Pre-exposure prophylaxis engagement among sexual minority men in Taiwan: a behavioral health perspective.

IF 2.9 3区医学 Q2 PSYCHOLOGY, CLINICAL

Journal of Behavioral Medicine Pub Date : 2025-08-01 Epub Date: 2025-05-10 DOI:10.1007/s10865-025-00572-z

Daniel Mayo, Poyao Huang

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Abstract

In Taiwan, sexual minority men (SMM) account for a significant portion of new HIV cases, highlighting the need for effective prevention measures. However, pre-exposure prophylaxis (PrEP) use remains limited, necessitating a comprehensive examination of barriers. This study examined PrEP engagement and its predictors among 284 SMM in Taiwan. Participants were categorized into five stages, based on the Transtheoretical Model of Health Behavior Change, reflecting distinct levels of PrEP engagement. Ordinal logistic regression, informed by the Behavioral Model of Health Service Use, identified factors associated with being positioned at higher stages of the cascade. Significant predictors of PrEP engagement included predisposing (i.e., relationship status), enabling (i.e., PrEP knowledge, community connectedness), and need factors (i.e., number of sexual partners, chemsex). Findings highlight the need for further research on education, relationship dynamics, and sexual risk behaviors to inform tailored interventions that enhance PrEP engagement among SMM in Taiwan and the broader Asia region.

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台湾性少数男性接触前预防参与：行为健康观点。

在台湾，性少数男性（SMM）占新发HIV病例的很大一部分，这凸显了有效预防措施的必要性。然而，暴露前预防（PrEP）的使用仍然有限，需要对障碍进行全面检查。本研究调查台湾地区284名中小教师的PrEP参与情况及其预测因素。根据健康行为改变的跨理论模型，参与者被分为五个阶段，反映了PrEP参与的不同水平。根据卫生服务使用行为模型，有序逻辑回归确定了与处于级联较高阶段相关的因素。PrEP参与的重要预测因素包括易感因素（即关系状况）、使能因素（即PrEP知识、社区连通性）和需求因素（即性伴侣数量、化学性）。研究结果强调需要进一步研究教育、关系动态和性风险行为，以提供有针对性的干预措施，提高台湾和更广泛的亚洲地区SMM的PrEP参与。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.70

自引率

3.20%

发文量

112

期刊介绍： The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders. Reports of interdisciplinary approaches to research are particularly welcomed.