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CN 34-1304/RISSN 1674-3679

Volume 28 Issue 12
Dec.  2024
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DAI Seying, ZHANG Dandan, ZHANG Jin, YAO Hui, GAO Pan, WU Jiabin. A cross-sectional study of the awareness and utilization of HIV pre-exposure prophylaxis and post-exposure prophylaxis among MSM[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(12): 1454-1462. doi: 10.16462/j.cnki.zhjbkz.2024.12.014
Citation: DAI Seying, ZHANG Dandan, ZHANG Jin, YAO Hui, GAO Pan, WU Jiabin. A cross-sectional study of the awareness and utilization of HIV pre-exposure prophylaxis and post-exposure prophylaxis among MSM[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(12): 1454-1462. doi: 10.16462/j.cnki.zhjbkz.2024.12.014

A cross-sectional study of the awareness and utilization of HIV pre-exposure prophylaxis and post-exposure prophylaxis among MSM

doi: 10.16462/j.cnki.zhjbkz.2024.12.014
Funds:

Public Health and Preventive Medicine of Anhui Provincial Health Commission AHWJ2022b057

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  • Corresponding author: ZHANG Jin, E-mail: zhangjin@ahcdc.com.cn
  • Received Date: 2024-04-29
  • Rev Recd Date: 2024-08-16
  • Available Online: 2025-01-24
  • Publish Date: 2024-12-10
  •   Objective  To study the awareness and utilization of HIV pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) among the men who have sex with men (MSM) in Hefei City.  Methods  In April-May 2022, a snowball sampling method was used, relying on social organization to recruit eligible survey objects from self-media online platforms, such as QQ groups and WeChat groups, which are active in MSM. Their demographic information, behavioral characteristics, awareness of PrEP and PEP knowledge, and service use were collected through the questionnaire star system, and logistic regression models were used to analyze the relevant factors influencing the use of PrEP and PEP.  Results  A total of 800 MSM were surveyed, 83.1% had heard of PrEP, and the proportions of those who had heard of PrEP who knew about PrEP, consulted PrEP and used PrEP were 64.5%, 42.6% and 20.0% respectively. 87.1% had heard of PEP, and the proportions of those who had heard of PEP who knew about PEP, consulted PEP and used PEP were 49.6%, 46.1% and 21.5%. Multifactorial logistic regression analyses showed that factors associated with PrEP utilization in the MSM included having used a new drug during sexual activity in the last 6 months (OR=1.98, 95% CI: 1.15-3.42) and having consulted PrEP (OR=7.96, 95% CI: 4.51-14.05). Factors associated with PEP utilization in the MSM included awareness of PEP knowledge (OR=1.97, 95% CI: 1.20-3.22) and having consulted PEP (OR=13.44, 95% CI: 7.10-25.42).  Conclusions  The MSM in Hefei City had heard of PrEP and PEP at a relatively high rate, but the rate of awareness and utilization of PrEP and PEP were both low. It should combine PrEP and PEP publicity and education with the existing HIV counselling and testing services to enhance the awareness rate of PrEP and PEP among the MSM in an all-rounded and multi-channel manner, and to promote the use of PrEP or PEP for MSM having high-risk behaviors as soon as possible.
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