Pre-exposure prophylaxis among men who have sex with men in Côte d'Ivoire: a quantitative study of acceptability

This cross sectional study was conducted in 2018 in Côte d'Ivoire to assess PrEP acceptability among men who have sex with men (MSM). Two hundred and one men were asked on their intention to use PrEP if made available. Logistic regression accounting for the sampling design was used to analyze a...

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Bibliographic Details
Published in:	AIDS care Vol. 33; no. 9; pp. 1228 - 1236
Main Authors:	Diabaté, S., Kra, O., Biékoua, Y. J., Pelletier, S. J., Osso, D. G., Diané, B., N'Dhatz-Ebagnitchié, M., Ahouada, C., Kobena, A. K., Alary, M.
Format:	Journal Article
Language:	English
Published:	England Taylor & Francis 02-09-2021 Taylor & Francis Ltd
Subjects:	Acceptability acceptability of PrEP AIDS/HIV Anal intercourse Anal sex Antiretroviral agents Antiretroviral drugs Antiretroviral therapy Campaigns Confidence intervals Côte d'Ivoire Disease prevention Gays & lesbians Health behavior Higher education HIV Independent variables Men who have sex with men Mens health MSM Multivariate analysis Patient compliance Prophylaxis Quantitative analysis Sampling designs Sexual behavior Sexual intercourse Side effects Statistical analysis sub-Saharan Africa sub-Saharan Africa HIV MSM acceptability of PrEP Côte d’Ivoire
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Summary:	This cross sectional study was conducted in 2018 in Côte d'Ivoire to assess PrEP acceptability among men who have sex with men (MSM). Two hundred and one men were asked on their intention to use PrEP if made available. Logistic regression accounting for the sampling design was used to analyze associations between high PrEP acceptability and different independent variables including barriers and facilitators. Participants were mostly young (mean age = 25 years), educated (82% with secondary/postsecondary education) and single (95.5%). On average, 3.4 episodes of anal sex were reported monthly and 37.8% of men did not use a condom at last sex. Most MSM (72.6%) had heard of PrEP before enrollment. Overall, 35.3% reported that they would use PrEP very probably if made available. In multivariate analysis, factors associated with high PrEP acceptability were condom use at last sexual intercourse (Odds ratio (OR) = 2.51; 95%Confidence interval (95%CI) = 1.45-4.33); insertive sex as compared to versatile sex (OR = 2.56; 95%CI = 1.14-5.67); free PrEP delivery (OR = 2.45; 95%CI = 1.07-5.59), concerns about side effects (OR = 0.66; 95%CI = 0.48-0.90), and being preoccupied by the fact that post-PrEP antiretroviral therapy could be inefficient (OR = 0.25; 95%CI = 0.14-0.44). PrEP implementation among MSM in Côte d'Ivoire should be accompanied by awareness raising campaigns explaining its utility.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0954-0121 1360-0451
DOI:	10.1080/09540121.2020.1785997