- Title
- Willingness, preferred ways and potential barriers to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in China
- Creator
- Yu, Simin; Cross, Wendy; Lam, Louisa; Banik, Biswajit; Li, Xianhong
- Date
- 2021
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/180591
- Identifier
- vital:15797
- Identifier
-
https://doi.org/10.1136/bmjopen-2021-053634
- Identifier
- ISBN:2044-6055 (ISSN)
- Abstract
- Objective To 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. Design A 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. Setting Three MSM inclusive CBOs in Changsha, Hunan Province, China. Participants 255 HIV-negative MSM were recruited through their CBOs with snowball sampling. Results Less 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. Conclusion Efforts 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. © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Wendy Cross, Louisa Lam and Bixwajit Banik” is provided in this record**
- Publisher
- BMJ Publishing Group
- Relation
- BMJ Open Vol. 11, no. 10 (2021), p.
- Rights
- All metadata describing materials held in, or linked to, the repository is freely available under a CC0 licence
- Rights
- http://creativecommons.org/licenses/by-nc/4.0
- Rights
- Copyright © Author(s) (or theiremployer(s)) 2021
- Rights
- Open Access
- Subject
- 1103 Clinical Sciences; 1117 Public Health and Health Services; 1199 Other Medical and Health Sciences; Health policy; HIV & AIDS; Public health
- Full Text
- Reviewed
- Funder
- This study was supported by the Philosophy and Social Science Foundation of Hunan Province (grant number 16YBA365). The funding body had no role in the design of the study; the collection, analysis and interpretation of the data; or the writing of the manuscript.
- Hits: 1322
- Visitors: 1372
- Downloads: 97
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Published version | 492 KB | Adobe Acrobat PDF | View Details Download |