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AIDS Care. 2020 Feb;32(2):242-248. doi: 10.1080/09540121.2019.1622643. Epub 2019 May 25.

Acceptability of pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) in Benin: a qualitative study.

Author information

1
Centre National Hospitalier et Universitaire Hubert Koutoukou Maga de Cotonou, Cotonou, Bénin.
2
Centre de recherche du CHU de Québec - Université Laval, Québec, Canada.
3
Département de médecine et spécialités médicales, Université Alassane Ouattara, Bouaké, Côte d'Ivoire.
4
Département de médecine sociale et préventive, Université Laval, Québec, Canada.
5
Plan International Benin, Cotonou, Bénin.
6
Dispensaire des IST, Centre de Santé Cotonou I, Cotonou, Bénin.
7
École Nationale de Formation des Techniciens Supérieurs en Santé Publique et en Surveillance Épidémiologique, Université de Parakou, Parakou, Bénin.
8
Faculté des Sciences de Santé, Cotonou, Bénin.
9
Institut national de santé publique, Québec, Canada.

Abstract

In Benin, consistent condom use among men who have sex with men (MSM)  is relatively low and providing them with Pre-exposure prophylaxis (PrEP) could be of great relevance. We aimed to describe PrEP knowledge and intention to use it; identify key facilitators and barriers to PrEP; and describe the perceived impact of PrEP on unsafe sexual behavior. MSM, 18 years or older, HIV-negative or of unknown status, were enrolled in five cities of Benin. Intention to use PrEP was assessed through five focus groups (FG). Data were analyzed using manual thematic sorting. Thirty MSM (six per city) participated in the FG. Mean age (standard deviation) was 27.1 (5.0) years. All participants expressed the intention to use PrEP if made available. Facilitators of PrEP use were: availability of medication, safety, absence of constraints as well as freedom to have multiple sex partners and sex with HIV-positive friends. Barriers were: complex procedures for obtaining medication, size and taste of medication, cost of medication, poor PrEP awareness.. Eighteen men admitted that PrEP could lead to decrease in or even abandonment of condom use. In conclusion, MSM showed openness to use PrEP if available, although they recognized that it could lead to risk compensation.

KEYWORDS:

Acceptability; Benin; HIV; MSM; PrEP; feasibility

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