Differences in awareness of and willingness to use pre-exposure prophylaxis and anticipated condom use among serodiscordant couples in Taiwan

Bibliographic Data

ID19443096
AuthorsNai-Ying Ko (Departments of Nursing, College of Medicine, National Cheng Kung University and Hospital, Tainan, Taiwan), Nai‐Ying Ko (0000-0002-3007-2537, National Cheng Kung University Hospital, corresponding author), Huei‐Jiuan Wu (0000-0002-5085-1976, National Cheng Kung University Hospital), Huei-Jiuan Wu (Departments of Nursing, College of Medicine, National Cheng Kung University and Hospital, Tainan, Taiwan), Catherine Strong (0000-0002-2934-5382, Departments of Public Health, National Cheng Kung University, Tainan, Taiwan), Chia-Wen Li (0000-0002-4834-5935, Departments of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan), Wen-Wei Ku (Departments of Internal Medicine, Taipei Veterans General Hospital Hsinchu Branch, Hsinchu, Taiwan), Su-Ting Hsu (Department of Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan, corresponding author)
Year2018
Volume30
Issue10
Pages1306-1310
Publication date2018-10-03
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2018.1481195
PMID29845871
OpenAlexW2806313599
LanguageEN
Citations received2
References cited8

Pre-exposure prophylaxis (PrEP) has proven to be effective in reducing the risk of HIV transmission in uninfected individuals who engaged in sexual activity with HIV-infected partners. Serodiscordant couples are the key targets of PrEP implementation. The study aimed to compare awareness of and willingness to use PrEP and anticipated condom use among 112 HIV-serodiscordant couples: 32 heterosexuals couples, 70 men who have sex with men (MSM) couples, and 10 people who inject drugs (PWID) couples. A cross-sectional study was conducted in an AIDS designated hospital in Taiwan. The PrEP survey for discordant couples included questions on awareness of non-occupational post-exposure prophylaxis (nPEP) and PrEP, attitudes toward PrEP, anticipated condom use if using PrEP, and sexual behaviors. Overall, 46.2% were aware of PrEP, only 33% were willing to take PrEP, and 44.6% would continue condom use if they were taking PrEP. Among the three key populations, MSM couples had the highest awareness of and willingness to use PrEP. Awareness of and willingness to use PrEP did not differ by HIV status, with moderate agreement (Cohen's Kappa coefficient: 0.56) between HIV-serodiscordant partners. Both HIV-serodiscordant partners' willingness to use PrEP was significantly associated with being MSM (adjusted odds ratio (AOR), 4.28 [1.28-14.30], p = 0.018), previous receipt of nPEP (AOR, 6.98 [1.23-39.65], p = 0.028), anticipated condom use (AOR, 0.14 [0.05-0.41], p < 0.001), and income ≥ NT$30,000 per month (AOR, 2.25 (0.99-5.04), p = 0.05). Policy makers need to consider the differences among key populations to scale up PrEP implementation. More efforts should be focused on improving awareness of and willingness to use PrEP among heterosexual and PWID serodiscordant couples to scale up PrEP implementation in Taiwan

Condom · Family medicine · Men who have sex with men · Pre-exposure prophylaxis · Serodiscordant · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Psychology · Reproductive tract infections research

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