Poon Adrienne N, Han Lifeng, Li Zhijun, Zhou Chu, Li Yan, Huang Lu, Liao Meizhen, Shepard Colin, Bulterys Marc
United States Centers for Disease Control and Prevention (CDC) Global AIDS Program , Beijing , People's Republic of China.
National Centre for AIDS/STD Prevention and Control, Chinese Centre for Disease Control and Prevention , Beijing , People's Republic of China.
AIDS Care. 2019 Dec;31(12):1555-1564. doi: 10.1080/09540121.2019.1612001. Epub 2019 May 2.
HIV pre-exposure prophylaxis (PrEP) is a highly effective prevention method. It is an attractive self-initiated approach to reduce the spread of HIV amongst female sex workers (FSW). PrEP, however, has not yet achieved its potential to reduce HIV infections partially due to a general lack of awareness from women who may benefit. Aims of this cross-sectional study of 1,466 FSW in China were to understand: levels of awareness of and willingness to use PrEP among female sex workers (FSW) in China, and factors contributing to willingness to use PrEP. We found that awareness (10.2%) and willingness (35.5%) to use PrEP were low in our survey areas. Low PrEP willingness is likely reflective of the overall poor knowledge and understanding of HIV risk and prevention. FSW that demonstrated greater HIV knowledge through having been tested or having greater decision-making involvement in condom use were more willing to use PrEP. Study findings may be used to inform future HIV prevention activities, including possible use of PrEP among FSW at higher risk of incident HIV infection in China.
艾滋病病毒暴露前预防（PrEP）是一种高效的预防方法。它是一种颇具吸引力的自我主动预防方式，可减少女性性工作者中艾滋病病毒的传播。然而，PrEP尚未充分发挥其减少艾滋病病毒感染的潜力，部分原因是可能受益的女性普遍缺乏认知。这项针对中国1466名女性性工作者的横断面研究的目的是了解：中国女性性工作者对PrEP的认知水平和使用意愿，以及影响使用PrEP意愿的因素。我们发现，在我们的调查地区，对PrEP的认知（10.2%）和使用意愿（35.5%）较低。PrEP意愿较低可能反映出对艾滋病病毒风险和预防的总体认知和理解较差。通过接受检测或在使用避孕套方面有更大决策参与度而表现出对艾滋病病毒有更多了解的女性性工作者更愿意使用PrEP。研究结果可用于为未来的艾滋病病毒预防活动提供信息，包括在中国艾滋病病毒感染风险较高的女性性工作者中可能使用PrEP。
