Willingness to Use Pre-exposure Prophylaxis (PrEP) and Preferences Among Men Who have Sex with Men in Mumbai and Chennai, India: A Discrete Choice Experiment

被引：16
作者：
Chakrapani, Venkatesan [1 ,2 ]
Newman, Peter A. [3 ,4 ]
Cameron, Michael [5 ]
Shunmugam, Murali [1 ]
Roungprakhon, Surachet [6 ]
Rawat, Shruta [2 ]
Baruah, Dicky [2 ]
Nelson, Ruban [1 ]
Tepjan, Suchon [4 ]
Scarpa, Riccardo [5 ]
机构：
[1] Ctr Sexual & Hlth Res & Policy C SHaRP, Chennai, Tamil Nadu, India
[2] Humsafar Trust, Mumbai, Maharashtra, India
[3] Univ Toronto, Factor Inwentash Fac Social Work, 246 Bloor St West, Toronto, ON M5S 1V4, Canada
[4] Voices Thailand Fdn, Chiang Mai, Thailand
[5] Univ Waikato, Sch Accounting Finance & Econ, Waikato Management Sch, Hamilton, New Zealand
[6] Rajamangala Univ Technol Phra Nakhon, Fac Sci & Technol, Bangkok, Thailand
来源：
AIDS AND BEHAVIOR | 2021年 / 25卷 / 10期
基金：
英国惠康基金; 加拿大创新基金会; 加拿大健康研究院;
关键词：
HIV prevention; PrEP; MSM; Stated preference methods; India; HIV VACCINE TRIALS; RECTAL MICROBICIDES; TRANSGENDER WOMEN; ACCEPTABILITY; COMMUNITIES; PREVENTION; MODELS; SAMPLE; MSM;
D O I：
10.1007/s10461-021-03253-5
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Pre-exposure prophylaxis (PrEP) programs are planned for key populations in India. We examined PrEP awareness and willingness to use PrEP in order to support products and services for MSM. From December 2016 to March 2017, we conducted a survey and discrete choice experiment (DCE)-a technique to quantify the strength of participants' trade-off preferences among various product attributes-to assess willingness to use PrEP and related preferences. MSM were recruited from cruising sites and HIV prevention services in Mumbai and Chennai. DCE data were analyzed using mixed logit regression models and estimated marginal willingness-to-pay, the relative value participants' place on different PrEP attributes. Overall, 76.6% indicated willingness to use PrEP. Efficacy had the greatest effect on choice (high vs. moderate, aOR = 19.9; 95% CI 13.0-30.4), followed by dosing frequency (intermittent vs. daily regimen, aOR = 2.02; 95% CI 1.8-2.2). Participants preferred no (vs. minor) side-effects, subsidized (vs. market) price, and government (vs. private) hospitals. Findings suggest that educational and social marketing interventions should emphasize PrEP's high efficacy and minimal side effects, and programs should provide government-subsidized PrEP with choices of intermittent or daily dosing delivered by government and private hospitals/clinics in order to optimize PrEP uptake among MSM in India.
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收藏
页码：3074 / 3084
页数：11
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