Willingness to Accept HIV Pre-Exposure Prophylaxis among Chinese Men Who Have Sex with MenReport as inadecuate




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Objective

We investigated the awareness and acceptability of pre-exposure prophylaxis PrEP among men who have sex with men MSM and potential predicting factors.

Methods

This study was conducted among MSM in Beijing, China. Study participants, randomly selected from an MSM cohort, completed a structured questionnaire, and provided their blood samples to test for HIV infection and syphilis. Univariate logistic regression analyses were performed to evaluate the factors associated with willingness to accept WTA PrEP. Factors independently associated with willingness to accept were identified by entering variables into stepwise logistic regression analysis.

Results

A total of 152 MSM completed the survey; 11.2% had ever heard of PrEP and 67.8% were willing to accept it. Univariate analysis showed that age, years of education, consistent condom use in the past 6 months, heterosexual behavior in the past 6 months, having ever heard of PrEP and the side effects of antiretroviral drugs, and worry about antiretroviral drugs cost were significantly associated with willingness to accept PrEP. In the multivariate logistic regression model, only consistent condom use in the past 6 months odds ratio OR: 0.31; 95% confidence interval CI: 0.13–0.70 and having ever heard of the side effects of antiretroviral drugs OR: 0.30; 95% CI: 0.14–0.67 were independently associated with willingness to accept PrEP.

Conclusions

The awareness of PrEP in the MSM population was low. Sexual behavioral characteristics and knowledge about ART drugs may have effects on willingness to accept PrEP. Comprehensive prevention strategies should be recommended in the MSM community.



Author: Feng Zhou , Lei Gao , Shuming Li, Dongliang Li, Lifen Zhang, Wensheng Fan, Xueying Yang, Mingrun Yu, Dong Xiao, Li Yan, Zheng Zha

Source: http://plos.srce.hr/



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