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

BACKGROUND: HIV pre-exposure prophylaxis (PrEP) is a key component of HIV combination prevention strategies and has the potential to decrease the incidence of HIV in men who have sex with men (MSM). This study aimed to evaluate levels of PrEP acceptability and explore factors associated with willing...

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Autores principales: Fu, Yuansheng, Ashuro, Akililu Alemu, Feng, Xianxiang, Wang, Ting, Zhang, Sichen, Ye, Dongqing, Fan, Yinguang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8325278/
https://www.ncbi.nlm.nih.gov/pubmed/34330300
http://dx.doi.org/10.1186/s12981-021-00374-8
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author Fu, Yuansheng
Ashuro, Akililu Alemu
Feng, Xianxiang
Wang, Ting
Zhang, Sichen
Ye, Dongqing
Fan, Yinguang
author_facet Fu, Yuansheng
Ashuro, Akililu Alemu
Feng, Xianxiang
Wang, Ting
Zhang, Sichen
Ye, Dongqing
Fan, Yinguang
author_sort Fu, Yuansheng
collection PubMed
description BACKGROUND: HIV pre-exposure prophylaxis (PrEP) is a key component of HIV combination prevention strategies and has the potential to decrease the incidence of HIV in men who have sex with men (MSM). This study aimed to evaluate levels of PrEP acceptability and explore 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 participants were recruited through a nonprobability sampling method. The 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 included Zhuang or Han ethnic origin, recruitment through peer introduction or gay venues, pursuit of a higher education level, previous HIV testing and oral sex with a man. Conversely, having casual sex in the past 6 months was associated with a 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 implementation strategies to promote PrEP acceptance among MSM.
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spelling pubmed-83252782021-08-02 Willingness to use HIV pre-exposure prophylaxis and associated factors among men who have sex with men in Liuzhou, China Fu, Yuansheng Ashuro, Akililu Alemu Feng, Xianxiang Wang, Ting Zhang, Sichen Ye, Dongqing Fan, Yinguang AIDS Res Ther Research BACKGROUND: HIV pre-exposure prophylaxis (PrEP) is a key component of HIV combination prevention strategies and has the potential to decrease the incidence of HIV in men who have sex with men (MSM). This study aimed to evaluate levels of PrEP acceptability and explore 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 participants were recruited through a nonprobability sampling method. The 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 included Zhuang or Han ethnic origin, recruitment through peer introduction or gay venues, pursuit of a higher education level, previous HIV testing and oral sex with a man. Conversely, having casual sex in the past 6 months was associated with a 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 implementation strategies to promote PrEP acceptance among MSM. BioMed Central 2021-07-30 /pmc/articles/PMC8325278/ /pubmed/34330300 http://dx.doi.org/10.1186/s12981-021-00374-8 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Fu, Yuansheng
Ashuro, Akililu Alemu
Feng, Xianxiang
Wang, Ting
Zhang, Sichen
Ye, Dongqing
Fan, Yinguang
Willingness to use HIV pre-exposure prophylaxis and associated factors among men who have sex with men in Liuzhou, China
title Willingness to use HIV pre-exposure prophylaxis and associated factors among men who have sex with men in Liuzhou, China
title_full Willingness to use HIV pre-exposure prophylaxis and associated factors among men who have sex with men in Liuzhou, China
title_fullStr Willingness to use HIV pre-exposure prophylaxis and associated factors among men who have sex with men in Liuzhou, China
title_full_unstemmed Willingness to use HIV pre-exposure prophylaxis and associated factors among men who have sex with men in Liuzhou, China
title_short Willingness to use HIV pre-exposure prophylaxis and associated factors among men who have sex with men in Liuzhou, China
title_sort willingness to use hiv pre-exposure prophylaxis and associated factors among men who have sex with men in liuzhou, china
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8325278/
https://www.ncbi.nlm.nih.gov/pubmed/34330300
http://dx.doi.org/10.1186/s12981-021-00374-8
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