{"title":"[Utilization of pre-exposure prophylaxis service against HIV and related factors in young men who have sex with men in Hangzhou].","authors":"J Jin, K Xu, X H Pan, Q Q Ma, L Wang, J F Chen","doi":"10.3760/cma.j.cn112338-20250113-00031","DOIUrl":null,"url":null,"abstract":"<p><p><b>Objective:</b> To analyze the utilization of pre-exposure prophylaxis (PrEP) service against HIV and related factors in young men who have sex with men (MSM) in Hangzhou. <b>Methods:</b> A cross-sectional study design was used in this questionnaire survey in young MSM recurited through local MSM social organization in Hangzhou from September 2022 to March 2023. The estimated sample size was 242. The information about the social-demographic characteristics, behavioral characteristics, utilization of the post exposure prophylaxis (PEP) service, awareness and utilization of PrEP service of the young MSM were collected. Logistic regression model was used to analyze the related factors of the PrEP utilization. <b>Results:</b> A total of 273 young MSM aged 16- 24 years were surveyed in the study. A total for 20.1% (55/273) of them had used PrEP service. Multivariate logistic regression analysis showed that the factors related to PrEP service utilization included age 16-20 years (a<i>OR</i>=3.03, 95%<i>CI</i>:1.12-8.20), education level of senior high school or below (a<i>OR</i>=2.83, 95%<i>CI</i>:1.09-7.35), full-time/part-time work (a<i>OR</i>=3.25, 95%<i>CI:</i> 1.26-8.38), homosexual activity in the past 6 months (a<i>OR</i>=6.71, 95%<i>CI</i>:1.84-24.55), inquiring medical staff about PrEP (a<i>OR</i>=4.71, 95%<i>CI</i>:1.99-11.13) and PEP service use (a<i>OR</i>=6.09, 95%<i>CI</i>:2.69-13.81). <b>Conclusions:</b> The utilization rate of PrEP service was low in young MSM in Hangzhou. It is necessary to strengthen the health education about PrEP and improve the undertanding of PrEP and service capability of medical staff to promote the utilization of PrEP service in young MSM.</p>","PeriodicalId":23968,"journal":{"name":"中华流行病学杂志","volume":"46 7","pages":"1249-1254"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华流行病学杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/cma.j.cn112338-20250113-00031","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To analyze the utilization of pre-exposure prophylaxis (PrEP) service against HIV and related factors in young men who have sex with men (MSM) in Hangzhou. Methods: A cross-sectional study design was used in this questionnaire survey in young MSM recurited through local MSM social organization in Hangzhou from September 2022 to March 2023. The estimated sample size was 242. The information about the social-demographic characteristics, behavioral characteristics, utilization of the post exposure prophylaxis (PEP) service, awareness and utilization of PrEP service of the young MSM were collected. Logistic regression model was used to analyze the related factors of the PrEP utilization. Results: A total of 273 young MSM aged 16- 24 years were surveyed in the study. A total for 20.1% (55/273) of them had used PrEP service. Multivariate logistic regression analysis showed that the factors related to PrEP service utilization included age 16-20 years (aOR=3.03, 95%CI:1.12-8.20), education level of senior high school or below (aOR=2.83, 95%CI:1.09-7.35), full-time/part-time work (aOR=3.25, 95%CI: 1.26-8.38), homosexual activity in the past 6 months (aOR=6.71, 95%CI:1.84-24.55), inquiring medical staff about PrEP (aOR=4.71, 95%CI:1.99-11.13) and PEP service use (aOR=6.09, 95%CI:2.69-13.81). Conclusions: The utilization rate of PrEP service was low in young MSM in Hangzhou. It is necessary to strengthen the health education about PrEP and improve the undertanding of PrEP and service capability of medical staff to promote the utilization of PrEP service in young MSM.
期刊介绍:
Chinese Journal of Epidemiology, established in 1981, is an advanced academic periodical in epidemiology and related disciplines in China, which, according to the principle of integrating theory with practice, mainly reports the major progress in epidemiological research. The columns of the journal include commentary, expert forum, original article, field investigation, disease surveillance, laboratory research, clinical epidemiology, basic theory or method and review, etc.
The journal is included by more than ten major biomedical databases and index systems worldwide, such as been indexed in Scopus, PubMed/MEDLINE, PubMed Central (PMC), Europe PubMed Central, Embase, Chemical Abstract, Chinese Science and Technology Paper and Citation Database (CSTPCD), Chinese core journal essentials overview, Chinese Science Citation Database (CSCD) core database, Chinese Biological Medical Disc (CBMdisc), and Chinese Medical Citation Index (CMCI), etc. It is one of the core academic journals and carefully selected core journals in preventive and basic medicine in China.