Awareness of Pre-exposure Prophylaxis for HIV, Willingness to Use It and Potential Barriers or Facilitators to Uptake Among Men Who Have Sex with Men in Spain

ObjectiveTo explore willingness and preferred ways to use HIV pre-exposure prophylaxis (PrEP), factors associated with willingness, and potential barriers to PrEP use among men who have sex with men (MSM) in Changsha, China.DesignA cross-sectional survey was conducted from 25 June to 31 August 2019. Two hundred and fifty-five MSM were recruited from three community-based organisations (CBOs) in Changsha City. Willingness and potential barriers to use PrEP were examined using researcher-created scales. Univariate and multivariate logistic regression was used to analyse the factors associated with willingness to use PrEP. P values <0.05 were considered significant.SettingThree MSM inclusive CBOs in Changsha, Hunan Province, China.Participants255 HIV-negative MSM were recruited through their CBOs with snowball sampling.ResultsLess than half of the participants (43.1%) had heard of PrEP and 15.3% were willing to use PrEP. The participants reported higher willingness to use event-driven PrEP (3.70±0.07) than daily PrEP (2.65±0.07). Higher self-rated risk and fear of contracting HIV (OR: 14.47, 95% CI 2.19 to 95.53), awareness of PrEP (OR: 4.20, 95% CI 1.64 to 10.73), sharing one’s own sexual orientation with parents or siblings (OR: 2.52, 95% CI 1.54 to 7.20) and having a university education or above (OR:0.29, 95% CI 0.12 to 0.72) were associated with willingness to use PrEP. Only 12.2% of the sample was concerned about potential barriers to PrEP use.ConclusionEfforts to improve awareness and knowledge of PrEP, teach self-evaluation of HIV infection risk and provide social and emotional support for MSM are needed to scale up PrEP implementation in China.

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Willingness to Use Pre-exposure Prophylaxis (PrEP) and Preferences Among Men Who have Sex with Men in Mumbai and Chennai, India: A Discrete Choice Experiment

AIDS and Behavior ◽

10.1007/s10461-021-03253-5 ◽

2021 ◽

Author(s):

Venkatesan Chakrapani ◽

Peter A. Newman ◽

Michael Cameron ◽

Murali Shunmugam ◽

Surachet Roungprakhon ◽

...

Keyword(s):

Discrete Choice Experiment ◽

Discrete Choice ◽

Choice Experiment ◽

Sex With Men ◽

Willingness To Use ◽

Exposure Prophylaxis

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Psychosocial factors related to willingness to use pre-exposure prophylaxis for HIV prevention among Black men who have sex with men attending a community event

Sexual Health ◽

10.1071/sh14022 ◽

2014 ◽

Vol 11 (3) ◽

pp. 244 ◽

Cited By ~ 58

Author(s):

Lisa A. Eaton ◽

Daniel D. Driffin ◽

Harlan Smith ◽

Christopher Conway-Washington ◽

Denise White ◽

...

Keyword(s):

Health Care ◽

Black Men ◽

Psychosocial Factors ◽

Health Care Provider ◽

Care Provider ◽

Medical Mistrust ◽

Sex With Men ◽

Willingness To Use ◽

Exposure Prophylaxis ◽

Hiv Aids

Objectives In the US, Black men who have sex with men (BMSM) are disproportionately affected by HIV/AIDS. Pre-exposure prophylaxis (PrEP) holds tremendous promise for curbing the HIV/AIDS epidemic among these men. However, many psychosocial components must be addressed in order to implement this prevention tool effectively among BMSM. Methods: We assessed PrEP knowledge and use, health care access experiences, race-based medical mistrust, sexual partners and behaviours, and drug and alcohol use among 699 men attending a community event in the south-eastern United States. We used generalised linear modelling to assess factors associated with their willingness to use PrEP. Results: Three hundred and ninety-eight men reported being BMSM and having HIV-negative status. Among these men, 60% reported being willing to use PrEP. Lack of being comfortable with talking to a health care provider about having sex with men, not having discussed having sex with a man with a health care provider, race-based medical mistrust, and alcohol consumption and substance use were all identified as barriers to willingness to use PrEP. Sexual risk-taking, number of sex partners and STI diagnosis were not associated with willingness to use PrEP. Conclusions: Findings from the current paper demonstrate the importance of acknowledging the role of various psychosocial factors in the uptake of PrEP. It is imperative that we prioritise research into understanding these barriers better, as the failure to do so will impede the tremendous potential of this prevention technology.

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Willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Malaysia: findings from a qualitative study

Journal of the International AIDS Society ◽

10.7448/ias.20.1.21899 ◽

2017 ◽

Vol 20 (1) ◽

pp. 21899 ◽

Cited By ~ 14

Author(s):

Adam Bourne ◽

Matteo Cassolato ◽

Clayton Koh Thuan Wei ◽

Bangyuan Wang ◽

Joselyn Pang ◽

...

Keyword(s):

Hiv Prevention ◽

Qualitative Study ◽

Sex With Men ◽

Willingness To Use ◽

Exposure Prophylaxis

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Awareness and willingness to use HIV pre-exposure prophylaxis among men who have sex with men in low- and middle-income countries: a systematic review and meta-analysis

Journal of the International AIDS Society ◽

10.7448/ias.20.1.21580 ◽

2017 ◽

Vol 20 (1) ◽

pp. 21580 ◽

Cited By ~ 43

Author(s):

Siyan Yi ◽

Sovannary Tuot ◽

Grace W Mwai ◽

Chanrith Ngin ◽

Kolab Chhim ◽

...

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Middle Income ◽

Middle Income Countries ◽

Sex With Men ◽

Willingness To Use ◽

Exposure Prophylaxis ◽

Low And Middle Income

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Willingness to use HIV pre-exposure prophylaxis and associated factors among men who have sex with men in Liuzhou, China

10.21203/rs.3.rs-336411/v1 ◽

2021 ◽

Author(s):

Yuansheng Fu ◽

Akililu Alemu Ashuro ◽

Xianxiang Feng ◽

Ting Wang ◽

Sichen Zhang ◽

...

Keyword(s):

Logistic Regression ◽

Sexual Behaviors ◽

Study Participant ◽

Casual Sex ◽

Multivariate Logistic Regression ◽

Factors Associated ◽

Hiv Test ◽

Sex With Men ◽

Willingness To Use ◽

Exposure Prophylaxis

Abstract Background: HIV pre-exposure prophylaxis (PrEP) is a key component of HIV combination prevention strategies, which has the potential to decrease the incidence of HIV in men who have sex with men (MSM). This study aimed to evaluate the levels of PrEP acceptability and explore the factors associated with willingness to use PrEP among MSM in Liuzhou, China.Methods: Between November 2017 and May 2019, a cross-sectional survey was conducted among 829 MSM. The study participant were recruited through nonprobability sampling method. Participants’ demographics, HIV/AIDS knowledge, sexual behaviors, drug use and HIV test history were collected. Multivariate logistic regression was performed to identify factors associated with willingness to use PrEP.Results: A total of 829 MSM completed the survey, and 30.28%(95%CI: 27.3-33.4) were willing to use PrEP. In multivariate logistic regression, factors associated with a higher willingness to use PrEP include, being Zhuang or Han ethnic origin, recruited through peer introduction or gay venues, pursing higher education level, previous HIV testing and having oral sex with a man. However, had a casual sex in the past six months were associated with lower willingness to use PrEP.Conclusions: MSM in Liuzhou reported a relatively low level of willingness to use PrEP. The results indicate the need for effective education, targeted intervention, and define implementation strategies to promote PrEP acceptance among MSM.

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