Multi-dimensional mismatch and barriers for promoting PrEP among men who have sex with men in China: a cross sectional survey from the Demand-side

AIDS Research and Therapy

Research

Jun Chen¹  Tangkai Qi¹  Li Liu¹  Han Zhu¹  Yinzhong Shen¹  Renfang Zhang¹  Hongzhou Lu²  Qibin Liao²  Qi Tang³  Yuan Guan⁴ 

[1] Department of Infection and Immunity, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China;National Clinical Research Center for Infectious Disease Shenzhen Third Peoples Hospital The Second Affiliated Hospital School of Medicine, Southern University of Science and Technology, Shenzhen, Guangdong, China;School of Public Health, Fudan University, Shanghai, China;School of Public Health, Fudan University, Shanghai, China;National Clinical Research Center for Infectious Disease Shenzhen Third Peoples Hospital The Second Affiliated Hospital School of Medicine, Southern University of Science and Technology, Shenzhen, Guangdong, China;

关键词: PrEP;    MSM;    HIV;    Risk behaviors;    HIV prevention;   

DOI  :  10.1186/s12981-022-00497-6

 received in 2022-06-12, accepted in 2022-12-19,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundMen who have sex with men (MSM) is a key population for preventing HIV in China, yet pre-exposure prophylaxis (PrEP) is not widely accepted in this population. The objective of this manuscript was to assessed the barriers in the acknowledgement and uptake focusing the demand side.MethodsAn online questionnaire survey was conducted from December 2018 to January 2019. All participants were required to scan two-dimensional code which was the online crowdsourcing survey platform to complete the electronic questionnaire anonymously.ResultsAmong 1915 MSM from thirty-four cities of China, 512 (26.7%) versus 1617 (84.4%) had an objective or subjective need of PrEP, respectively. One hundred and six (5.5%) reported affordability and only 23 (1.2%) had ever taken it. Age, living alone and occupation were associated with the objective needs. Age, income, sexual behavior were associated with actual usage. The participants who they had objective need to use PrEP are the population which we should focus on.ConclusionA wide disconnect exists among the objective need, willingness, affordability and uptake of PrEP. Cost was the most prevalent barrier, accounting for 78.22% of individuals who needed and wished for PrEP but finally failed to receive it. The findings might facilitate optimizing future allocation of resources to better promote PrEP in Chinese MSM.

【 授权许可】

CC BY   
© The Author(s) 2023

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