2020
DOI: 10.1186/s12889-020-09363-4
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Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin

Abstract: Background: In Benin, men who have sex with men (MSM) do not always use condoms during anal sex. Preexposure prophylaxis (PrEP) using Truvada® (tenofovir disoproxil fumarate / emtricitabine) may be a complementary HIV prevention measure for MSM. This study aimed at identifying the potential facilitators and barriers to the use of PrEP. Methods: This was a cross-sectional study conducted in 2018 among male-born MSM aged 18 years or older who reported being HIV-negative or unaware of their HIV status. The partic… Show more

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Cited by 21 publications
(34 citation statements)
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References 59 publications
(74 reference statements)
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“…The participants recommended that correct information about PrEP, including its side effects and efficacy should be given to the public from a trained healthcare provider since many discovered that they received the wrong information from their peers. Previous studies suggest that many men are willing to utilize PrEP if they access correct information [ 9 ]. Our findings are also in line with a study that showed low PrEP awareness but a high willingness to its use once information about PrEP was provided to them [ 43 ].…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…The participants recommended that correct information about PrEP, including its side effects and efficacy should be given to the public from a trained healthcare provider since many discovered that they received the wrong information from their peers. Previous studies suggest that many men are willing to utilize PrEP if they access correct information [ 9 ]. Our findings are also in line with a study that showed low PrEP awareness but a high willingness to its use once information about PrEP was provided to them [ 43 ].…”
Section: Discussionmentioning
confidence: 99%
“…This agrees with findings from Israel where willingness to use PrEP could be increased if structural barriers such as stigma and paying for PrEP were removed [ 44 ]. Similarly, not having to pay for PrEP was one of the facilitators to its uptake among men in Benin, [ 9 ] while in the US, cost and access were not seen as barriers [ 45 ]. Although in another study in the US, requests for medication cost assistance programs and discounts on PrEP medication were made by gay and bisexual men (GBM) [ 46 ].…”
Section: Discussionmentioning
confidence: 99%
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“…PrEP can greatly reduce the incidence of HIV infection (2)(3)(4)(5)(6), however expanding access to PrEP in many resource limited settings (RLS) remains challenging (7). While supply and cost issues are important factors (5,(7)(8)(9)(10)(11), hesitancy among healthcare workers (HCW) and clients may also be a barrier to PrEP access and uptake (12,13).…”
Section: Introductionmentioning
confidence: 99%
“…Most previous studies used logistic regression to explore the influencing factors of acceptability based on the assumption that variables were independent of each other 14 , 18 , 23 . The complex network connections between variables were seldomly explored.…”
Section: Introductionmentioning
confidence: 99%