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

Shufang Sun; Cui Yang; Nickolas Zaller; Zhihua Zhang; Hongbo Zhang; Don Operario

doi:10.1007/s10461-021-03274-0

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

Shufang Sun, Cui Yang, Nickolas Zaller, Zhihua Zhang, Hongbo Zhang, Don Operario

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

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.

Original language	English (US)
Pages (from-to)	3482-3493
Number of pages	12
Journal	AIDS and behavior
Volume	25
Issue number	11
DOIs	https://doi.org/10.1007/s10461-021-03274-0
State	Published - Nov 2021

Keywords

China
Men who have sex with men
PrEP
PrEP willingness
Stigma

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-021-03274-0

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

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.",

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author = "Shufang Sun and Cui Yang and Nickolas Zaller and Zhihua Zhang and Hongbo Zhang and Don Operario",

note = "Funding Information: Acknowledgements This research was supported by NIH/NIMH grant R34-MH106349. Work by authors were also supported by NIH/NIMH R01-MH123352. Work by the first author was also supported by NIH/ NCCIH K23AT011173. Funders had no role in study design, data collection, analysis, and manuscript writing. Publisher Copyright: {\textcopyright} 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",

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AU - Zhang, Zhihua

AU - Zhang, Hongbo

AU - Operario, Don

N1 - Funding Information: Acknowledgements This research was supported by NIH/NIMH grant R34-MH106349. Work by authors were also supported by NIH/NIMH R01-MH123352. Work by the first author was also supported by NIH/ NCCIH K23AT011173. Funders had no role in study design, data collection, analysis, and manuscript writing. Publisher Copyright: © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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N2 - 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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PrEP Willingness and Adherence Self-Efficacy Among Men Who have Sex with Men with Recent Condomless Anal Sex in Urban China

Abstract

Keywords

ASJC Scopus subject areas

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