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Cognitive, Psychosocial, and Sociodemographic Predictors of Willingness to Use HIV Pre-Exposure Prophylaxis Among Chinese Men Who Have Sex with Men

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Abstract

This study was designed to identify predictors of lower versus higher willingness to use pre-exposure prophylaxis (PrEP) to reduce HIV among men who have sex with men (MSM) in China. Participants were 570 MSM who completed self-report measures of willingness to use HIV PrEP, beliefs about HIV, psychosocial factors, sexual experiences and sociodemographic characteristics. Results of a hierarchical binary logistic regression analysis indicated that membership in a higher willingness group was predicted by previous consultation about HIV, more reported barriers to using condoms, and elevations in depressive symptoms. Independent of these factors, higher willingness to use HIV PrEP was predicted by beliefs that the intervention was low in stigma and high in potential benefits. In sum, the study highlighted the utility of broad-based assessment of demographic, behavioral, personality, and cognitive factors in identifying Chinese MSM who express willingness to use a promising biologically-based intervention to lower HIV risk.

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Acknowledgments

This study was supported by the National Key Project for Infectious Diseases, Ministry of Science and Technology of the People’s Republic of China (2008ZX10001–016), the Key Discipline Fund of National 211 Project (NSKD08020), and the New Century Outstanding University Talents Program, State Education Commission China, and Grant (NCET-2008-0870).

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Authors and Affiliations

  1. Key Laboratory of Cognition and Personality, Southwest University, Chongqing, China

    Todd Jackson, Hong Chen & Xiao Gao

  2. Second Affiliated Hospital and Key Laboratory of Molecular Biology of Infectious Diseases, Chinese Ministry of Education, Chongqing Medical University, Chongqing, China

    Ailong Huang

  3. Department of Health Statistics, School of Public Health, Chongqing Medical University, Chongqing, China

    Xiaoni Zhong & Yan Zhang

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  1. Todd Jackson
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  2. Ailong Huang
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  3. Hong Chen
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  4. Xiao Gao
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  5. Xiaoni Zhong
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  6. Yan Zhang
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Correspondence to Ailong Huang or Hong Chen.

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Jackson, T., Huang, A., Chen, H. et al. Cognitive, Psychosocial, and Sociodemographic Predictors of Willingness to Use HIV Pre-Exposure Prophylaxis Among Chinese Men Who Have Sex with Men. AIDS Behav 16, 1853–1861 (2012). https://doi.org/10.1007/s10461-012-0188-z

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  • DOI: https://doi.org/10.1007/s10461-012-0188-z

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