Multi-dimensional mismatch and barriers for promoting PrEP among men who have sex with men in China: a cross sectional survey from the Demand-side

Guan，Yuan1,2; Qi，Tangkai3; Liao，Qibin2; Zhang，Renfang3; Chen，Jun3; Liu，Li3; Shen，Yinzhong3; Zhu，Han3; Tang，Qi1; Lu，Hongzhou2

2023-12-01

10.1186/s12981-022-00497-6

AIDS Research and Therapy   Impact Factor & Quartile

1742-6405

1742-6405

Background: Men who have sex with men (MSM) is a key population for preventing HIV in China, yet pre-exposure prophylaxis (PrEP) is not widely accepted in this population. The objective of this manuscript was to assessed the barriers in the acknowledgement and uptake focusing the demand side. Methods: An online questionnaire survey was conducted from December 2018 to January 2019. All participants were required to scan two-dimensional code which was the online crowdsourcing survey platform to complete the electronic questionnaire anonymously. Results: Among 1915 MSM from thirty-four cities of China, 512 (26.7%) versus 1617 (84.4%) had an objective or subjective need of PrEP, respectively. One hundred and six (5.5%) reported affordability and only 23 (1.2%) had ever taken it. Age, living alone and occupation were associated with the objective needs. Age, income, sexual behavior were associated with actual usage. The participants who they had objective need to use PrEP are the population which we should focus on. Conclusion: A wide disconnect exists among the objective need, willingness, affordability and uptake of PrEP. Cost was the most prevalent barrier, accounting for 78.22% of individuals who needed and wished for PrEP but finally failed to receive it. The findings might facilitate optimizing future allocation of resources to better promote PrEP in Chinese MSM.

HIV HIV prevention MSM PrEP Risk behaviors

SCI

English

Others

Infectious Diseases

Infectious Diseases

WOS:000933858400001

BMC

2-s2.0-85147913970

Scopus

1.School of Public Health,Fudan University,Shanghai,China
2.National Clinical Research Center for Infectious Disease Shenzhen Third Peoples Hospital The Second Affiliated Hospital School of Medicine,Southern University of Science and Technology,Shenzhen,Guangdong,China
3.Department of Infection and Immunity,Shanghai Public Health Clinical Center,Fudan University,Shanghai,China

Guan，Yuan,Qi，Tangkai,Liao，Qibin,et al. Multi-dimensional mismatch and barriers for promoting PrEP among men who have sex with men in China: a cross sectional survey from the Demand-side[J]. AIDS Research and Therapy,2023,20(1).

Guan，Yuan.,Qi，Tangkai.,Liao，Qibin.,Zhang，Renfang.,Chen，Jun.,...&Lu，Hongzhou.(2023).Multi-dimensional mismatch and barriers for promoting PrEP among men who have sex with men in China: a cross sectional survey from the Demand-side.AIDS Research and Therapy,20(1).

Guan，Yuan,et al."Multi-dimensional mismatch and barriers for promoting PrEP among men who have sex with men in China: a cross sectional survey from the Demand-side".AIDS Research and Therapy 20.1(2023).