Factors predicting uptake of sexually transmitted infections testing among men who have sex with men who are “Pre-exposure prophylaxis tourists”: An observational prospective cohort study

Zixin WANG, Yuan Josephine FANG, Natthakhet YAEMIM, Kai J. JONAS, Andrew CHIDGEY, Mary IP, Tommy CHENG, Joseph T. F. LAU

Research output: Contribution to journalArticlespeer-review

Abstract

The term “Pre-exposure prophylaxis (PrEP) tourists” refers to individuals who obtain PrEP in other countries and use it in their home countries. A prospective observational cohort study was conducted among a group of men who have sex with men (MSM) who obtained PrEP in private clinics in Thailand and used it in Hong Kong. Participants completed two web-based self-administered surveys when obtaining PrEP in Thailand and three months afterwards. Out of 110 participants at baseline, 67 completed the follow-up. The prevalence of sexually transmitted infection (STI) testing was 47.8% during the follow-up period. Eleven participants received an STI diagnosis, and seven of them were incident infections in the past three months. Participants who perceived a higher chance for STI infection (adjusted odds ratios (AOR): 1.90, 95% CI: 1.00, 3.75) and reported higher intention to take up STI testing at baseline (AOR: 1.62, 95% CI: 1.05, 2.50) were more likely to receive STI testing during the follow-up period. Baseline perceptions that service providers would think they were having risky behaviors because of PrEP use was negatively associated with the dependent variable (AOR: 0.51, 95% CI: 0.31, 0.86). Service planning and health promotion related to STI testing is needed for MSM “PrEP tourists”. Copyright © 2021 by the authors.
Original languageEnglish
Article number3582
JournalInternational Journal of Environmental Research and Public Health
Volume18
Issue number7
Early online date30 Mar 2021
DOIs
Publication statusPublished - 01 Apr 2021

Citation

Wang, Z., Fang, Y., Yaemim, N., Jonas, K. J., Chidgey, A., Ip, M., . . . Lau, J. T. F. (2021). Factors predicting uptake of sexually transmitted infections testing among men who have sex with men who are “Pre-exposure prophylaxis tourists”: An observational prospective cohort study. International Journal of Environmental Research and Public Health, 18(7). Retrieved from https://doi.org/10.3390/ijerph18073582

Keywords

  • PrEP tourists
  • Men who have sex with men
  • STI testing
  • Observational prospective cohort study

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