Acceptability of pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) in Benin: a qualitative study

Ahouada, Carin; Diabaté, Souleymane; Gning, Ndèye Ndiagna; Hessou, Septime; Batona, Georges; Béhanzin, Luc; Zannou, Marcel; Alary, Michel

doi:10.1080/09540121.2019.1622643

Cited by 10 publications

(10 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, since none of the construct used to measure facilitators and barrier to PrEP use included more than one item, the assessment of internal consistency was not applicable. Nearly all the variables described below were extracted from the literature on PrEP acceptability among MSM [22][23][24], with some variables coming from the qualitative study conducted beforehand [21].…”

Section: Methodsmentioning

confidence: 99%

“…The questionnaire was designed in conjunction with literature data and the results of a preliminary qualitative study on PrEP acceptability among MSM in Benin [21]. The qualitative study served as a springboard to contextualize the quantitative questionnaire used for the present study.…”

Section: Questionnairementioning

confidence: 99%

“…Facilitators and obstacles were identified in the literature [24], and then supplemented by other factors identified in the qualitative study carried out prior to this quantitative study [21].…”

Section: Facilitators and Barriers To Prep Usementioning

confidence: 99%

See 2 more Smart Citations

Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: In Benin, men who have sex with men (MSM) do not always use condoms during anal sex. Preexposure prophylaxis (PrEP) using Truvada® (tenofovir disoproxil fumarate / emtricitabine) may be a complementary HIV prevention measure for MSM. This study aimed at identifying the potential facilitators and barriers to the use of PrEP. Methods: This was a cross-sectional study conducted in 2018 among male-born MSM aged 18 years or older who reported being HIV-negative or unaware of their HIV status. The participants were recruited by the RDS technique (respondent driven sampling) in six cities of Benin. Logistic regression analyses, adapted to RDS statistical requirements, were performed to identify the factors associated with PrEP acceptability. Results: Mean age of the 400 MSM recruited was 26.2 ± 5.0 years. PrEP was known by 50.7% of respondents. The intention to use PrEP was expressed by 90% of MSM. If PrEP effectiveness were 90% or more, 87.8% of the respondents thought they would decrease condom use. In multivariate analysis, the facilitators associated with PrEP acceptability were: not having to pay for PrEP (odds ratio (OR) = 2.39, 95% CI: 1.50-4.46) and its accessibility within MSM networks (OR = 9.82, 95% CI: 3.50-27.52). Only one barrier was significant: the concern that taking PrEP be perceived as marker of adopting HIV risky behaviors (OR = 0.11, 95% CI: 0.04-0.30). Conclusion: In Benin, not all MSM know about PrEP. But once well informed, the majority seems willing to use it if made available. The free availability of the drug and its accessibility in the MSM networks are important facilitators. The possibility of decrease in condom use should not be a barrier to the prescription of PrEP if made available.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Questionnairementioning

confidence: 99%

See 1 more Smart Citation

Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…Hence, the dependent variable was dichotomized: level 5 (high PrEP acceptability) versus levels 1-4 (no high PrEP acceptability). The set of independent variables scrutinized was based on results of the qualitative component of this study and on a literature review on general concerns about PrEP uptake in sub-Saharan Africa (Ahouada et al, 2019;Molina et al, 2015;Mugo et al, 2016;Pelletier et al, 2019;Rocha et al, 2014;Yang et al, 2013). It included, but was not limited to, sociodemographic characteristics (age, education and occupation), the social network (number of MSM known in Bouaké and elsewhere in the country), risk taking and risk compensation behavior (condom use, number of partners and alcohol consumption), sexual role (being active, passive or versatile), PrEP knowledge, facilitators, and barriers.…”

Section: Methodsmentioning

confidence: 99%

Pre-exposure prophylaxis among men who have sex with men in Côte d’Ivoire: a quantitative study of acceptability

et al. 2020

View full text Add to dashboard Cite

This cross sectional study was conducted in 2018 in Côte d'Ivoire to assess PrEP acceptability among men who have sex with men (MSM). Two hundred and one men were asked on their intention to use PrEP if made available. Logistic regression accounting for the sampling design was used to analyze associations between high PrEP acceptability and different independent variables including barriers and facilitators. Participants were mostly young (mean age = 25 years), educated (82% with secondary/postsecondary education) and single (95.5%). On average, 3.4 episodes of anal sex were reported monthly and 37.8% of men did not use a condom at last sex. Most MSM (72.6%) had heard of PrEP before enrollment. Overall, 35.3% reported that they would use PrEP very probably if made available. In multivariate analysis, factors associated with high PrEP acceptability were condom use at last sexual intercourse (Odds ratio (OR) = 2.51; 95% Confidence interval (95%CI) = 1.45-4.33); insertive sex as compared to versatile sex (OR = 2.56; 95%CI = 1.14-5.67); free PrEP delivery (OR = 2.45; 95%CI = 1.07-5.59), concerns about side effects (OR = 0.66; 95%CI = 0.48-0.90), and being preoccupied by the fact that post-PrEP antiretroviral therapy could be inefficient (OR = 0.25; 95%CI = 0.14-0.44). PrEP implementation among MSM in Côte d'Ivoire should be accompanied by awareness raising campaigns explaining its utility.

show abstract

“…This leads to a massive loss in terms of the health and the economy of the country concerned (Ajayi, Adeniyi, & Akpan, 2018). There are certain factors that have been found to be major drivers of HIV in Namibia, namely, multiple and concurrent sexual partners, intergenerational sex and unprotected sexual intercourse (Ahouada et al, 2020). Additionally, (Ahouda et al, 2020) reported that alcohol abuse, lack of protection during sex and high population mobility are other factors that contribute to the high incidence of HIV in Namibia.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Awareness and Willingness to use HIV Pre-Exposure Prophylaxis (PrEP) Among Students at the University of Namibia

Nakathingo¹,

Ashipala²,

Iiyambo³

2021

GJHS

View full text Add to dashboard Cite

Adequate knowledge, awareness and willingness to use HIV Pre-Exposure Prophylaxis (PrEP) is very important for HIV prevention mostly in developing countries where the burden of HIV infection continues to increase. The purpose of this study was to ascertain the level of knowledge, awareness, willingness to use HIV PrEP among tertiary students at the University of Namibia (UNAM), Rundu Campus. A quantitative, descriptive, cross-sectional design was used with a total of 232 first-year students across all three faculties at UNAM, Rundu Campus being selected using stratified random sampling. The study results showed that the majority (52% of the participants were female and 72% of the participants were aged between 18 and 24 years. It was also found that 45% of the participants reported that they had heard of PrEP and, of this number (n = 104), 88% reported that they were willing to use PrEP, although 8% only of the respondents had actually used it. Of the respondents who reported that they had heard of PrEP, both gender and the faculty at which they were studying were significantly associated (all p-values were less than 0.05) with their awareness and knowledge of, and willingness to use, PrEP. The study findings indicated a low level of awareness, knowledge and use of HIV PrEP among the respondents, although the degree of willingness to use PrEP was high among them.

show abstract

Acceptability of pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) in Benin: a qualitative study

Cited by 10 publications

References 24 publications

Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin

Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin

Pre-exposure prophylaxis among men who have sex with men in Côte d’Ivoire: a quantitative study of acceptability

Knowledge, Awareness and Willingness to use HIV Pre-Exposure Prophylaxis (PrEP) Among Students at the University of Namibia

Contact Info

Product

Resources

About