PrEP Willingness and Adherence Self-Efficacy Among Men Who have Sex with Men with Recent Condomless Anal Sex in Urban China

被引：0
作者：
Shufang Sun
Cui Yang
Nickolas Zaller
Zhihua Zhang
Hongbo Zhang
Don Operario
机构：
[1] Brown University School of Public Health,Department of Behavioral and Social Sciences
[2] Johns Hopkins University,undefined
[3] University of Arkansas for Medical Sciences,undefined
[4] Anhui Medical University,undefined
来源：
AIDS and Behavior | 2021年 / 25卷
关键词：
PrEP; Men who have sex with men; China; PrEP willingness; Stigma;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
This study investigates PrEP willingness, adherence self-efficacy and potential impact of PrEP among HIV-negative, Chinese men who have sex with men (MSM; n = 622) with recent condomless anal sex. Facilitative factors of PrEP willingness included migrant status, sexual risk, and prior PrEP use, whereas barriers included concerns over being treated as an HIV/AIDS patient, recent HIV testing, identity concealment, and HIV prevention service usage. Adherence self-efficacy was associated with PrEP knowledge and confidence in PrEP efficacy of HIV prevention. A total of 39.3% anticipated increase in sex partners, 25.6% anticipated decrease in condom use, and 38.0% anticipated increased HIV testing following PrEP uptake. Results suggest a two-step approach to (1) promote PrEP acceptance among Chinese MSM and (2) enhance adherence and risk monitoring among PrEP-willing MSM. Efforts to reduce stigma, incorporate PrEP in the HIV prevention continuum, and increase PrEP knowledge will be crucial to optimize PrEP implementation.
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页码：3482 / 3493
页数：11
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