Factors Associated With the Intention to Use HIV Preexposure Prophylaxis for Young and Older Men Who Have Sex With Men.

Autor:	Hulstein SH; From the Department of Infectious Diseases, Public Health Service of Amsterdam., Zimmermann HML; From the Department of Infectious Diseases, Public Health Service of Amsterdam., de la Court F; From the Department of Infectious Diseases, Public Health Service of Amsterdam., Matser AA, Schim van der Loeff MF, Hoornenborg E; From the Department of Infectious Diseases, Public Health Service of Amsterdam., Davidovich U; From the Department of Infectious Diseases, Public Health Service of Amsterdam., Prins M, de Vries HJC
Jazyk:	angličtina
Zdroj:	Sexually transmitted diseases [Sex Transm Dis] 2022 May 01; Vol. 49 (5), pp. 343-352. Date of Electronic Publication: 2022 Jan 10.
DOI:	10.1097/OLQ.0000000000001599
Abstrakt:	Background: The uptake of preexposure prophylaxis (PrEP) against HIV is low among young men who have sex with men (MSM) in the Netherlands. Studying the intention to use PrEP among non-PrEP using young and older MSM can guide health authorities in developing new prevention campaigns to optimize PrEP uptake. Methods: We investigated the sociodemographic, behavioral, and psychosocial factors associated with a high PrEP use intention in the coming 6 months among 93 young MSM (aged ≤25 years), participating in an online survey, and 290 older MSM (aged ≥26 years), participating in an open, prospective cohort in 2019 to 2020. Results: Perceiving PrEP as an important prevention tool was associated with a high PrEP use intention among young and older MSM. Among young MSM, a high level of PrEP knowledge and believing that PrEP users take good care of themselves and others were associated with a high PrEP use intention. Among older MSM, 2 or more anal sex partners, chemsex, high HIV risk perception, and believing PrEP increases sexual pleasure were associated with a high PrEP use intention. Believing PrEP leads to adverse effects was associated with a low intention to use PrEP among older MSM. Conclusions: To conclude, we showed that both behavioral and psychosocial factors were associated with a high PrEP use intention among young and older MSM. In addition to focusing on sexual behavior and HIV risk, future prevention campaigns and counseling on PrEP could incorporate education, endorsing positive beliefs, and disarming negative beliefs to improve the uptake of PrEP in young and older MSM. Competing Interests: Conflict of Interest and Sources of Funding: None declared. (Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Sexually Transmitted Diseases Association.)
Databáze:	MEDLINE
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