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Pre-Exposure Prophylaxis (PrEP) Awareness and Acceptability Among Men Who Have Sex With Men in Taiwan

Deng-Min Chuang, Peter A Newman1

  • 1Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.

AIDS Education and Prevention : Official Publication of the International Society for AIDS Education
|April 11, 2019
PubMed

Insights

Pre-exposure prophylaxis (PrEP) awareness is low among men who have sex with men (MSM) in Taiwan, despite high acceptability. Interventions should target high-risk MSM and address stigma to increase PrEP use.

Area of Science:

  • Public Health
  • Epidemiology
  • Sexual Health

Background:

  • Men who have sex with men (MSM) represent the majority of new HIV infections in Taiwan.
  • Pre-exposure prophylaxis (PrEP) utilization remains low within this demographic.

Purpose of the Study:

  • To investigate factors associated with PrEP awareness and acceptability among MSM in Taiwan.
  • To identify barriers and facilitators for PrEP uptake in Taiwan.

Main Methods:

  • A cross-sectional survey was administered to 176 MSM recruited via community-based organizations in two Taiwanese cities.
  • Multivariable analyses were employed to examine correlates of PrEP awareness and acceptability.

Main Results:

  • Less than half (47.2%) of participants were aware of PrEP; however, 72.2% expressed acceptability after description.
  • Condomless anal sex was negatively correlated with PrEP awareness.
  • Vicarious stigma and anticipated disclosure to partners were positively associated with PrEP acceptability.

Conclusions:

  • There is a critical need for targeted interventions to boost PrEP awareness, particularly among MSM engaging in high-risk sexual behaviors.
  • Implementation strategies must consider sociocultural factors, such as stigma, to enhance PrEP utilization among MSM in Taiwan.
Keywords:
HIV preventionculturegay menpre-exposure prophylaxisstigma

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