Cognitive, Psychosocial, and Sociodemographic Predictors of Willingness to Use HIV Pre-Exposure Prophylaxis Among Chinese Men Who Have Sex with Men

Jackson, Todd; Huang, Aiping; Chen, Hong; Gao, Xiaodan; Zhong, Xiaoni; Zhang, Yan

doi:10.1007/s10461-012-0188-z

Cited by 50 publications

(51 citation statements)

References 29 publications

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“…The willingness of PrEP use of MSM in Taiwan is consistent with 50-75% of willingness in the Asia-Pacific region and a U.S. context (Holt, 2014;Young & McDaid, 2014) and relative lower than 63-67.8% of Chinese MSM (Jackson et al, 2012;Zhou et al, 2012) and 88.4% of Thai MSM (Wheelock et al, 2013). The discrepancy between initial willingness and willingness to self-pay for PrEP is a consequence of PrEP cost and affordability.…”

Section: Discussionmentioning

confidence: 52%

Willingness to Self-Pay for Pre-exposure Prophylaxis in Men Who Have Sex With Men: A National Online Survey in Taiwan

Chen

et al. 2016

AIDS Education and Prevention

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High cost of pre-exposure prophylaxis (PrEP) is a major concern for acceptability. This study determined the willingness of men who have sex with men to self-pay for PrEP and factors associated with the likelihood of condom use if taking PrEP. The Taiwan 2014 MSM Online Sex Survey was conducted and data such as demographics, attitudes toward PrEP, and sexual behaviors in the previous 3 months were collected. Of the 1,151 MSM who participated, 56% were willing to take PrEP, but only 23% were willing to self-pay $340 for PrEP. Willingness to self-pay for PrEP was significantly associated with the previous receipt of nonoccupational post-exposure prophylaxis (adjusted odds ratio [AOR], 3.02, 95%CI [1.49, 6.12]), and positive attitudes toward PrEP (AOR, 3.02, 95%CI [2.19, 4.17]). Of MSM who are willing to use PrEP, 73.6% would maintain condom use if taking PrEP. If PrEP is made available in Taiwan, more efforts should be focused on increasing awareness of MSM who are practicing risky behaviors.

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Section: Discussionmentioning

confidence: 52%

Willingness to Self-Pay for Pre-exposure Prophylaxis in Men Who Have Sex With Men: A National Online Survey in Taiwan

Chen

et al. 2016

AIDS Education and Prevention

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“…Five studies sampled participants from service provision sites such as community-based and youth-led non-governmental organizations [31,32,50,52]. Two studies utilized health facilities for recruitment and data collection, including community health clinics [53] and HIV voluntary counselling and testing sites [51]. Three studies utilized other venues frequented by MSM such as entertainment venues [33,47], gay community events [53], and beauty salons [50].…”

Section: Recruitment and Data Collection Settingsmentioning

confidence: 99%

“…The studies by Lim et al [31], Bourne et al [32], and Jackson et al [53] expanded their online-based recruitment to include recruitment through local non-governmental organizations, which may have facilitated inclusion of different profiles of MSM. A number of studies recruited specifically from sites which were thought to be frequented by high-risk MSM, including from entertainment venues in Thailand [33,47], gay community events in China [53], and beauty salons in Peru [50]. Although appropriate for identifying MSM who require PrEP, these strategies may exclude other MSM, for example those who are not living openly as MSM.…”

Section: Bias Assessmentmentioning

confidence: 99%

Awareness and willingness to use HIV pre‐exposure prophylaxis among men who have sex with men in low‐ and middle‐income countries: a systematic review and meta‐analysis

Tuot²,

Mwai³

et al. 2017

Journal of the International AIDS Society

134

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Introduction: To facilitate provision of pre-exposure prophylaxis (PrEP) in low- and middle-income countries (LMIC), a better understanding of potential demand and user preferences is required. This review assessed awareness and willingness to use oral PrEP among men who have sex with men (MSM) in LMIC.Methods: Electronic literature search of Cochrane library, Embase, PubMed, PsychINFO, CINHAL, Web of Science, and Google Scholar was conducted between July and September 2016. Reference lists of relevant studies were searched, and three authors contacted for additional data. Non-peer reviewed publications were excluded. Studies were screened for inclusion, and relevant data abstracted, assessed for bias, and synthesized.Results: In total, 2186 records were identified, of which 23 studies involving 14,040 MSM from LMIC were included. The proportion of MSM who were aware of PrEP was low at 29.7% (95% CI: 16.9–44.3). However, the proportion willing to use PrEP was higher, at 64.4% (95% CI: 53.3–74.8). Proportions of MSM aware of PrEP was <50% in 11 studies and 50–70% in 3 studies, while willingness to use PrEP was <50% in 6 studies, 50–70% in 9 studies, and over 80% in 5 studies. Several factors affected willingness to use PrEP. At the individual domain, poor knowledge of PrEP, doubts about its effectiveness, fear of side effects, low perception of HIV risk, and the need to adhere or take medicines frequently reduced willingness to use PrEP, while PrEP education and motivation to maintain good health were facilitators of potential use. Demographic factors (education, age, and migration) influenced both awareness and willingness to use PrEP, but their effects were not consistent across studies. At the social domain, anticipated stigma from peers, partners, and family members related to sexual orientation, PrEP, or HIV status were barriers to potential use of PrEP, while partner, peer, and family support were facilitators of potential use. At the structural domain, concerns regarding attitudes of healthcare providers, quality assurance, data protection, and cost were determinants of potential use.Conclusions: This review found that despite low levels of awareness of PrEP, MSM in LMIC are willing to use it if they are supported appropriately to deal with a range of individual, social, and structural barriers.

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“…There has been growth in recent research examining attitudes, awareness and willingness to use PrEP among MSM primarily in the US, [7], [8], [9], [10], [11], [12] with more limited research in Australia, China, France, Thailand and Canada [13], [14], [15], [16], [17]. To date, only one peer-reviewed study with MSM in the UK has been published, [18] although preliminary findings from a few UK studies have been reported [19], [20].…”

Section: Introductionmentioning

confidence: 99%

Awareness and Willingness to Use HIV Pre-Exposure Prophylaxis amongst Gay and Bisexual Men in Scotland: Implications for Biomedical HIV Prevention

Young

McDaid

2013

PLoS ONE

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ObjectivesTo investigate the awareness of, and willingness to use, HIV Pre-Exposure Prophylaxis (PrEP), and willingness to take part in a PrEP study among gay and bisexual men in Scotland.MethodsCross-sectional survey of 17 gay commercial venues in Glasgow and Edinburgh in May 2011 (N = 1515, 65.2% response rate); 1393 are included in the analyses.ResultsJust under one-third of participants had heard of PrEP (n = 434; 31.2%), with awareness associated with being aged older than 35 years, talking to UAI partners about HIV, and with having had an HIV or STI test in the previous 12 months. Around half were willing to take part in a PrEP study (n = 695; 49.9%) or to take PrEP on a daily basis (n = 756; 54.3%). In multivariate analysis, willingness to take PrEP was associated with lower levels of education, regular gay scene attendance, ‘high-risk’ unprotected anal intercourse (UAI) and testing for HIV or STI in the previous 12 months. Reasons for not wanting to participate in a PrEP study or take PrEP included perceptions of low personal risk of HIV and concerns with using medication as an HIV prevention method.ConclusionsThere is a willingness to engage in new forms of HIV prevention and research amongst a significant number of gay and bisexual men in Scotland. Future biomedical HIV interventions need to consider the links between sexual risk behaviour, testing, and potential PrEP use.

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Cognitive, Psychosocial, and Sociodemographic Predictors of Willingness to Use HIV Pre-Exposure Prophylaxis Among Chinese Men Who Have Sex with Men

Cited by 50 publications

References 29 publications

Willingness to Self-Pay for Pre-exposure Prophylaxis in Men Who Have Sex With Men: A National Online Survey in Taiwan

Willingness to Self-Pay for Pre-exposure Prophylaxis in Men Who Have Sex With Men: A National Online Survey in Taiwan

Awareness and willingness to use HIV pre‐exposure prophylaxis among men who have sex with men in low‐ and middle‐income countries: a systematic review and meta‐analysis

Awareness and Willingness to Use HIV Pre-Exposure Prophylaxis amongst Gay and Bisexual Men in Scotland: Implications for Biomedical HIV Prevention

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