Willingness to Use Pre-exposure Prophylaxis (PrEP) and Preferences Among Men Who have Sex with Men in Mumbai and Chennai, India: A Discrete Choice Experiment.

Pre-exposure prophylaxis (PrEP) programs are planned for key populations in India. We examined PrEP awareness and willingness to use PrEP in order to support products and services for MSM. From December 2016 to March 2017, we conducted a survey and discrete choice experiment (DCE)—a technique to qua...

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Publicado en:AIDS & Behavior Vol. 25; no. 10; pp. 3074 - 3085
Autores principales: Chakrapani, Venkatesan, Newman, Peter A., Cameron, Michael, Shunmugam, Murali, Roungprakhon, Surachet, Rawat, Shruta, Baruah, Dicky, Nelson, Ruban, Tepjan, Suchon, Scarpa, Riccardo
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Oct2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Willingness to Use Pre-exposure Prophylaxis (PrEP) and Preferences Among Men Who have Sex with Men in Mumbai and Chennai, India: A Discrete Choice Experiment.
      aug:
        au:
          Chakrapani, Venkatesan
          Newman, Peter A.
          Cameron, Michael
          Shunmugam, Murali
          Roungprakhon, Surachet
          Rawat, Shruta
          Baruah, Dicky
          Nelson, Ruban
          Tepjan, Suchon
          Scarpa, Riccardo
        affil: Centre for Sexuality and Health Research and Policy (C-SHaRP), Chennai, India
      sug:
        subj:
          HIV Infections Prevention and Control
          Pre-Exposure Prophylaxis
          Men Who Have Sex With Men Psychosocial Factors
          Attitude to Medical Treatment Evaluation
          Patient Preference Evaluation
          Human
          India
          Male
          Multiple Logistic Regression
          Descriptive Statistics
          Odds Ratio
          Confidence Intervals
          Anti-Retroviral Agents Administration and Dosage
          Hospitals, Public
          Anti-Retroviral Agents Economics
          Anti-Retroviral Agents Adverse Effects
          Male
      ab: Pre-exposure prophylaxis (PrEP) programs are planned for key populations in India. We examined PrEP awareness and willingness to use PrEP in order to support products and services for MSM. From December 2016 to March 2017, we conducted a survey and discrete choice experiment (DCE)—a technique to quantify the strength of participants' trade-off preferences among various product attributes—to assess willingness to use PrEP and related preferences. MSM were recruited from cruising sites and HIV prevention services in Mumbai and Chennai. DCE data were analyzed using mixed logit regression models and estimated marginal willingness-to-pay, the relative value participants' place on different PrEP attributes. Overall, 76.6% indicated willingness to use PrEP. Efficacy had the greatest effect on choice (high vs. moderate, aOR = 19.9; 95% CI 13.0–30.4), followed by dosing frequency (intermittent vs. daily regimen, aOR = 2.02; 95% CI 1.8–2.2). Participants preferred no (vs. minor) side-effects, subsidized (vs. market) price, and government (vs. private) hospitals. Findings suggest that educational and social marketing interventions should emphasize PrEP's high efficacy and minimal side effects, and programs should provide government-subsidized PrEP with choices of intermittent or daily dosing delivered by government and private hospitals/clinics in order to optimize PrEP uptake among MSM in India.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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