Metrics details. The study participants were recruited through a nonprobability sampling method. Multivariate logistic regression was performed to identify factors associated with willingness to use PrEP. A total of MSM completed the survey, and In multivariate logistic regression, factors associated with a higher willingness to use PrEP included Zhuang or Han ethnic origin, recruitment through peer introduction or gay venues, pursuit of a higher education level, previous HIV testing and oral sex with a man.
Conversely, having casual sex in the past 6 months was associated with a lower willingness to use PrEP. The results indicate the need for effective education, targeted intervention, and implementation strategies to promote PrEP acceptance among MSM. Human immunodeficiency virus HIV causes acquired immune deficiency syndrome AIDS and has become a global public health burden, resulting in significant mortality and morbidity [ 1 ].
Although the HIV prevalence in China is relatively low, the number of newly diagnosed HIV cases continues to rise, with the majority of individuals who are infected HIV being unaware of their status.
A comprehensive national policy and strategy for HIV prevention is expanding and improving access to HIV testing and treatment services, aiming to control the HIV epidemic in China to a low level.
Indeed, clinical trials and cohort studies have demonstrated the safety and efficacy of oral PrEP in reducing the risk of HIV acquisition among MSM [ 7 ], heterosexual men and women [ 8 ] and people who inject drugs [ 9 ].
