Chuang Deng-Min, Newman Peter A
Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.
AIDS Educ Prev. 2018 Dec;30(6):490-501. doi: 10.1521/aeap.2018.30.6.490.
Gay and other men who have sex with men (MSM) account for the vast majority of new HIV infections in Taiwan, yet utilization of pre-exposure prophylaxis (PrEP) remains low. We examined correlates of PrEP awareness and acceptability among MSM in Taiwan. A cross-sectional survey was conducted with 176 MSM (mean age = 27.4 years) recruited through community-based organizations in two cities. Less than half of participants (47.2%) were aware of PrEP; however, when it was described to them, the majority (72.2%) indicated PrEP acceptability. In multivariable analyses, condomless anal sex was negatively associated with PrEP awareness, and higher levels of vicarious stigma and anticipated PrEP disclosure to sexual partners were positively associated with PrEP acceptability. Our findings indicate the need for targeted interventions to increase PrEP awareness among MSM engaged in high-risk behaviors and implementation strategies that address sociocultural factors to accelerate PrEP utilization among MSM in Taiwan.
男同性恋者及其他与男性发生性行为者（MSM）占台湾新增艾滋病毒感染病例的绝大多数，但暴露前预防（PrEP）的使用率仍然很低。我们研究了台湾男男性行为者中PrEP知晓率和可接受性的相关因素。通过两个城市的社区组织招募了176名男男性行为者（平均年龄 = 27.4岁）进行横断面调查。不到一半的参与者（47.2%）知晓PrEP；然而，当向他们描述PrEP时，大多数人（72.2%）表示可接受PrEP。在多变量分析中，无保护肛交与PrEP知晓率呈负相关，较高水平的替代性耻辱感和预期向性伴侣披露PrEP与PrEP可接受性呈正相关。我们的研究结果表明，需要采取有针对性的干预措施，提高从事高风险行为的男男性行为者对PrEP的知晓率，并实施应对社会文化因素的策略，以加速台湾男男性行为者对PrEP的使用。
