Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin
Abstract Background In Benin, men who have sex with men (MSM) do not always use condoms during anal sex. Pre-exposure prophylaxis (PrEP) using Truvada® (tenofovir disoproxil fumarate / emtricitabine) may be a complementary HIV prevention measure for MSM. This study aimed at identifying the potential...
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doaj-b309dd204c4b49019966dc35628359432020-11-25T03:01:41ZengBMCBMC Public Health1471-24582020-08-0120111710.1186/s12889-020-09363-4Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in BeninCarin Ahouada0Souleymane Diabaté1Myrto Mondor2Septime Hessou3Fernand A. Guédou4Luc Béhanzin5Georges Batona6Ndeye Ndiagna Gning7D. Marcel Zannou8Michel Alary9Hopital de Zone AlladaCentre de recherche du CHU de Québec, Université LavalCentre de recherche du CHU de Québec, Université LavalCentre Interfacultaire de Formation et de Recherche en Environnement pour le Développement Durable (CIFRED/UAC)Dispensaire des IST, Centre de Santé Cotonou IDispensaire des IST, Centre de Santé Cotonou IDispensaire des IST, Centre de Santé Cotonou ICentre de recherche du CHU de Québec, Université LavalCentre National Hospitalier et Universitaire Hubert Koutoukou Maga de CotonouCentre de recherche du CHU de Québec, Université LavalAbstract Background In Benin, men who have sex with men (MSM) do not always use condoms during anal sex. Pre-exposure prophylaxis (PrEP) using Truvada® (tenofovir disoproxil fumarate / emtricitabine) may be a complementary HIV prevention measure for MSM. This study aimed at identifying the potential facilitators and barriers to the use of PrEP. Methods This was a cross-sectional study conducted in 2018 among male-born MSM aged 18 years or older who reported being HIV-negative or unaware of their HIV status. The participants were recruited by the RDS technique (respondent driven sampling) in six cities of Benin. Logistic regression analyses, adapted to RDS statistical requirements, were performed to identify the factors associated with PrEP acceptability. Results Mean age of the 400 MSM recruited was 26.2 ± 5.0 years. PrEP was known by 50.7% of respondents. The intention to use PrEP was expressed by 90% of MSM. If PrEP effectiveness were 90% or more, 87.8% of the respondents thought they would decrease condom use. In multivariate analysis, the facilitators associated with PrEP acceptability were: not having to pay for PrEP (odds ratio (OR) = 2.39, 95% CI: 1.50–4.46) and its accessibility within MSM networks (OR = 9.82, 95% CI: 3.50–27.52). Only one barrier was significant: the concern that taking PrEP be perceived as marker of adopting HIV risky behaviors (OR = 0.11, 95% CI: 0.04–0.30). Conclusion In Benin, not all MSM know about PrEP. But once well informed, the majority seems willing to use it if made available. The free availability of the drug and its accessibility in the MSM networks are important facilitators. The possibility of decrease in condom use should not be a barrier to the prescription of PrEP if made available.http://link.springer.com/article/10.1186/s12889-020-09363-4AcceptabilityPrEPHIVMSMBenin |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Carin Ahouada Souleymane Diabaté Myrto Mondor Septime Hessou Fernand A. Guédou Luc Béhanzin Georges Batona Ndeye Ndiagna Gning D. Marcel Zannou Michel Alary |
spellingShingle |
Carin Ahouada Souleymane Diabaté Myrto Mondor Septime Hessou Fernand A. Guédou Luc Béhanzin Georges Batona Ndeye Ndiagna Gning D. Marcel Zannou Michel Alary Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin BMC Public Health Acceptability PrEP HIV MSM Benin |
author_facet |
Carin Ahouada Souleymane Diabaté Myrto Mondor Septime Hessou Fernand A. Guédou Luc Béhanzin Georges Batona Ndeye Ndiagna Gning D. Marcel Zannou Michel Alary |
author_sort |
Carin Ahouada |
title |
Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin |
title_short |
Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin |
title_full |
Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin |
title_fullStr |
Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin |
title_full_unstemmed |
Acceptability of pre-exposure prophylaxis for HIV prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin |
title_sort |
acceptability of pre-exposure prophylaxis for hiv prevention: facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in benin |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2020-08-01 |
description |
Abstract Background In Benin, men who have sex with men (MSM) do not always use condoms during anal sex. Pre-exposure prophylaxis (PrEP) using Truvada® (tenofovir disoproxil fumarate / emtricitabine) may be a complementary HIV prevention measure for MSM. This study aimed at identifying the potential facilitators and barriers to the use of PrEP. Methods This was a cross-sectional study conducted in 2018 among male-born MSM aged 18 years or older who reported being HIV-negative or unaware of their HIV status. The participants were recruited by the RDS technique (respondent driven sampling) in six cities of Benin. Logistic regression analyses, adapted to RDS statistical requirements, were performed to identify the factors associated with PrEP acceptability. Results Mean age of the 400 MSM recruited was 26.2 ± 5.0 years. PrEP was known by 50.7% of respondents. The intention to use PrEP was expressed by 90% of MSM. If PrEP effectiveness were 90% or more, 87.8% of the respondents thought they would decrease condom use. In multivariate analysis, the facilitators associated with PrEP acceptability were: not having to pay for PrEP (odds ratio (OR) = 2.39, 95% CI: 1.50–4.46) and its accessibility within MSM networks (OR = 9.82, 95% CI: 3.50–27.52). Only one barrier was significant: the concern that taking PrEP be perceived as marker of adopting HIV risky behaviors (OR = 0.11, 95% CI: 0.04–0.30). Conclusion In Benin, not all MSM know about PrEP. But once well informed, the majority seems willing to use it if made available. The free availability of the drug and its accessibility in the MSM networks are important facilitators. The possibility of decrease in condom use should not be a barrier to the prescription of PrEP if made available. |
topic |
Acceptability PrEP HIV MSM Benin |
url |
http://link.springer.com/article/10.1186/s12889-020-09363-4 |
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