TY - JOUR
T1 - Determinants of Willingness to Use PrEP Among Gay and Bisexual Men in China Before Implementation
T2 - A Structural Equation Modeling Assessment
AU - Cui, Tracy Shicun
AU - Lane, Benjamin
AU - Wu, Yumeng
AU - Ma, Jing
AU - Fu, Rong
AU - Hou, Jianhua
AU - Meng, Siyan
AU - Xie, Lu
AU - Gu, Yuzhou
AU - Huang, Xiaojie
AU - Zheng, Huang
AU - Ma, Yanling
AU - He, Na
AU - Meyers, Kathrine
N1 - Full text of this publication does not contain sufficient affiliation information. With consent from the author(s) concerned, the Research Unit(s) information for this record is based on the existing academic department affiliation of the author(s).
PY - 2023/3
Y1 - 2023/3
N2 - With the recent endorsement of PrEP by the Chinese government, research is urgently needed to better understand factors impacting PrEP uptake among gay, bisexual, and other men who have sex with men (GBMSM) in China. This study examined willingness to use PrEP for HIV prevention among GBMSM in China through structural equation modeling. We examined the relationship among PrEP-related attitudes, subjective norms, PrEP-related knowledge and beliefs about medicines and willingness to use PrEP. The analysis showed a good fit between the data and both the measurement model (RMSEA = 0.060) and structural model (RMSEA = 0.054). Knowledge, attitudes, and subjective norms were significantly related to intention to use PrEP, whereas the effect of general beliefs about medicines was insignificant. These effect mechanisms point to the importance of designing interventions to support PrEP uptake that target knowledge, enhance positive attitudes about PrEP within social networks, and build positive social norms around PrEP among sexually active GBMSM. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022
AB - With the recent endorsement of PrEP by the Chinese government, research is urgently needed to better understand factors impacting PrEP uptake among gay, bisexual, and other men who have sex with men (GBMSM) in China. This study examined willingness to use PrEP for HIV prevention among GBMSM in China through structural equation modeling. We examined the relationship among PrEP-related attitudes, subjective norms, PrEP-related knowledge and beliefs about medicines and willingness to use PrEP. The analysis showed a good fit between the data and both the measurement model (RMSEA = 0.060) and structural model (RMSEA = 0.054). Knowledge, attitudes, and subjective norms were significantly related to intention to use PrEP, whereas the effect of general beliefs about medicines was insignificant. These effect mechanisms point to the importance of designing interventions to support PrEP uptake that target knowledge, enhance positive attitudes about PrEP within social networks, and build positive social norms around PrEP among sexually active GBMSM. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022
KW - China
KW - GBMSM
KW - HIV prevention
KW - PrEP
KW - Structural equation modeling
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U2 - 10.1007/s10461-022-03815-1
DO - 10.1007/s10461-022-03815-1
M3 - RGC 21 - Publication in refereed journal
C2 - 36044125
SN - 1090-7165
VL - 27
SP - 823
EP - 831
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 3
ER -
