_url":"https://doi.org/10.3390/ijerph23111361","pdf_url":null,"source":{"id":"https://openalex.org/S15239247","display_name":"International Journal of Environmental Research and Public Health","issn_l":"1660-4601","issn":["1660-4601","1661-7827"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","erih-plus","medline","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Environmental Research and Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.6025999784469604,"id":"https://metadata.un.org/sdg/5","display_name":"Gender equality"},{"score":0.4074000120162964,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":59,"referenced_works":["https://openalex.org/W238953692","https://openalex.org/W1979290264","https://openalex.org/W2063597719","https://openalex.org/W2084772351","https://openalex.org/W2129660502","https://openalex.org/W2143356350","https://openalex.org/W2611491071","https://openalex.org/W2801644814","https://openalex.org/W2899103472","https://openalex.org/W2967201585","https://openalex.org/W3008839763","https://openalex.org/W3010508615","https://openalex.org/W3040090470","https://openalex.org/W3083839183","https://openalex.org/W3117571021","https://openalex.org/W3134590928","https://openalex.org/W3159945523","https://openalex.org/W3164996935","https://openalex.org/W3175437374","https://openalex.org/W4220946137","https://openalex.org/W4234580964","https://openalex.org/W4243473953","https://openalex.org/W4244282414","https://openalex.org/W4281260159","https://openalex.org/W4288429840","https://openalex.org/W4294833904","https://openalex.org/W4300773784","https://openalex.org/W4308882184","https://openalex.org/W4315490592","https://openalex.org/W4322502708","https://openalex.org/W4366782530","https://openalex.org/W4383370472","https://openalex.org/W4386930750","https://openalex.org/W4390230963","https://openalex.org/W4392002372","https://openalex.org/W4392087311","https://openalex.org/W4392545245","https://openalex.org/W4394767957","https://openalex.org/W4396746489","https://openalex.org/W4398217634","https://openalex.org/W4400650995","https://openalex.org/W4400672584","https://openalex.org/W4400781109","https://openalex.org/W4400961220","https://openalex.org/W4401582017","https://openalex.org/W4401866597","https://openalex.org/W4401889493","https://openalex.org/W4405325791","https://openalex.org/W4405793593","https://openalex.org/W4406782547","https://openalex.org/W4408200136","https://openalex.org/W4408348117","https://openalex.org/W4409228016","https://openalex.org/W4412187285","https://openalex.org/W4412988485","https://openalex.org/W4413368388","https://openalex.org/W4414330763","https://openalex.org/W4416265030","https://openalex.org/W4416893601"],"related_works":["https://openalex.org/W4406164692","https://openalex.org/W7161548538","https://openalex.org/W4415594853","https://openalex.org/W4416387305","https://openalex.org/W3048096874","https://openalex.org/W7155162402","https://openalex.org/W4412436838","https://openalex.org/W4405793593","https://openalex.org/W4409228016","https://openalex.org/W7213536927"],"abstract_inverted_index":{"While":[0],"notable":[1],"progress":[2],"has":[3],"been":[4],"made":[5],"in":[6,13,96,205,222,227,261],"preventing":[7],"unintended":[8,83,211],"pregnancies":[9,133],"among":[10,49,69,230,273],"adolescent":[11,50,70,91,135,178,212,241,258,274],"girls":[12,51,71,92,242],"Lesotho,":[14,98],"many":[15],"remain":[16],"vulnerable":[17,189],"to":[18,35,64,81,130,163,190,209,243],"HIV":[19,37,145,173,191,224,252,259,271],"infection.":[20,165,192],"As":[21],"family":[22,53,76,127,202],"planning":[23,54,77,128,203],"services":[24,55,129,204],"expand":[25],"for":[26,125],"young":[27],"people":[28],"through":[29,99],"donor-funded":[30,75,201],"projects,":[31],"opportunities":[32],"may":[33,207,219],"exist":[34],"integrate":[36],"prevention,":[38,225],"including":[39],"Pre-Exposure":[40],"Prophylaxis":[41],"(PrEP)":[42],"into":[43,257],"contraceptive":[44,268],"care.":[45],"However,":[46,137],"PrEP":[47,65,161,183,228],"use":[48,244,269],"accessing":[52],"remains":[56],"low.":[57],"This":[58,233],"study":[59,104,234],"explores":[60],"the":[61,195,214,237,265],"social":[62],"barriers":[63],"uptake":[66,229],"and":[67,119,152,270],"adherence":[68],"who":[72],"access":[73],"conventional":[74],"services,":[78],"primarily":[79],"designed":[80],"prevent":[82,164],"pregnancies.":[84],"Qualitative":[85],"data":[86],"were":[87,122],"collected":[88],"from":[89,159],"twelve":[90],"using":[93,160],"contraceptives":[94,245],"located":[95],"Berea,":[97],"semi-structured":[100],"one-on-one":[101],"interviews.":[102],"The":[103],"found":[105],"that":[106,199,236],"factors":[107,140,238,249],"such":[108],"as":[109],"limited":[110],"condom":[111],"use,":[112],"early":[113],"sexual":[114],"initiation,":[115],"multiple":[116],"partner":[117],"relationships,":[118],"age-disparate":[120],"relationships":[121],"often":[123],"reasons":[124],"seeking":[126],"avoid":[131],"unwanted":[132],"amongst":[134,176],"girls.":[136,275],"these":[138,177],"same":[139],"also":[141,246],"coincide":[142,247],"with":[143,248,251],"increased":[144],"exposure,":[146],"while":[147],"fear":[148],"of":[149,172,216],"judgment,":[150],"stigma,":[151],"perceived":[153],"negative":[154],"side":[155],"effects":[156],"discouraged":[157],"them":[158,187],"effectively":[162],"Additionally,":[166],"there":[167],"was":[168],"a":[169],"low":[170],"perception":[171],"infection":[174],"risks":[175],"girls,":[179],"which":[180],"further":[181],"hampered":[182],"uptake,":[184],"potentially":[185,239],"leaving":[186],"more":[188],"Based":[193],"on":[194],"findings,":[196],"we":[197],"argue":[198],"although":[200],"Lesotho":[206,262],"contribute":[208],"reducing":[210],"pregnancies,":[213],"prioritisation":[215],"pregnancy":[217],"prevention":[218,260],"leave":[220],"gaps":[221],"comprehensive":[223],"particularly":[226],"contraceptive-using":[231],"adolescents.":[232],"demonstrates":[235],"leading":[240],"associated":[250],"vulnerability,":[253],"contributing":[254],"empirical":[255],"insights":[256],"by":[263],"foregrounding":[264],"intersection":[266],"between":[267],"vulnerability":[272]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-28T00:00:00"}