Knowledge and willingness to use pre-exposure prophylaxis among men who have sex with men in Northeastern Brazil

Magno, Laio; Dourado, Inês; Coats, Cassandra Sutten; Wilhite, Daniel; Silva, Luís Augusto Vasconcelos da; Oni-Orisan, Oluwadamilola; Brown, Julianna; Soares, Fabiane; Kerr, Lígia Regina Franco Sansigolo; Ransome, Yusuf; Chan, Philip A.; Nunn, Amy

doi:10.1080/17441692.2019.1571090

Cited by 26 publications

(21 citation statements)

References 52 publications

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“…This finding compares favorably with the results of a study conducted in Madrid on awareness, knowledge, use and willingness to use, as well as the need for, HIV PrEP, which revealed that only 33% of respondents knew correctly what HIV PrEP was (Iniesta et al, 2018). Moreover, the fact that little is also known about HIV PrEP in Brazil may be due to clinical, behavioural, social and structural factors (Magno, Dourado, Coats, Wilhite, Da Silva, Oni-Orisan, et al, 2019). However, this assertion is contrary to the results of a study which was conducted in Australia which found that the level of knowledge of HIV PrEP was moderate compared to awareness thereof, which was low (Holt, Lea, Kippax, Kolstee, Ellard, Velecky et al, 2018).…”

Section: Hiv Prep Has Side Effects * Facultysupporting

confidence: 69%

Knowledge, Awareness and Willingness to use HIV Pre-Exposure Prophylaxis (PrEP) Among Students at the University of Namibia

Nakathingo¹,

Ashipala²,

Iiyambo³

2021

GJHS

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Adequate knowledge, awareness and willingness to use HIV Pre-Exposure Prophylaxis (PrEP) is very important for HIV prevention mostly in developing countries where the burden of HIV infection continues to increase. The purpose of this study was to ascertain the level of knowledge, awareness, willingness to use HIV PrEP among tertiary students at the University of Namibia (UNAM), Rundu Campus. A quantitative, descriptive, cross-sectional design was used with a total of 232 first-year students across all three faculties at UNAM, Rundu Campus being selected using stratified random sampling. The study results showed that the majority (52% of the participants were female and 72% of the participants were aged between 18 and 24 years. It was also found that 45% of the participants reported that they had heard of PrEP and, of this number (n = 104), 88% reported that they were willing to use PrEP, although 8% only of the respondents had actually used it. Of the respondents who reported that they had heard of PrEP, both gender and the faculty at which they were studying were significantly associated (all p-values were less than 0.05) with their awareness and knowledge of, and willingness to use, PrEP. The study findings indicated a low level of awareness, knowledge and use of HIV PrEP among the respondents, although the degree of willingness to use PrEP was high among them.

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Section: Hiv Prep Has Side Effects * Facultysupporting

confidence: 69%

Knowledge, Awareness and Willingness to use HIV Pre-Exposure Prophylaxis (PrEP) Among Students at the University of Namibia

Nakathingo¹,

Ashipala²,

Iiyambo³

2021

GJHS

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“…Similarly, MSM who have a higher education might have better access to have health related information. In Brazil, MSM who reported that learning about PrEP online positively in uenced their willingness to use PrEP (26). In addition, this nding highlighted the need to increase access to PrEP related knowledge among less educated.…”

Section: Discussionmentioning

confidence: 84%

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

Ashuro

Feng

et al. 2021

Preprint

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Background: HIV pre-exposure prophylaxis (PrEP) is a key component of HIV combination prevention strategies, which has the potential to decrease the incidence of HIV in men who have sex with men (MSM). This study aimed to evaluate the levels of PrEP acceptability and explore the 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 participant were recruited through nonprobability sampling method. 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 include, being Zhuang or Han ethnic origin, recruited through peer introduction or gay venues, pursing higher education level, previous HIV testing and having oral sex with a man. However, had a casual sex in the past six months were associated with 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 define implementation strategies to promote PrEP acceptance among MSM.

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“…These results highlight the opportunity for PrEP programmes to improve PrEP uptake, continuation, and effective use by addressing stigma around PrEP and concerns around disclosure. In‐person and social media campaigns that brand PrEP around wellness and empowerment, rather than HIV risk and sexual behaviour, have the potential to counter stigmatizing narratives around PrEP . Sexual stigma among AGYW is likely more difficult to change than HIV‐related stigma.…”

Section: Discussionmentioning

confidence: 99%

The influence of HIV‐related stigma on PrEP disclosure and adherence among adolescent girls and young women in HPTN 082: a qualitative study

et al. 2020

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Introduction Stigma and disclosure concerns have been key barriers to oral pre‐exposure prophylaxis (PrEP) adherence for African adolescent girls and young women (AGYW) in efficacy trials. We aimed to understand the impact of these factors among African AGYW in an open‐label PrEP study. Methods HPTN 082 was an open‐label PrEP study among AGYW (ages 16 to 24) in Harare, Zimbabwe, and Cape Town and Johannesburg, South Africa from 2016 to 2018. Women starting PrEP were randomized to standard adherence support (counselling, two‐way SMS, monthly adherence clubs) or standard support plus drug‐level feedback. Serial in‐depth interviews were conducted among 67 AGYW after 13‐week and 26‐week study visits to explore experiences of stigma, disclosure and PrEP adherence. We analysed data by coding transcripts and memo‐writing and diagramming to summarize themes. Results AGYW described stigma related to sexual activity (e.g. “people say I'm a prostitute”) and being perceived to be living with HIV because of taking antiretrovirals (e.g. “my husband's friends say I'm HIV infected”). Participants who anticipated stigma were reluctant to disclose PrEP use and reported adherence challenges. Disclosure also resulted in stigmatizing experiences. Across all sites, negative descriptions of stigma and disclosure challenges were more common in the first interview. In the second interview, participants often described disclosure as an “empowering” way to combat community‐level PrEP stigma; many said that they proactively discussed PrEP in their communities (e.g. became a “community PrEP ambassador”), which improved their ability to take PrEP and encourage others to use PrEP. These empowering disclosure experiences were facilitated by ongoing HPTN 082 study activities (e.g. counselling sessions, adherence clubs) in which they could discuss PrEP‐related stigma, disclosure and PrEP adherence issues. Conclusions Stigma and disclosure challenges were initial concerns for African AGYW newly initiating PrEP but many were empowered to disclose PrEP use over their first six months of PrEP use, which helped them cope with stigma and feel more able to take PrEP regularly. PrEP programmes can foster disclosure through community and clinic‐based discussion, adherence clubs and activities normalizing sexual behaviour and PrEP use, which can reduce stigma and improve PrEP adherence and thus effectiveness.

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Knowledge and willingness to use pre-exposure prophylaxis among men who have sex with men in Northeastern Brazil

Cited by 26 publications

References 52 publications

Knowledge, Awareness and Willingness to use HIV Pre-Exposure Prophylaxis (PrEP) Among Students at the University of Namibia

Knowledge, Awareness and Willingness to use HIV Pre-Exposure Prophylaxis (PrEP) Among Students at the University of Namibia

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

The influence of HIV‐related stigma on PrEP disclosure and adherence among adolescent girls and young women in HPTN 082: a qualitative study

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