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Awareness and willingness to use post-exposure prophylaxis and influencing factors among men who have sex with men in Heilongjiang province: a cross-sectional survey
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Xue TONG, Jing MA, Hongmei YAN, Shan HUI, Lin WANG
Chinese Journal of Public Health | 2025, 41(2) : 229 - 233
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Chinese Journal of Public Health | 2025, 41(2): 229-233
• Survey and Report •
Awareness and willingness to use post-exposure prophylaxis and influencing factors among men who have sex with men in Heilongjiang province: a cross-sectional survey
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Xue TONG, Jing MA, Hongmei YAN, Shan HUI, Lin WANG
Affiliations
  • Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China
Published: 2025-02-10 doi: 10.11847/zgggws1143678
Outline
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Objective

To assess the awareness and willingness to use post-exposure prophylaxis (PEP) and influencing factors among men who have sex with men (MSM) in Heilongjiang province for further promotion and implementation of PEP programs among MSM.

Methods

Using snowball sampling, we recruited 404 MSM residing in Harbin city who were ≥18 years old, HIV negative, or unaware of their HIV status. Face-to-face interviews were conducted among the MSM from September to November 2021 to collect relevant information by taking a self-developed PEP questionnaire based on that used in the national sentinel surveillance program. Chi-squared tests, univariate and multivariate unconditional logistic regression analyses were used to analyze factors influencing MSM's willingness to accept PEP.

Results

Of the MSM surveyed with a median age of 36 years, 68.812% reported the willingness to use PEP. Univariate analysis revealed that marital status, education, personal monthly income, sexual orientation, primary venue for finding male partners, HIV knowledge, sexual role during anal intercourse, number of male sex partners in the least 6 months, frequency of condom use during anal sex with men in the least 6 months, number of HIV tests, PEP awareness, and the maximum acceptable price of PEP were significant factors associating with willingness to accept PEP (all P<0.050). Multivariate unconditional logistic regression analysis showed that education level (odds ratio [OR]=5.500, 95% confidence interval [95%CI]: 2.174–13.911), number of male sex partners (OR=21.708, 95%CI: 6.258–75.305), frequency of condom use during anal sex with men in the least 6 months (OR=9.301, 95%CI: 2.711–31.904), and number of HIV tests (OR=3.218, 95%CI: 1.500–6.904) were the main factors influencing willingness to use PEP.

Conclusions

The willingness to accept PEP is relatively high among MSM in Heilongjiang province, suggesting that PEP should be promoted among local MSM to reduce HIV infection.

men who have sex with men (MSM)  /  post-exposure prophylaxis  /  Heilongjiang province
佟雪, 马静, 闫红梅, 惠珊, 王林. 黑龙江省男男性行为者HIV暴露后预防使用情况及影响因素分析. 中国公共卫生, 2025 , 41 (2) : 229 -233 . DOI: 10.11847/zgggws1143678
Xue TONG, Jing MA, Hongmei YAN, Shan HUI, Lin WANG. Awareness and willingness to use post-exposure prophylaxis and influencing factors among men who have sex with men in Heilongjiang province: a cross-sectional survey[J]. Chinese Journal of Public Health, 2025 , 41 (2) : 229 -233 . DOI: 10.11847/zgggws1143678
Year 2025 volume 41 Issue 2
99
39
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Article Info
doi: 10.11847/zgggws1143678
  • Receive Date:2023-11-28
  • Online Date:2026-10-25
  • Published:2025-02-10
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History
  • Received:2023-11-28
  • Revised:2024-09-26
  • Accepted:2024-11-21
Affiliations
    Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China

Corresponding:

WANG Lin, E-mail:
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表12种不同金属材料的力学参数
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Family
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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