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Acceptability of Daily Use of Free Oral Pre-exposure Prophylaxis (PrEP) Among Transgender Women Sex Workers in Shenyang, China

Abstract

This study investigated the acceptability of daily use of free oral pre-exposure prophylaxis (PrEP) and associated factors among transgender women sex workers in Shenyang, China, following a briefing on PrEP. A total of 183 HIV negative or sero-status unknown participants completed the cross-sectional survey. The prevalence of acceptability of daily use of free oral PrEP was 61.2%. Adjusting for education level and monthly income, variables on negative attitudes toward PrEP (i.e., having concerns about the side-effects of PrEP) [Adjusted odds ratios (AOR): 0.26], perceived subjective norms (i.e., perceiving support from male partners to take PrEP) (AOR: 2.08), and perceived behavioral control (e.g., perceiving complete control over using PrEP) (AOR: 2.10–16.72) were significantly associated with acceptability of daily use of free oral PrEP. In addition, experiencing violence during sex work, perceived risk of contracting HIV from clients and probable anxiety were also significant. Future PrEP promotion campaigns should consider these factors.

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Abbreviations

AOR:

Adjusted odds ratios

CI:

Confidence interval

CRAI:

Condomless receptive anal intercourse

EFA:

Exploratory factor analysis

FSW:

Female sex workers

FTC:

Emtricitabine

HIV:

Human immunodeficiency virus

MSM:

Men who have sex with men

MSW:

Male sex workers

NGO:

Non-governmental organization

NRP:

Non-regular sex partner

OR:

Univariate odds ratios

ORm:

Multivariate odds ratios

PrEP:

Pre-exposure prophylaxis

RP:

Regular sex partner

SD:

Standard deviation

STD:

Sexually transmitted diseases

TDF:

Tenofovir disoproxil fumarate

TPB:

Theory of planned behavior

WHO:

World Health Organization

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Correspondence to Joseph T. F. Lau.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the Survey and Behavioural Research Ethics Committee, the Chinese University of Hong Kong and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Wang, Z., Lau, J.T.F., Yang, X. et al. Acceptability of Daily Use of Free Oral Pre-exposure Prophylaxis (PrEP) Among Transgender Women Sex Workers in Shenyang, China. AIDS Behav 21, 3287–3298 (2017). https://doi.org/10.1007/s10461-017-1869-4

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Keywords

  • Acceptability
  • Pre-exposure prophylaxis
  • Transgender women sex workers
  • Theory of planned behavior
  • China