Predicting Factors for Pre-exposure Prophylaxis (PrEP) Taking-behaviors Among Men Who Have Sex with Men (MSM) in Bangkok Metropolis
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Abstract
This cross-sectional study aimed to study predicting factors for pre-exposure prophylaxis (PrEP) taking-behaviors among men who have sex with men (MSM) among aged over 18 years old who received PrEP in Bangkok metropolis. The study applied PRECEDE-PROCEED model as a conceptual framework. The snowball sampling technique was employed with all 337 male. Data was collected by using online questionnaires (google form) conducted between July-August 2020. Analyzing used descriptive statistics and stepwise multiple regression analysis.
The results showed that the majority of the samples had 75.1% of PrEP taking-behaviors at a good level. Predicting factors for PrEP taking-behaviors among MSM at 44.8% (R2 = .448, p < .05) there were five variables from descending prediction weight: social stigma (β = 0.497), PrEP usage attitude (β = 0.317), HIV risk behaviors (β = 0.109), age and health service system access (β = 0.087).
The results used to promote accessibility to health service system for MSM, promote positive PrEP usage attitude especially among young MSM with HIV risk behaviors. In addition, the understanding of PrEP should be strengthened to the general public to reduce stigmatization in PrEP users.
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