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A qualitative assessment in acceptability and barriers to use pre-exposure prophylaxis (PrEP) among men who have sex with men : implications for service delivery in Vietnam
- Source :
- BMC INFECTIOUS DISEASES, BMC Infectious Diseases, Vol 21, Iss 1, Pp 1-10 (2021), BMC Infectious Diseases
- Publication Year :
- 2021
-
Abstract
- Background HIV Pre-exposure prophylaxis (PrEP) is being considered for implementation among MSM nationwide in Vietnam. However, there may be concerns about potential obstacles for PrEP adherence among Vietnamese MSM. This study aims to assess the acceptability to use PrEP, potential barriers and facilitators, and the preferences for PrEP service accessibility and delivery among Vietnamese MSM. Methods Four focus group discussions (FGDs) were conducted with 30 HIV-negative MSM in January 2018 in Hanoi, Vietnam. FGDs explored MSM’s awareness regarding PrEP, perceived benefits and barriers of PrEP use, and willingness to use PrEP. FGDs were audio-recorded and transcribed verbatim. Content analysis was used. Results The mean age of participants was 23.9 years old. Most participants realized the advantages of PrEP given its efficacy in HIV risk reduction and expressed high motivation and interest to use PrEP in the future. PrEP was considered as a supplement alongside condoms. Common concerns about PrEP included side-effects, forgetting to take the pill daily, stigmatization due to using PrEP, negative attitudes toward PrEP from other MSM and accessibility of PrEP. Participants would prefer an injectable PrEP regime if available as it was seen as easier to adhere to. Concerns were also raised that PrEP usage could be interpreted as an indication of engaging in sexual risk behavior for HIV, potentially causing suspicion in love relationships or by family and friends. Participants preferred to receive PrEP in civil business organizations and MSM-friendly clinics, and recommended that pharmacy stores would not be suitable for PrEP implementation due to lack of trust and fear of fake drugs. Conclusion This study indicated a high level of willingness to use PrEP among MSM in Vietnam in combination with condom. Strategies to raise awareness of PrEP, reduce stigma towards PrEP, and improve the accessibility among MSM in Vietnam is needed. Existing MSM-friendly clinics were recommended to implement PrEP programs in Vietnam.
- Subjects :
- Male
Service delivery framework
Social Stigma
WILLINGNESS
Human immunodeficiency virus (HIV)
Social Sciences
HIV Infections
Infectious and parasitic diseases
RC109-216
IMPROVE UPTAKE
medicine.disease_cause
Men who have sex with men
Pre-exposure prophylaxis
Sexual and Gender Minorities
0302 clinical medicine
Medical microbiology
INFECTION
IMPLEMENTATION
030212 general & internal medicine
Qualitative Research
RISK
CHI MINH CITY
Public Health, Global Health, Social Medicine and Epidemiology
Focus Groups
PrEP
Infectious Diseases
Vietnam
0305 other medical science
Qualitative
Adult
medicine.medical_specialty
STRATEGIES
TRANSGENDER WOMEN
03 medical and health sciences
Young Adult
ADHERENCE
medicine
Humans
MSM
Homosexuality, Male
030505 public health
business.industry
Research
HIV
HIV PREVENTION
Patient Acceptance of Health Care
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Family medicine
Tropical medicine
business
Delivery of Health Care
Subjects
Details
- Language :
- English
- ISSN :
- 14712334
- Database :
- OpenAIRE
- Journal :
- BMC INFECTIOUS DISEASES, BMC Infectious Diseases, Vol 21, Iss 1, Pp 1-10 (2021), BMC Infectious Diseases
- Accession number :
- edsair.doi.dedup.....cce532576d055dd151f0e5ce55526b05