Guo Pengyue, Hou Fengsu, Cao Wangnan, Guo Yawei, Wei Dannuo, Li Jinghua, Hao Yuantao
School of Public Health, Sun Yat-Sen University, Guangzhou, China.
Department of Public Mental Health, Shenzhen Kangning Hospital, Luohu District, Shenzhen, Guangdong, China.
J Interpers Violence. 2023 Apr;38(7-8):5824-5848. doi: 10.1177/08862605221127197. Epub 2022 Oct 19.
Intimate partner violence (IPV) is common in men who have sex with men (MSM). MSM also face increased risk of human immunodeficiency virus infection. However, it is not known whether IPV experience of MSM in China would affect their attitudes toward pre-exposure prophylaxis (PrEP) use. A cross-sectional study was conducted to explore the associations between different types of IPV and willingness to use PrEP in a sample of 608 MSM from November 2018 to May 2019 in Chengdu, China. Univariate and multivariate logistic regression analyses were used to explore the associations between different types of IPV and willingness to use PrEP. The average age of the participants was 31.8 ± 12.3 years, 48.9% of them were aware of PrEP before this study, and only 7.2% were aware of long-acting injectable PrEP (LAI-PrEP). The overall willingness to use any type of PrEP in the next 6 months was 82.2%. Approximately one third of the participants ( = 198) had experienced at least one type of IPV. We found that experience of sexual perpetration was negatively associated with the willingness to use on-demand PrEP (adjusted odds ratio [ORa] = 0.33, 95% CI = 0.16-0.67) and the overall willingness to use any type of PrEP (ORa = 0.31, 95% CI = 0.15-0.64). The willingness to use LAI-PrEP also had negative associations with any type of monitoring IPV (ORa = 0.58, 95% CI = 0.38-0.91), controlling victimization (ORa = 0.41, 95% CI = 0.21-0.82), and emotional victimization (ORa = 0.58, 95% CI = 0.35-0.97). The findings of this study demonstrate that IPV experiences are negatively associated with willingness to use PrEP among MSM, suggesting that PrEP promotion programs should consider IPV screening and develop explicit intervention strategies for both perpetrators and victims.
亲密伴侣暴力（IPV）在男男性行为者（MSM）中很常见。MSM感染人类免疫缺陷病毒的风险也更高。然而，中国MSM的IPV经历是否会影响他们对暴露前预防（PrEP）用药的态度尚不清楚。2018年11月至2019年5月，在中国成都对608名MSM进行了一项横断面研究，以探讨不同类型的IPV与使用PrEP意愿之间的关联。采用单因素和多因素逻辑回归分析来探讨不同类型的IPV与使用PrEP意愿之间的关联。参与者的平均年龄为31.8±12.3岁，其中48.9%在本研究之前知晓PrEP，只有7.2%知晓长效注射PrEP（LAI-PrEP）。在接下来6个月内使用任何类型PrEP的总体意愿为82.2%。约三分之一的参与者（n = 198）经历过至少一种类型的IPV。我们发现，性侵犯经历与按需使用PrEP的意愿（调整后的优势比[ORa]=0.33，95%置信区间[CI]=0.16 - 0.67）以及使用任何类型PrEP的总体意愿（ORa = 0.31，95% CI = 0.
