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PrEP Willingness and Adherence Self-Efficacy Among Men Who have Sex with Men with Recent Condomless Anal Sex in Urban China.
- Source :
- AIDS & Behavior; Nov2021, Vol. 25 Issue 11, p3482-3493, 12p, 2 Charts, 1 Graph
- Publication Year :
- 2021
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV prevention
NOMADS
HEALTH services accessibility
SOCIAL stigma
SELF-efficacy
PREVENTIVE health services
RISK assessment
HUMAN services programs
DESCRIPTIVE statistics
MEN who have sex with men
PREVENTIVE medicine
PATIENT compliance
ANAL sex
METROPOLITAN areas
PATIENT education
UNSAFE sex
HEALTH promotion
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Volume :
- 25
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- AIDS & Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 153339525
- Full Text :
- https://doi.org/10.1007/s10461-021-03274-0