Awareness and use of nonoccupational HIV post-exposure prophylaxis and factors associated with awareness among MSM in Beijing, China.

<h4>Background</h4>Human immunodeficiency virus (HIV) sexual transmission among men who have sex with men (MSM) has increased markedly in Beijing, China, during the past decade. Nonoccupational HIV post-exposure prophylaxis (nPEP) is a highly efficacious biomedical prevention strategy th...

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Autores principales:	Yanming Sun, Guiying Li, Hongyan Lu
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4d6ad434128b434db87c096dece10f1c
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spelling	oai:doaj.org-article:4d6ad434128b434db87c096dece10f1c2021-12-02T20:14:55ZAwareness and use of nonoccupational HIV post-exposure prophylaxis and factors associated with awareness among MSM in Beijing, China.1932-620310.1371/journal.pone.0255108https://doaj.org/article/4d6ad434128b434db87c096dece10f1c2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255108https://doaj.org/toc/1932-6203<h4>Background</h4>Human immunodeficiency virus (HIV) sexual transmission among men who have sex with men (MSM) has increased markedly in Beijing, China, during the past decade. Nonoccupational HIV post-exposure prophylaxis (nPEP) is a highly efficacious biomedical prevention strategy that significantly reduces HIV-transmission risk. This study examined nPEP awareness among MSM and the factors influencing it.<h4>Methods</h4>Consecutive, cross-sectional MSM surveys were conducted from April to August of 2018 and 2019. Demographic data as well as that on behavior and awareness regarding nPEP was collected. Factors influencing nPEP awareness were assessed using univariate and multivariable logistic regression.<h4>Results</h4>There were 1,202 eligible responders recruited. Of the responders, 42.5% had nPEP awareness, and 59.9% expressed interest in receiving nPEP in the future, if required. Greater odds of nPEP awareness were associated with younger age, higher education level (adjusted odds ratio [aOR]: 4.011, 95% confidence interval [CI]: 2.834-5.678, P<0.001), higher income, use of the Internet to meet sexual partners (aOR: 2.016, 95% CI: 1.481-2.744, P<0.001), greater HIV-related knowledge (aOR: 3.817, 95% CI: 1.845-7.899, p<0.001), HIV testing (aOR: 2.584, 95% CI: 1.874-3.563, p<0.001), and sexually transmitted infections (aOR: 1.736, 95% CI: 1.174-2.569, P = 0.006). Lower odds of nPEP awareness were associated with greater stigma score (aOR: 0.804, 95% CI: 0.713-0.906, P<0.001).<h4>Conclusions</h4>The findings indicate suboptimal awareness and low utilization of nPEP in Beijing and highlight nPEP inequities among MSM with stigma. Strengthening the training of health service providers and peer educators in reducing stigma and disseminating nPEP knowledge is imperative.Yanming SunGuiying LiHongyan LuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255108 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yanming Sun Guiying Li Hongyan Lu Awareness and use of nonoccupational HIV post-exposure prophylaxis and factors associated with awareness among MSM in Beijing, China.
description	<h4>Background</h4>Human immunodeficiency virus (HIV) sexual transmission among men who have sex with men (MSM) has increased markedly in Beijing, China, during the past decade. Nonoccupational HIV post-exposure prophylaxis (nPEP) is a highly efficacious biomedical prevention strategy that significantly reduces HIV-transmission risk. This study examined nPEP awareness among MSM and the factors influencing it.<h4>Methods</h4>Consecutive, cross-sectional MSM surveys were conducted from April to August of 2018 and 2019. Demographic data as well as that on behavior and awareness regarding nPEP was collected. Factors influencing nPEP awareness were assessed using univariate and multivariable logistic regression.<h4>Results</h4>There were 1,202 eligible responders recruited. Of the responders, 42.5% had nPEP awareness, and 59.9% expressed interest in receiving nPEP in the future, if required. Greater odds of nPEP awareness were associated with younger age, higher education level (adjusted odds ratio [aOR]: 4.011, 95% confidence interval [CI]: 2.834-5.678, P<0.001), higher income, use of the Internet to meet sexual partners (aOR: 2.016, 95% CI: 1.481-2.744, P<0.001), greater HIV-related knowledge (aOR: 3.817, 95% CI: 1.845-7.899, p<0.001), HIV testing (aOR: 2.584, 95% CI: 1.874-3.563, p<0.001), and sexually transmitted infections (aOR: 1.736, 95% CI: 1.174-2.569, P = 0.006). Lower odds of nPEP awareness were associated with greater stigma score (aOR: 0.804, 95% CI: 0.713-0.906, P<0.001).<h4>Conclusions</h4>The findings indicate suboptimal awareness and low utilization of nPEP in Beijing and highlight nPEP inequities among MSM with stigma. Strengthening the training of health service providers and peer educators in reducing stigma and disseminating nPEP knowledge is imperative.
format	article
author	Yanming Sun Guiying Li Hongyan Lu
author_facet	Yanming Sun Guiying Li Hongyan Lu
author_sort	Yanming Sun
title	Awareness and use of nonoccupational HIV post-exposure prophylaxis and factors associated with awareness among MSM in Beijing, China.
title_short	Awareness and use of nonoccupational HIV post-exposure prophylaxis and factors associated with awareness among MSM in Beijing, China.
title_full	Awareness and use of nonoccupational HIV post-exposure prophylaxis and factors associated with awareness among MSM in Beijing, China.
title_fullStr	Awareness and use of nonoccupational HIV post-exposure prophylaxis and factors associated with awareness among MSM in Beijing, China.
title_full_unstemmed	Awareness and use of nonoccupational HIV post-exposure prophylaxis and factors associated with awareness among MSM in Beijing, China.
title_sort	awareness and use of nonoccupational hiv post-exposure prophylaxis and factors associated with awareness among msm in beijing, china.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/4d6ad434128b434db87c096dece10f1c
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Awareness and use of nonoccupational HIV post-exposure prophylaxis and factors associated with awareness among MSM in Beijing, China.

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