Next Article in Journal
Impact on Physical Fitness of the Chinese CHAMPS: A Clustered Randomized Controlled Trial
Next Article in Special Issue
Effects of an Educational Intervention on Angolan Adolescents’ Knowledge of Human Reproduction: A Quasi-Experimental Study
Previous Article in Journal
Psychological Pathway from Obesity-Related Stigma to Anxiety via Internalized Stigma and Self-Esteem among Adolescents in Taiwan
Previous Article in Special Issue
Role of Knowledge, Sociodemographic, and Behavioral Factors on Lifetime HIV Testing among Adult Population in Nepal: Evidence from a Cross-Sectional National Survey
Open AccessArticle

Congruence between Hypothetical Willingness to Use Pre-Exposure Prophylaxis (PrEP) and Eligibility: An Online Survey among Belgian Men Having Sex with Men

1
Department of Public Health, Institute of Tropical Medicine, 2000 Antwerp, Belgium
2
Faculty of Psychology, University of Vienna, Vienna 1010, Austria
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(22), 4411; https://doi.org/10.3390/ijerph16224411
Received: 20 September 2019 / Revised: 6 November 2019 / Accepted: 7 November 2019 / Published: 11 November 2019
(This article belongs to the Special Issue Health Promotion for Sexual Health and Prevention of HIV)
Men who have sex with men (MSM) are at high risk for acquiring HIV in Belgium. This study explores MSMs’ hypothetical willingness to use pre-exposure prophylaxis (PrEP), assesses it against formal PrEP eligibility criteria, and identifies factors associated with incongruence between eligibility and willingness. We used data from an online survey of n = 1444 self-reported HIV-negative MSM. Participants were recruited through social media of MSM organizations and dating apps. Univariate analysis described PrEP willingness and eligibility; bivariate analyses examined how specific co-variates (socio-demographic, knowledge-related, and attitudinal and behavioral factors) were associated with eligibility and willingness. About 44% were eligible for PrEP and about 70% were willing to use it. Those who were eligible were significantly more likely be willing to take PrEP (p < 0.001). Two incongruent groups emerged: 16% of eligible participants were unwilling and 58% of ineligible participants were willing to use PrEP. Factors associated with this incongruence were sexual risk behavior, HIV risk perception, partner status, PrEP knowledge, and attitudinal factors. Because the two groups differ in terms of profiles, it is important to tailor HIV prevention and sexual health promotion to their needs. Among those at risk but not willing to take PrEP, misconceptions about PrEP, and adequate risk perception should be addressed. View Full-Text
Keywords: HIV-prevention; HIV; pre-exposure prophylaxis (PrEP); men who have sex with men (MSM) HIV-prevention; HIV; pre-exposure prophylaxis (PrEP); men who have sex with men (MSM)
Show Figures

Figure 1

MDPI and ACS Style

Bullinger, J.; Reyniers, T.; Vuylsteke, B.; Laga, M.; Nöstlinger, C. Congruence between Hypothetical Willingness to Use Pre-Exposure Prophylaxis (PrEP) and Eligibility: An Online Survey among Belgian Men Having Sex with Men. Int. J. Environ. Res. Public Health 2019, 16, 4411.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Search more from Scilit
 
Search
Back to TopTop