Awareness, willingness to use, and history of HIV PrEP use among gay, bisexual, and other men who have sex with men in Nigeria


Autoři: Adedotun Ogunbajo aff001;  Stella Iwuagwu aff003;  Rashidi Williams aff004;  Katie Biello aff001;  Matthew J. Mimiaga aff001
Působiště autorů: Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island, United States of America aff001;  Center for Health Equity, Brown School of Public Health, Providence, Rhode Island, United States of America aff002;  Centre for Right to Health, Abuja, Nigeria aff003;  Equality Triangle for Health and Peoples Development Initiative, Warri, Delta, Nigeria aff004;  Department of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, United States of America aff005;  The Fenway Institute, Fenway Health, Boston, Massachusetts, United States of America aff006;  Department of Psychiatry and Human Behavior, Brown University Alpert Medical School, Providence, Rhode Island, United States of America aff007
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: 10.1371/journal.pone.0226384

Souhrn

Background

Nigerian gay, bisexual, and other men who have sex with men (GBMSM) are disproportionately affected by HIV, with an estimated prevalence of between 11–35%. Pre-exposure prophylaxis (PrEP) has the potential to significantly decrease incident HIV infections among Nigerian GBMSM. Understanding the relationship between socio-demographic, sexual risk behavior, and psychosocial factors with PrEP awareness, willingness to use, and history of use among this group is pivotal to maximizing PrEP uptake.

Methods

Between March and June 2019, 419 participants completed an interviewer-administered survey assessing PrEP awareness, willingness to use, and history of use; socio-demographics; sexual risk behavior; and psychosocial factors. Bivariate and multivariable logistic regression were used to examine factors associated with PrEP awareness, willingness to use, and history of use.

Results

53.6% were aware of PrEP; 80.1% were willing to use PrEP; and 29.7% had previously used PrEP. In multivariable analysis, factors associated with an increased odds of PrEP awareness include residing in Abuja [adjusted odds ratio (aOR) 5.02; 95% confidence interval (CI): 2.13 to 11.83] and Lagos (aOR 12.30; 95% CI: 4.92 to 30.67) vs. residing in Plateau, living with HIV (aOR 2.56; 95% CI: 1.54 to 4.72), using location-based apps for seeking sexual partners (aOR 4.06; 95% CI: 2.28 to 7.24), having health insurance (aOR 2.31; 95% CI: 1.08 to 4.40), history of suicidal thoughts (aOR 2.05; 95% CI: 1.02 to 4.10), and history of PrEP use (aOR 45.5; 95% CI: 5.60 to 370.04). Decreasing clinically significant depressive symptoms was associated with lower willingness to use PrEP (aOR 0.96; 95% CI: 0.92 to 0.99). Lastly, factors associated with increased odds of having a history of PrEP use were those reporting 6 or more insertive anal sex acts in the last 30 days compared to those with none (aOR 5.76; 95% CI: 1.58 to 20.98) and being aware of PrEP (aOR 29.6; 95% CI: 3.78 to 231.84).

Discussion

Nearly half of the Nigerian GBMSM in this study had no prior awareness of PrEP, but after being informed about its potential benefits, the majority were willing to use it. However, PrEP uptake among Nigerian GBMSM remains low. Findings suggest that educational messages are necessary to ensure appropriate PrEP scale-up, especially tailored towards Nigerian GBMSM.

Klíčová slova:

Bisexuals – Depression – Health education and awareness – HIV prevention – Mental health and psychiatry – Pre-exposure prophylaxis – Psychological and psychosocial issues


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Článek vyšel v časopise

PLOS One


2019 Číslo 12