1. Increasing awareness of HIV pre‐exposure prophylaxis (PrEP) and willingness to use HIV PrEP among men who have sex with men: a systematic review and meta‐analysis of global data
- Author
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Sun, Zhishan, Gu, Qianfei, Dai, Yifan, Zou, Huachun, Agins, Bruce, Chen, Qiaosen, Li, Peiyang, Shen, Junchun, Yang, Yi, and Jiang, Hongbo
- Subjects
Public Health ,Biomedical and Clinical Sciences ,Clinical Sciences ,Health Sciences ,HIV/AIDS ,Sexual and Gender Minorities (SGM/LGBT*) ,Behavioral and Social Science ,Prevention ,Infectious Diseases ,3.1 Primary prevention interventions to modify behaviours or promote wellbeing ,Prevention of disease and conditions ,and promotion of well-being ,Infection ,Female ,HIV Infections ,Health Knowledge ,Attitudes ,Practice ,Homosexuality ,Male ,Humans ,Male ,Patient Acceptance of Health Care ,Pre-Exposure Prophylaxis ,Sexual Partners ,Sexual and Gender Minorities ,men who have sex with men ,pre-exposure prophylaxis ,awareness ,willingness ,trend ,meta-analysis ,Public Health and Health Services ,Other Medical and Health Sciences ,Clinical sciences ,Epidemiology ,Public health - Abstract
IntroductionIntegrated knowledge regarding pre-exposure prophylaxis (PrEP) awareness and willingness to use PrEP can be useful for HIV prevention in high incidence groups. This review summarizes the awareness of PrEP and willingness to use PrEP among men who have sex with men (MSM).MethodsOnline electronic databases were searched before 31 August 2021. A meta-analysis was conducted to pool studies analysing PrEP awareness and willingness to use PrEP. LOESS regression and linear regression were applied to fit the trends over time for the proportion of MSM aware of PrEP and willing to use PrEP. Dose-response meta-analysis (DRMA) was conducted by a restricted cubic spline model to explore the relationship between willingness to use PrEP and selected factors.Results and discussionA total of 156 articles involving 228,403 MSM were included. The pooled proportions of MSM aware of PrEP and willing to use PrEP were 50.0 (95% CI: 44.8-55.2) and 58.6% (95% CI: 54.8-62.4), respectively. PrEP awareness varied among countries with different economic status and different WHO regions, among different publication and research years, PrEP types and support policies. PrEP willingness differed among countries with different economic status and groups with different risks of HIV. The awareness of PrEP increased from 2007 to 2019 with a slope of 0.040260 (p
- Published
- 2022