Factors related to the use of Pre-exposure prophylaxis (PrEP) among men who have sex with men in Thailand
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Abstract
Abstract
Background and Rationale :
HIV is one of the most serious public health challenges in Thailand. Among new HIV infections, men who have sex with men (MSM) are the majority which presented over 50%. Primary causes include anatomical factors, social factors and high risk behavioral factors which lead to exposure of high risk at the young age. PrEP is a new approach to preclude HIV infection which proven effective.
Objectives :
To study the factors related to the decision making on the use of PrEP among Thai MSM 19-49 years old
Methods :
Analytical cross-sectional study was conducted via an online survey. Sociodemographics, high risk behaviors, perceived risk of HIV infection, and perceived benefits of PrEP were analyzed in association with the use of PrEP.
Results :
Of 171 participants, 31.6% decided to use PrEP
Perceived benefits of PrEP levels were associated with the use PrEP.[odds ratio (OR) : 10.24 p<0.05, 95% confidence interval (95%CI): 1.78-58.75. OR: 6.70 p=0.027 95%CI: 1.24-36.13; for agree, strongly agree perceived benefits, respectively]
Not having any of STDs symptoms was also associated with PrEP denial. [odds ratio (OR) : 0.27 p=0.01 95% CI = 0.09-0.77;]
Approximately 90% of those who reported previous high risk behaviors.
Conclusions: Perceived benefits of PrEP associated with the PrEP users. Not having STDs symptoms also plays an important role in PrEP decision making. Therefore, it is crucial to encourage men who have sex with men who haven’t had STDs symptoms about PrEP benefits and stay alert on HIV prevention.
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References
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