Predictors of willingness to use HIV pre-exposure prophylaxis among female sex workers in Southwest China.
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.
Key Laboratory of Cognition & Personality, Southwest University, Chongqing, China.
Todd
T
Jackson
Ailong
A
Huang
Hong
H
Chen
Xiao
X
Gao
Yan
Y
Zhang
Xiaoni
X
Zhong
D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D018890:Chemoprevention / Q000523:psychology*; D002681:China; D003863:Depression / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010817:Physician-Patient Relations; D011584:Psychology; D020377:Self Efficacy; D060386:Sex Workers / Q000523:psychology*; D057545:Social Stigma; D011795:Surveys and Questionnaires; D055815:Young Adult
D019380:Anti-HIV Agents