Influencing Factors of Pre-Exposure Prophylaxis Self-Efficacy Among Men Who Have Sex With Men

Qu, Dou; Zhong, Xiaoni; Lai, Minqing; Liang, Hao; Huang, Aiping

doi:10.1177/1557988319847088

Cited by 12 publications

(9 citation statements)

References 25 publications

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“…agreement with previous research by Dou et al (2019) and Klein (2014), which showed that individuals with a higher degree of HIV prevention-related knowledge, including PrEP and condom use, also demonstrate a higher level of HIV prevention self-efficacy, which may potentially lead to decreased rates of HIV. Another possible explanation for this finding is that men who do not feel comfortable discussing PrEP may also be less likely to acknowledge other components of sexual health and thus may be less likely to be aware of behaviors that place them at risk of acquiring HIV or less likely to discuss sexual risk-taking behaviors in general.…”

Section: Discussionsupporting

confidence: 92%

The Relationship Between Perception of HIV Susceptibility and Willingness to Discuss PrEP With a Health Care Provider: A Pilot Study

Carter

Woodward

2020

Am J Mens Health

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HIV continues to be a significant public health concern and despite recent reductions in new HIV diagnoses, certain demographics continue to be disproportionality affected. Men who have sex with other men (MSM) account for the largest percentage of new HIV diagnoses; however, 24% of new diagnoses can be attributed to male-to-female sex, highlighting the need to explore the HIV epidemic beyond the narrow scope of MSM. A multivariate linear regression model was used to explore the perception of HIV susceptibility and level of comfort discussing pre-exposure prophylaxis (PrEP) with a health care provider among a sample of men living in the United States ( n = 377). Men who had an increased perception of HIV susceptibility were significantly more likely to feel comfortable discussing PrEP with a health care provider. Men who distinguish themselves to be at increased risk of acquiring HIV were significantly more likely to report having either insertive or receptive condomless anal intercourse within the previous 3 months, while men who reported condomless vaginal intercourse perceived low HIV susceptibility. Never being screened for HIV was significantly associated with a perception of low HIV susceptibility compared to those men who had been screened in the previous year. Understanding how men perceive HIV susceptibility and engage with HIV prevention may help to improve HIV prevention efforts such as PrEP.

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Section: Discussionsupporting

confidence: 92%

The Relationship Between Perception of HIV Susceptibility and Willingness to Discuss PrEP With a Health Care Provider: A Pilot Study

Carter

Woodward

2020

Am J Mens Health

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“…On the basis of our previous research [ 5 , 40 ], all questions used to describe factors that perceived susceptibility, severity, benefits, barriers, and medication self-efficacy were measured with five-point Likert questions. The measurement problem details of the six dimensions of HBM are shown in Table 1 .…”

Section: Methodsmentioning

confidence: 99%

“…Self-efficacy refers to the level of a person’s confidence in his or her ability to perform a behavior successfully. The higher the self-efficacy is, the better a disease-preventive behavior is [ 38 , 39 , 40 , 41 ]. Accordingly, we made the following assumption about the prediction relationship between the self-efficacy and HIV-preventive behaviors of MSMs.…”

Section: The Hbm Modelmentioning

confidence: 99%

The Influencing Factors of HIV-Preventive Behavior Based on Health Belief Model among HIV-Negative MSMs in Western China: A Structural Equation Modeling Analysis

Liu

Lai

Shi

et al. 2022

IJERPH

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(1) Background: Men who have sex with other men (MSMs) are at high risk of being infected by the human immunodeficiency virus (HIV) in western China. Pre-exposure prophylaxis (PrEP) is an efficient way to prevent HIV transmission. However, adherence is the most vital determinant factor affecting PrEP effectiveness. We conducted a study based on the Health Belief Model to explore factors that predict adherence to PrEP among a cohort of 689 MSMs in western China. (2) Methods: We assessed perceived susceptibility, severity, benefits, barriers, self-efficacy, cues to action, and HIV-preventive behavior through a cross-sectional survey. (3) Results: PrEP self-efficacy was directly associated with PrEP behaviors (β = 0.221, p < 0.001), cues to action were directly associated with PrEP behaviors (β = 0.112, p < 0.001), perceived benefits were directly associated with PrEP behaviors (β = 0.101, p < 0.001), and perceived susceptibility was directly associated with PrEP behaviors (β = 0.117, p = 0.043). (4) Conclusion: Medication self-efficacy, perceived susceptibility, and cue to action structures are predictors of the MSMs’ HIV-preventive behavior in western China. These results will provide theoretical plans for promoting PrEP adherence in MSMs.

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“…One study showed the median adherence rate of daily oral PrEPin clinical trials was 64.29%, the main objective factor in non-adherence was forgetting to take the medicine [45], LAI PrEP may improve PrEP ad-herence to some extent and may further reduce the incidence of HIV. Qu, et al [46]. explored the impact factors to the low-level PrEP self-efficacy (Self-efficacy, as the determinant of individual behavior, is also the center of individual factors that often influences the choice and continuation of individual behavior [47] in China, age and anxiety score were negatively related to PrEP self-efficacy, AIDS-related knowledge and PrEP-related motiva- One study [27] showed that the top 2 reasons for willingness to use PrEP are "efficacy to sexual health" and "problems using condoms" and the top 3 reasons for unwillingness to use PrEP are "concern about side effects, long dose schedule", "confidence in protecting themselves" and "cost and atigma".…”

Section: Discussionmentioning

confidence: 98%

Awareness and Willingness to Use Pre-Exposure Prophylaxis (Prep) Amongst Men Who Have Sex with Men (MSM) in China: A Mini-Review

2019

Journal of HIV/AIDS & Infectious Diseases

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The purpose of this review is to research the awareness of and willingness to use pre-exposure prophylaxis (PrEP) to protect themselves from HIV infection amongst MSM in China. In addition, we explored the potential impact factors and evaluated the need and user preferences related to access and utilization ofPrEP in China. PUBMED, EMBASE, and CNKI were accessed to search for the relevant articles published before August 2019. The studies included in this review were conducted in 9 cities in China. The awareness of PrEPuse was from 11.2% (Zhou et al., 2012) to 52.7% (Peng et al., 2019). The lowest willingness to use PrEP was 19.1% (Ding et al., 2016), the highest is 91.9% (Wei et al., 2011) provided the drug is safe, effective and free. Assuming HIV prevention medicines are effective and safe, the willingness to use PrEP was in the range of 63%-89.8%. Factors associated with willingness to use PrEPinclude the factors of drug products (e.g., perceived safety, efficacy, price and dosing schedule, etc.); sociodemographic characteristics (e.g., age, education, income, sex identity and sex role, etc.); behavioral factors (e.g., drug use, condom use, STI history and sex partner, etc.), and the awareness and knowledge of HIV treatment and prevention. Results indicate that as more MSM in China are becoming aware of PrEP, the willingness to use PrEP is higher than 63% if the medicine is safe and effective. Future research is needed to solicit effective education and intervention programs to support the access and use of PrEP.

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Influencing Factors of Pre-Exposure Prophylaxis Self-Efficacy Among Men Who Have Sex With Men

Cited by 12 publications

References 25 publications

The Relationship Between Perception of HIV Susceptibility and Willingness to Discuss PrEP With a Health Care Provider: A Pilot Study

The Relationship Between Perception of HIV Susceptibility and Willingness to Discuss PrEP With a Health Care Provider: A Pilot Study

The Influencing Factors of HIV-Preventive Behavior Based on Health Belief Model among HIV-Negative MSMs in Western China: A Structural Equation Modeling Analysis

Awareness and Willingness to Use Pre-Exposure Prophylaxis (Prep) Amongst Men Who Have Sex with Men (MSM) in China: A Mini-Review

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