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Predictors of willingness to use HIV pre-exposure prophylaxis among female sex workers in Southwest China

机译:西南女性性工作者使用HIV暴露前预防意愿的预测因素

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This research examined predictors of willingness to use pre-exposure prophylaxis (PrEP) among female sex workers (FSW) in Southwest China. The final sample included 395 women (mean age=26.73 years, SD=6.74 years) who were predominantly of Han majority ethnicity (84.6%) and had completed middle-school education or lower (63.0%). Participants were recruited initially from commercial sex venues (e.g., saunas, massage parlors) in the cities of Nanchang, Luizhou, Nanning, Urumqi, and Karamay as well as two districts of Chongqing municipality and subsequently via snowball procedures. They completed a battery of self-report measures assessing beliefs about HIV and PrEP, psychosocial influences, demographics and willingness to use HIV PrEP. Willingness to use HIV PrEP was predicted by high levels of trust in physicians and more reported unmet interpersonal belongingness needs. Beyond these factors, willing and unwilling groups were differentiated on the basis of intervention-specific beliefs (perceived stigma and self-efficacy in use of PrEP). Together, findings suggested interpersonal factors should be considered in concert with perceptions of intervention characteristics in assessing motivations to enroll in PrEP within this particular at-risk group.
机译:这项研究调查了西南地区女性性工作者(FSW)愿意使用暴露前预防(PrEP)的预测因素。最终样本包括395名妇女(平均年龄= 26.73岁,SD = 6.74岁),这些妇女主要是汉族(84.6%),并且完成了初中或以下学历(63.0%)。最初是从南昌,莱州,南宁,乌鲁木齐和克拉玛依等城市的商业性性场所(例如,桑拿浴室,按摩室)以及重庆市的两个地区招募参与者的,随后通过滚雪球程序招募了参与者。他们完成了一系列自我报告措施,评估了对HIV和PrEP的信念,社会心理影响,人口统计学和使用HIV PrEP的意愿。人们对医生的高度信任以及更多未满足的人际关系归属需求被预测为使用HIV PrEP的意愿。除了这些因素之外,愿意和不愿意的人群根据特定于干预的信念(在使用PrEP时的耻辱感和自我效能感)进行区分。总之,研究结果表明人际因素应与干预特征的认知相结合,以评估在此特定风险人群中加入PrEP的动机。

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