昆明市男男性行为者对HIV暴露前预防用药的认知、使用意愿及影响因素调查

目的 了解昆明市男男性行为者(MSM)对HIV暴露前预防用药(PrEP)的认知、使用意愿及影响因素,为开展PrEP提供依据.方法 采取定量和定性相结合的方法调查年龄≥16岁、最近1年有过男男肛交性行为、HIV阴性的MSM.定量调查采用非概率“滚雪球”抽样法,内容含人口学特征、个人性行为、PrEP知晓及使用意愿等;定性调...

Cognition,intention to use and influencing factors of HIV pre-exposure prophylaxis among men who have sex with men in Kunming

Objective To understand the cognition,intention to use and influencing factors of HIV pre-exposure prophylaxis(PrEP)among men who have sex with men(MSM)in Kunming Province,in order to provide evidence for PrEP program. Methods Quantitative and qualitative methods were carried out to investigate MSM patients aged ≥16 years,who had anal sex with men in the last year and HIV negative. Non-probabilistic"snowball"sampling was used in the quantitative survey,which included demographic characteristics,personal sexual behavior,PrEP awareness and usage intention,etc. Qualitative adopted the method of intention sampling,including cognition of PrEP,willingness to use when not free,psychological expectations,and prevention measures of HIV,etc. Results A total of 396 valid questionnaires were collected. 63.9%(253/396)had heard of PrEP,if the drug was free,92.4%(366/396)were willing to take PrEP. Multivariate Logistic regression analysis showed that likely to be infected with HIV over the next five years(OR=14.192),no worry about PrEP expensive cannot afford(OR=6.023),had heard of PrEP(OR=3.291),and non-marital cohabitation(OR=6.603)were independent protect factors to use PrEP. The against for PrEP by gay friend(OR=0.015)was independent obstructive factors. The qualitative showed that 8 out of 11 MSM had heard of PrEP,but 5 person did not know what is PrEP. When it was not free 8 out of 11 said would not use drug because of the high prices,side effects and efficacy was not100%. They were willing to pay 945.5~1 000.0 yuan a month if needed in the future. Conclusion The willingness of HIV PrEP use among MSM in Kunming is high,but lack of cognition. Personal risk awareness,attitude of gay friend,have heard of PrEP and the price may be the influening factors of PrEP to use.