High HIV prevalence, low awareness of and willingness to use HIV pre-exposure prophylaxis among male migrant workers in Southwestern, China: a short report

AIDS Care ◽  
2021 ◽  
pp. 1-7
Author(s):  
Fengxiang Qin ◽  
Bingyu Liang ◽  
Hao Liang ◽  
Abu S. Abdullah ◽  
Huishen Huang ◽  
...  
Keyword(s):  
Migrant Workers ◽  
Hiv Prevalence ◽  
Southwestern China ◽  
Short Report ◽  
Male Migrant ◽  
Willingness To Use ◽  
Exposure Prophylaxis

scholarly journals Factors Associated With Willingness to Use Oral Pre-exposure Prophylaxis (Prep) Among Fishing Communities in Peri-urban Kampala, Uganda

2021 ◽  
Author(s):  
Bashir Ssuna ◽  
Anne Katahoire ◽  
Mari Armstrong-Hough ◽  
Dennis Kalibbala ◽  
Joan N Kalyango ◽  
...  
Keyword(s):  
Focus Group ◽  
Fishing Communities ◽  
Key Populations ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Factors Associated ◽  
The Past ◽  
Willingness To Use ◽  
Exposure Prophylaxis ◽  
Oral Prep

Abstract Background: The World Health Organization (WHO) recommends the use of pre-exposure prophylaxis (PrEP) in key populations at elevated risk for exposure to HIV. If used effectively, PrEP can reduce annual HIV incidence to below 0.05%. However, PrEP is not acceptable among all communities that might benefit from it. There is, therefore, a need to understand perceptions of PrEP and factors associated with willingness to use PrEP among key populations at risk of HIV, such as members of communities with exceptionally high HIV prevalence. Objective: To examine the perceptions and factors associated with willingness to use oral PrEP among members of fishing communities in Uganda, a key population at risk of HIV. Methods: We conducted an explanatory sequential mixed-methods study at Ggaba fishing community from February to June 2019. Survey data were collected from a systematic random sample of 283 community members. We carried out bivariate tests of association of willingness to use PrEP with demographic characteristics, HIV risk perception, HIV testing history. We estimated prevalence ratios for willingness to use PrEP. We used backward elimination to build a multivariable modified Poisson regression model to describe factors associated with willingness to use PrEP. We purposively selected 16 participants for focus group discussions to contextualize survey findings, analysing data inductively and identifying emergent themes related to perceptions of PrEP. Key results: We enrolled 283 participants with a mean age of 31±8 years. Most (80.9%) were male. The majority of participants had tested for HIV in their lifetime, but 64% had not tested in the past 6 months. Self-reported HIV prevalence was 6.4%. Most (80.6%, 95%CI 75.5-85.0) were willing in principle to use PrEP. Willingness to use PrEP was associated with perceiving oneself to be at high risk of HIV (aPR 1.99, 95%CI 1.31-3.02, P= 0.001), having tested for HIV in the past 6-months (aPR 1.13, 95%CI 1.03-1.24, P=0.007), and completion of tertiary education (aPR 1.97, 95%CI 1.39-2.81, P<0.001). In focus group discussions, participants described pill burden, side-effects, drug safety, and accessibility as potential barriers to PrEP use. Conclusions and recommendations: Oral PrEP was widely acceptable among members of fishing communities in peri-urban Kampala. Programs for scaling-up PrEP for fisherfolk should merge HIV testing services with sensitization about PrEP and also address issues of access to drugs.

scholarly journals HIV and STI Prevalence and Determinants among Male Migrant Workers in India

PLoS ONE ◽  
2012 ◽  
Vol 7 (8) ◽  
pp. e43576 ◽  
Author(s):  
Sangeeta S. Dave ◽  
Andrew Copas ◽  
John Richens ◽  
Richard G. White ◽  
Jayendrakumar K. Kosambiya ◽  
...  
Keyword(s):  
Migrant Workers ◽  
Male Migrant

scholarly journals Finding the back of the net: Networks and migrant recruitment in Norwegian football

2016 ◽  
Vol 53 (1) ◽  
pp. 69-83 ◽  
Author(s):  
Richard Elliott ◽  
Erik Gusterud
Keyword(s):  
Migrant Workers ◽  
Professional Football ◽  
Structured Interviews ◽  
Sociology Of Sport ◽  
Interdependent Networks ◽  
Foreign Labour ◽  
Male Migrant

The intention of this paper is to analyse the role that networks play in enabling the recruitment of a group of male migrant professional footballers employed by clubs based in Norway’s top professional football league – the Tippeligaen. Based upon a series of semi-structured interviews conducted with migrants and recruiters, and synthesising concepts derived from the sociology of sport and the broader study of migration, the analysis identifies that the recruitment of migrant workers to Tippeligaen clubs reflects a mix of both formal and informal processes. Whilst agents operate as key actors in the mobilisation of foreign labour, the analysis shows how recruitments in this particular athletic context are also dependent on processes of human mediation facilitated by a series of informal interdependent networks of relationships.

scholarly journals Awareness about and willingness to use long-acting injectable pre-exposure prophylaxis (LAI-PrEP) among people who use drugs

2020 ◽  
Vol 117 ◽  
pp. 108058 ◽  
Author(s):  
Roman Shrestha ◽  
Elizabeth E. DiDomizio ◽  
Rayne S. Kim ◽  
Frederick L. Altice ◽  
Jeffrey A. Wickersham ◽  
...  
Keyword(s):  
People Who Use Drugs ◽  
Long Acting ◽  
Willingness To Use ◽  
Exposure Prophylaxis

scholarly journals Willingness to Use Pre-Exposure Prophylaxis (PrEP) for HIV Prevention and PrEP Implementation Preferences Among Transgender Women in Malaysia

2020 ◽  
Vol 5 (4) ◽  
pp. 258-266
Author(s):  
Jonathan M. Galka ◽  
Melinda Wang ◽  
Iskandar Azwa ◽  
Britton Gibson ◽  
Sin How Lim ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Transgender Women ◽  
Prep Implementation ◽  
Willingness To Use ◽  
Exposure Prophylaxis

scholarly journals 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 ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 244 ◽  
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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