Willingness to use and uptake of non⁃occupational post-exposure prophylaxis （nPEP） among men who have sex with men （MSM） in Shanghai
10.19428/j.cnki.sjpm.2022.21021
- VernacularTitle:上海市男男性行为者艾滋病非职业暴露后预防的接受意愿和使用情况
- Author:
Yihui ZHENG
1
;
Yan XIE
1
;
Wei WEI
1
Author Information
1. Putuo District Center for Disease Control and Prevention， Shanghai 200333， China
- Publication Type:Journal Article
- Keywords:
men who have sex with men;
non-occupational post-exposure prophylaxis;
HIV;
willingness to accept;
usage
- From:
Shanghai Journal of Preventive Medicine
2022;34(2):134-138
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate nPEP willingness and uptake among MSM in Shanghai. Methods MSM were recruited through a NGO-based HIV voluntary counseling testing clinic and several virtual communities using snowball sampling. Results A total of 606 MSM were successfully recruited in which 82.8% （502/606） had heard of nPEP and 81.2% （492/606） were willing to use nPEP. MSM who had been diagnosed with sexually transmitted diseases （STD） were more likely to hold willingness in using nPEP. High cost was the most common reason for being unwilling to use nPEP. 9.9% （60/606） had used nPEP in which 51.7% （31/60） had used twice or more， and 50%（30/60） had missed medication in the last nPEP. MSM who were heterosexual or with other sex orientations except for being bisexuality （OR=2.943， 95%CI： 1.057‒8.191）， being receptor in anal intercourse （OR=3.361， 95%CI： 1.552‒7.282）， having 2 or more sexual partners in the last 30 days （OR=2.242， 95%CI： 1.225‒4.105）， having been diagnosed with STI （OR=2.317， 95%CI： 1.223‒4.389）， and using drugs （OR=2.177，95%CI： 1.052‒4.503） were more likely to use nPEP. Conclusion MSM in Shanghai have a relatively high willingness to use and uptake of nPEP. Comprehensive strategies need to be developed on improving adherence and reducing HIV-risk behaviors.
