Factors Associated With the Intention to Use HIV Preexposure Prophylaxis for Young and Older Men Who Have Sex With Men

Standard

Factors Associated With the Intention to Use HIV Preexposure Prophylaxis for Young and Older Men Who Have Sex With Men. / Hulstein, Sebastiaan H.; Zimmermann, Hanne M. L.; de la Court, Feline et al.

In: Sexually transmitted diseases, Vol. 49, No. 5, 01.05.2022, p. 343-352.

Research output: Contribution to journal › Article › Academic › peer-review

BibTeX

@article{9f20d30a4071401b99dcd94d36412c45,

title = "Factors Associated With the Intention to Use HIV Preexposure Prophylaxis for Young and Older Men Who Have Sex With Men",

abstract = "Background The uptake of preexposure prophylaxis (PrEP) against HIV is low among young men who have sex with men (MSM) in the Netherlands. Studying the intention to use PrEP among non-PrEP using young and older MSM can guide health authorities in developing new prevention campaigns to optimize PrEP uptake. Methods We investigated the sociodemographic, behavioral, and psychosocial factors associated with a high PrEP use intention in the coming 6 months among 93 young MSM (aged ≤25 years), participating in an online survey, and 290 older MSM (aged ≥26 years), participating in an open, prospective cohort in 2019 to 2020. Results Perceiving PrEP as an important prevention tool was associated with a high PrEP use intention among young and older MSM. Among young MSM, a high level of PrEP knowledge and believing that PrEP users take good care of themselves and others were associated with a high PrEP use intention. Among older MSM, 2 or more anal sex partners, chemsex, high HIV risk perception, and believing PrEP increases sexual pleasure were associated with a high PrEP use intention. Believing PrEP leads to adverse effects was associated with a low intention to use PrEP among older MSM. Conclusions To conclude, we showed that both behavioral and psychosocial factors were associated with a high PrEP use intention among young and older MSM. In addition to focusing on sexual behavior and HIV risk, future prevention campaigns and counseling on PrEP could incorporate education, endorsing positive beliefs, and disarming negative beliefs to improve the uptake of PrEP in young and older MSM.",

author = "Hulstein, {Sebastiaan H.} and Zimmermann, {Hanne M. L.} and {de la Court}, Feline and Matser, {Amy A.} and {Schim van der Loeff}, {Maarten F.} and Elske Hoornenborg and Udi Davidovich and Maria Prins and {de Vries}, {Henry J. C.}",

note = "Funding Information: Acknowledgments: The authors thank all participants and the study nurses and data managers of the Amsterdam Cohort Study (ACS). The ACS is a collaboration between the Public Health Service of Amsterdam (GGD Amsterdam) and the Amsterdam University Medical Centers (Academic Medical Centre site), Amsterdam, the Netherlands. The ACS is financially supported by the Centre for Infectious Disease Control Netherlands of the National Institute for Public Health and the Environment (Centrum voor Infectieziektenbestrijding-Rijksinstituut voor Volksgezondheid en Milieu, RIVM-CIb). Publisher Copyright: {\textcopyright} Lippincott Williams & Wilkins.",

year = "2022",

month = may,

day = "1",

doi = "10.1097/OLQ.0000000000001599",

language = "English",

volume = "49",

pages = "343--352",

journal = "Sexually transmitted diseases",

issn = "0148-5717",

publisher = "Lippincott Williams and Wilkins",

number = "5",

}

RIS

TY - JOUR

T1 - Factors Associated With the Intention to Use HIV Preexposure Prophylaxis for Young and Older Men Who Have Sex With Men

AU - Hulstein, Sebastiaan H.

AU - Zimmermann, Hanne M. L.

AU - de la Court, Feline

AU - Matser, Amy A.

AU - Schim van der Loeff, Maarten F.

AU - Hoornenborg, Elske

AU - Davidovich, Udi

AU - Prins, Maria

AU - de Vries, Henry J. C.

N1 - Funding Information: Acknowledgments: The authors thank all participants and the study nurses and data managers of the Amsterdam Cohort Study (ACS). The ACS is a collaboration between the Public Health Service of Amsterdam (GGD Amsterdam) and the Amsterdam University Medical Centers (Academic Medical Centre site), Amsterdam, the Netherlands. The ACS is financially supported by the Centre for Infectious Disease Control Netherlands of the National Institute for Public Health and the Environment (Centrum voor Infectieziektenbestrijding-Rijksinstituut voor Volksgezondheid en Milieu, RIVM-CIb). Publisher Copyright: © Lippincott Williams & Wilkins.

PY - 2022/5/1

Y1 - 2022/5/1

N2 - Background The uptake of preexposure prophylaxis (PrEP) against HIV is low among young men who have sex with men (MSM) in the Netherlands. Studying the intention to use PrEP among non-PrEP using young and older MSM can guide health authorities in developing new prevention campaigns to optimize PrEP uptake. Methods We investigated the sociodemographic, behavioral, and psychosocial factors associated with a high PrEP use intention in the coming 6 months among 93 young MSM (aged ≤25 years), participating in an online survey, and 290 older MSM (aged ≥26 years), participating in an open, prospective cohort in 2019 to 2020. Results Perceiving PrEP as an important prevention tool was associated with a high PrEP use intention among young and older MSM. Among young MSM, a high level of PrEP knowledge and believing that PrEP users take good care of themselves and others were associated with a high PrEP use intention. Among older MSM, 2 or more anal sex partners, chemsex, high HIV risk perception, and believing PrEP increases sexual pleasure were associated with a high PrEP use intention. Believing PrEP leads to adverse effects was associated with a low intention to use PrEP among older MSM. Conclusions To conclude, we showed that both behavioral and psychosocial factors were associated with a high PrEP use intention among young and older MSM. In addition to focusing on sexual behavior and HIV risk, future prevention campaigns and counseling on PrEP could incorporate education, endorsing positive beliefs, and disarming negative beliefs to improve the uptake of PrEP in young and older MSM.

AB - Background The uptake of preexposure prophylaxis (PrEP) against HIV is low among young men who have sex with men (MSM) in the Netherlands. Studying the intention to use PrEP among non-PrEP using young and older MSM can guide health authorities in developing new prevention campaigns to optimize PrEP uptake. Methods We investigated the sociodemographic, behavioral, and psychosocial factors associated with a high PrEP use intention in the coming 6 months among 93 young MSM (aged ≤25 years), participating in an online survey, and 290 older MSM (aged ≥26 years), participating in an open, prospective cohort in 2019 to 2020. Results Perceiving PrEP as an important prevention tool was associated with a high PrEP use intention among young and older MSM. Among young MSM, a high level of PrEP knowledge and believing that PrEP users take good care of themselves and others were associated with a high PrEP use intention. Among older MSM, 2 or more anal sex partners, chemsex, high HIV risk perception, and believing PrEP increases sexual pleasure were associated with a high PrEP use intention. Believing PrEP leads to adverse effects was associated with a low intention to use PrEP among older MSM. Conclusions To conclude, we showed that both behavioral and psychosocial factors were associated with a high PrEP use intention among young and older MSM. In addition to focusing on sexual behavior and HIV risk, future prevention campaigns and counseling on PrEP could incorporate education, endorsing positive beliefs, and disarming negative beliefs to improve the uptake of PrEP in young and older MSM.

UR - http://www.scopus.com/inward/record.url?scp=85125278470&partnerID=8YFLogxK

U2 - 10.1097/OLQ.0000000000001599

DO - 10.1097/OLQ.0000000000001599

M3 - Article

C2 - 35001016

VL - 49

SP - 343

EP - 352

JO - Sexually transmitted diseases

JF - Sexually transmitted diseases

SN - 0148-5717

IS - 5

ER -

ID: 23960405

Generic Portal