A theoretical model influencing the use of pre-exposure prophylaxis in MSM population: a qualitative study from Beijing
Background: Men who have sex with men (MSM) represent a key population in China’s efforts to reduce the spread of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS). Despite the effectiveness of pre-exposure prophylaxis (PrEP) as a preventive measure, its utilization rate...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MRE Press
2025-06-01
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| Series: | Journal of Men's Health |
| Subjects: | |
| Online Access: | https://oss.jomh.org/files/article/20250627-575/pdf/JOMH2024123002.pdf |
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| Summary: | Background: Men who have sex with men (MSM) represent a key population
in China’s efforts to reduce the spread of Human Immunodeficiency Virus/Acquired
Immune Deficiency Syndrome (HIV/AIDS). Despite the effectiveness of pre-exposure
prophylaxis (PrEP) as a preventive measure, its utilization rate among MSM in
China remains notably low. Methods: This qualitative study investigated
factors influencing PrEP usage among MSM in Beijing following the Consolidated
Criteria for Reporting Qualitative Research (COREQ) guidelines. A total of 10 MSM
participants were included based on the principle of information saturation. The
data were analyzed using Nvivo 10 software based on the Grounded
Theory approach, with a coding process consisting of first-level, second-level
and third-level coding. Results: Several key factors were identified as
influencing the adoption of PrEP, including medication side effects, dosing
frequency, co-existing sexually transmitted infections, participation in
high-risk sexual behaviors and partner attitudes. Additionally, factors such as
sexual impulses, understanding of PrEP, economic considerations, and
accessibility to purchasing locations also played significant roles. These
factors were categorized into three main groups: individual factors, sexual
factors and social environmental factors. Based on these findings, a theoretical
model was developed to depict the interconnected pathways that influence PrEP
utilization among MSM. Conclusions: The findings suggest that social
workers can play an important role in addressing the barriers to PrEP adoption
identified in the model and recommend enhancing the involvement of community
workers to facilitate the promotion and uptake of PrEP among MSM. |
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| ISSN: | 1875-6867 1875-6859 |