Li Z K, Zhu Y, Yang X, Chen X T, Gu J, Hao Y T, Cao W N, Li Jinghua
School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.
School of Public Health, Peking University, Beijing 100191, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2022 Oct 10;43(10):1658-1665. doi: 10.3760/cma.j.cn112338-20220501-00367.
To investigate the willingness to use three types of pre-exposure prophylaxis (PrEP) and its associated factors among MSM in Chengdu. A total of 793 MSM were recruited through Chengdu Tongle Health Consultation Service Centre between November 2021 to January 2022. Data were collected, including demographic characteristics, sexual behaviors in the last six months, PrEP-related stigma, HIV anticipated stigma, MSM internalized stigma, and willingness to use three types of PrEP. Univariate and multivariate logistic regression models were conducted to investigate the associated factors of willingness in using the three types of PrEP. Among 793 participants, willingness to take on-demand PrEP was higher (68.3%). Higher education and multiple sexual partners increased the willingness to use oral PrEP, higher education [compared with junior high school or below, high school or technical secondary school (a=2.43, 95%: 1.13-5.21), junior college (a=2.67, 95%: 1.27-5.61), bachelor degree (a=3.21, 95%: 1.52-6.74), master degree or above (a=3.77, 95%: 1.54-9.26)], multiple sexual partners (a=1.54, 95%: 1.12-2.11) were positively associated with daily oral PrEP. HIV anticipated stigma was positively associated with the willingness in using all three types of PrEP: daily oral PrEP (a=1.07, 95%: 1.02-1.12), on-demand PrEP (a=1.09, 95%: 1.03-1.15), and injectable PrEP every 8 week (a=1.06, 95%: 1.01-1.11). The overall willingness in using PrEP in MSM in Chengdu is relatively high, and the promotion of PrEP is highly feasible. In the future, we should continue to promote publicity and education on HIV and PrEP-related knowledge in this population, improve the cognitive level, and guide MSM to establish the correct motivation for PrEP use.
调查成都男男性行为者(MSM)使用三种暴露前预防(PrEP)措施的意愿及其相关因素。2021年11月至2022年1月期间,通过成都同乐健康咨询服务中心招募了793名MSM。收集的数据包括人口统计学特征、过去六个月的性行为、PrEP相关耻辱感、HIV预期耻辱感、MSM内化耻辱感以及使用三种PrEP措施的意愿。采用单因素和多因素逻辑回归模型研究使用三种PrEP措施意愿的相关因素。在793名参与者中,按需服用PrEP的意愿较高(68.3%)。高等教育程度和多个性伴侣增加了使用口服PrEP的意愿,高等教育程度[与初中及以下相比,高中或中专(a=2.43,95%:1.13 - 5.21),大专(a=2.67,95%:1.27 - 5.61),本科学历(a=3.21,95%:1.52 - 6.74),硕士及以上学历(a=3.77,95%:1.54 - 9.26)]、多个性伴侣(a=1.54,95%:1.12 - 2.11)与每日口服PrEP呈正相关。HIV预期耻辱感与使用所有三种PrEP措施的意愿呈正相关:每日口服PrEP(a=1.07,95%:1.02 - 1.12)、按需PrEP(a=1.09,95%:1.03 - 1.15)以及每8周注射一次PrEP(a=1.06,95%:1.01 - 1.11)。成都MSM使用PrEP的总体意愿相对较高,推广PrEP具有高度可行性。未来,应继续加强该人群中HIV及PrEP相关知识的宣传教育,提高认知水平,引导MSM树立正确的PrEP使用动机。