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PrEP Use Awareness and Interest Cascade among MSM and Transgender Women Living in Bali, Indonesia

Indonesia has not implemented HIV pre-exposure prophylaxis (PrEP) despite global calls for its scale-up, and there is limited information about attitudes towards PrEP among its potential users. We aim to present a PrEP cascade among men who have sex with men (MSM) and transgender women (known locall...

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Autores principales: Cempaka, Rissa, Wardhani, Brigitta, Sawitri, Anak Agung Sagung, Januraga, Pande Putu, Bavinton, Benjamin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7709693/
https://www.ncbi.nlm.nih.gov/pubmed/33050477
http://dx.doi.org/10.3390/tropicalmed5040158
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author Cempaka, Rissa
Wardhani, Brigitta
Sawitri, Anak Agung Sagung
Januraga, Pande Putu
Bavinton, Benjamin
author_facet Cempaka, Rissa
Wardhani, Brigitta
Sawitri, Anak Agung Sagung
Januraga, Pande Putu
Bavinton, Benjamin
author_sort Cempaka, Rissa
collection PubMed
description Indonesia has not implemented HIV pre-exposure prophylaxis (PrEP) despite global calls for its scale-up, and there is limited information about attitudes towards PrEP among its potential users. We aim to present a PrEP cascade among men who have sex with men (MSM) and transgender women (known locally as “waria”) in Denpasar, Bali, from a cross-sectional survey with 220 HIV-negative MSM/waria recruited from one clinic in Denpasar. Only 16.4% of participants had heard of PrEP before. From first-to-last steps included in the cascade, we found 77.3% (170/220) of participants were classified with HIV high risk, 75.9% (129/170) perceived themselves as being at high risk, 81.4% (105/129) expressed interest in using PrEP, 78.1% (82/105) were willing to do PrEP procedures, 48.8% (40/82) were willing to pay 500,000–600,000 IDR, and only two participants had ever been on PrEP before (5.0% of those willing to pay and 0.9% of the total sample). Multivariate logistic regression analysis showed that self-perception of high HIV risk was lower among older age groups (p < 0.001 among 30–39; p = 0.002 among > 40) and higher among participants with multiple sex partners (p = 0.016). Interest in using PrEP was lower among participants with high social engagement as MSM/waria (p = 0.002) and was higher among participants with multiple sex partners (p = 0.020) and inconsistent condom use (p = 0.011). This study has shown a significantly low level of PrEP awareness among its participants and decreases in interest in PrEP use due to procedure and cost. It suggested that an appropriate PrEP campaign is needed if PrEP is going to be introduced in Indonesia.
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spelling pubmed-77096932020-12-03 PrEP Use Awareness and Interest Cascade among MSM and Transgender Women Living in Bali, Indonesia Cempaka, Rissa Wardhani, Brigitta Sawitri, Anak Agung Sagung Januraga, Pande Putu Bavinton, Benjamin Trop Med Infect Dis Article Indonesia has not implemented HIV pre-exposure prophylaxis (PrEP) despite global calls for its scale-up, and there is limited information about attitudes towards PrEP among its potential users. We aim to present a PrEP cascade among men who have sex with men (MSM) and transgender women (known locally as “waria”) in Denpasar, Bali, from a cross-sectional survey with 220 HIV-negative MSM/waria recruited from one clinic in Denpasar. Only 16.4% of participants had heard of PrEP before. From first-to-last steps included in the cascade, we found 77.3% (170/220) of participants were classified with HIV high risk, 75.9% (129/170) perceived themselves as being at high risk, 81.4% (105/129) expressed interest in using PrEP, 78.1% (82/105) were willing to do PrEP procedures, 48.8% (40/82) were willing to pay 500,000–600,000 IDR, and only two participants had ever been on PrEP before (5.0% of those willing to pay and 0.9% of the total sample). Multivariate logistic regression analysis showed that self-perception of high HIV risk was lower among older age groups (p < 0.001 among 30–39; p = 0.002 among > 40) and higher among participants with multiple sex partners (p = 0.016). Interest in using PrEP was lower among participants with high social engagement as MSM/waria (p = 0.002) and was higher among participants with multiple sex partners (p = 0.020) and inconsistent condom use (p = 0.011). This study has shown a significantly low level of PrEP awareness among its participants and decreases in interest in PrEP use due to procedure and cost. It suggested that an appropriate PrEP campaign is needed if PrEP is going to be introduced in Indonesia. MDPI 2020-10-10 /pmc/articles/PMC7709693/ /pubmed/33050477 http://dx.doi.org/10.3390/tropicalmed5040158 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cempaka, Rissa
Wardhani, Brigitta
Sawitri, Anak Agung Sagung
Januraga, Pande Putu
Bavinton, Benjamin
PrEP Use Awareness and Interest Cascade among MSM and Transgender Women Living in Bali, Indonesia
title PrEP Use Awareness and Interest Cascade among MSM and Transgender Women Living in Bali, Indonesia
title_full PrEP Use Awareness and Interest Cascade among MSM and Transgender Women Living in Bali, Indonesia
title_fullStr PrEP Use Awareness and Interest Cascade among MSM and Transgender Women Living in Bali, Indonesia
title_full_unstemmed PrEP Use Awareness and Interest Cascade among MSM and Transgender Women Living in Bali, Indonesia
title_short PrEP Use Awareness and Interest Cascade among MSM and Transgender Women Living in Bali, Indonesia
title_sort prep use awareness and interest cascade among msm and transgender women living in bali, indonesia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7709693/
https://www.ncbi.nlm.nih.gov/pubmed/33050477
http://dx.doi.org/10.3390/tropicalmed5040158
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