Abstract
This study investigated the acceptability of daily use of free oral pre-exposure prophylaxis (PrEP) and associated factors among transgender women sex workers in Shenyang, China, following a briefing on PrEP. A total of 183 HIV negative or sero-status unknown participants completed the cross-sectional survey. The prevalence of acceptability of daily use of free oral PrEP was 61.2%. Adjusting for education level and monthly income, variables on negative attitudes toward PrEP (i.e., having concerns about the side-effects of PrEP) [Adjusted odds ratios (AOR): 0.26], perceived subjective norms (i.e., perceiving support from male partners to take PrEP) (AOR: 2.08), and perceived behavioral control (e.g., perceiving complete control over using PrEP) (AOR: 2.10–16.72) were significantly associated with acceptability of daily use of free oral PrEP. In addition, experiencing violence during sex work, perceived risk of contracting HIV from clients and probable anxiety were also significant. Future PrEP promotion campaigns should consider these factors.
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Abbreviations
- AOR:
-
Adjusted odds ratios
- CI:
-
Confidence interval
- CRAI:
-
Condomless receptive anal intercourse
- EFA:
-
Exploratory factor analysis
- FSW:
-
Female sex workers
- FTC:
-
Emtricitabine
- HIV:
-
Human immunodeficiency virus
- MSM:
-
Men who have sex with men
- MSW:
-
Male sex workers
- NGO:
-
Non-governmental organization
- NRP:
-
Non-regular sex partner
- OR:
-
Univariate odds ratios
- ORm:
-
Multivariate odds ratios
- PrEP:
-
Pre-exposure prophylaxis
- RP:
-
Regular sex partner
- SD:
-
Standard deviation
- STD:
-
Sexually transmitted diseases
- TDF:
-
Tenofovir disoproxil fumarate
- TPB:
-
Theory of planned behavior
- WHO:
-
World Health Organization
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Wang, Z., Lau, J.T.F., Yang, X. et al. Acceptability of Daily Use of Free Oral Pre-exposure Prophylaxis (PrEP) Among Transgender Women Sex Workers in Shenyang, China. AIDS Behav 21, 3287–3298 (2017). https://doi.org/10.1007/s10461-017-1869-4
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DOI: https://doi.org/10.1007/s10461-017-1869-4