Volume 20 Issue 9
Sep.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(9): 1560-1564
YAN Xing, CHEN Huai-jing, LIU Hui, DUAN Dan, GONG Zhuo. Willingness and influencing factors of HIV pre-exposure prophylaxis for 295 men who have sex with men in Changsha[J]. Chinese Journal of General Practice, 2022, 20(9): 1560-1564. doi: 10.16766/j.cnki.issn.1674-4152.002649
Citation: YAN Xing, CHEN Huai-jing, LIU Hui, DUAN Dan, GONG Zhuo. Willingness and influencing factors of HIV pre-exposure prophylaxis for 295 men who have sex with men in Changsha[J]. Chinese Journal of General Practice, 2022, 20(9): 1560-1564. doi: 10.16766/j.cnki.issn.1674-4152.002649
shu

Willingness and influencing factors of HIV pre-exposure prophylaxis for 295 men who have sex with men in Changsha

doi: 10.16766/j.cnki.issn.1674-4152.002649

  • College of Public Hygiene of Changsha Medical University, Changsha, Hunan 417200, China

Funds:

 20200064

 19C0217

  • Received Date: 2021-12-11
    Available Online: 2022-11-29
    Abstract
  •   Objective  To understand the needs and influencing factors of men who have sex with men (MSM) for HIV pre-exposure prophylaxis (PrEP) in Changsha.  Methods  A cross-sectional study was conducted using the on-site questionnaire survey method in MSM Sentinel of Changsha from January to December 2020. MSM with different characteristics was used to test the difference in PrEP service demand. Single-factor analysis was performed, and an unconditional two-category logistic regression model was used for multivariate analysis.  Results  Approximately 54.20% of MSM had heard of PrEP, and 30.80% expressed their willingness to accept PrEP. The awareness rate was higher than the willingness to use it. Monthly income level (χ2=17.037, P < 0.05), perception of local MSM infection with AIDS (χ2=8.449, P < 0.05), dangerous sexual behaviours such as condom rupture and slippage (χ2=9.916, P < 0.05) and same-sex commercial sex in the last 6 months (χ2=6.717, P < 0.05) were determined. The differences were statistically significant between the PrEP service demand and above factors. MSM with high monthly income, having dangerous sexual behaviours such as condom rupture or slippage, and believing that the local MSM AIDS epidemic was serious were more willing to use prep services, the corresponding OR values were 3.339, 3.710 and 2.517, respectively.  Conclusion  The MSM in Changsha City is dominated by young and highly educated singles. The awareness rate of PrEP services is relatively high, and the willingness to use it is lower than the awareness rate. There is a phenomenon of separation of awareness and action. Monthly income level, perception of local MSM infection with HIV and history of dangerous sexual behaviours such as condom rupture and slippage are related to the demand for PrEP services.

     

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