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Table 2 Patterns of SDU and perceptions related PrEP among GBMSM with experience of SDU in the past year

From: Uptake and willingness to use PrEP among Chinese gay, bisexual and other men who have sex with men with experience of sexualized drug use in the past year

 

% / Mean (SD)

Patterns of SDU

(n = 82)

Types of psychoactive substance used during SDU in past year

 Ketamine

1.2

 Methamphetamine

31.7

 Cocaine

1.2

 Cannabis

8.5

 Ecstasy

3.7

 Dormicum / Halcion / Erimin 5 / Hypnotic drugs (non-prescription)

0.0

 Heroin

0.0

 Cough suppressant (not for curing cough)

1.2

 Amyl nitrite

80.5

 GHB/GBL

31.7

 5-methoxy-N, N-diisopropyltryptamine (Foxy)

4.9

 Mephedrone

0.0

Poly-use of psychoactive substances in lifetime

 No

69.5

 Yes

30.5

Time since the first episode of SDU

  < 1 year

40.2

 1–2 years

15.9

 3–5 years

15.9

  > 5 years

28.0

Frequency of SDU in the past year

 1 episode/month

37.8

 1–2 episodes/month

29.3

  ≥ 3 episodes/month

32.9

Condomless anal intercourse during SDU in the past year

 No

48.8

 Yes

51.2

Drug cessation/rehabilitation services provided by governmental organizations

 No

97.6

 Yes

2.4

Drug cessation/rehabilitation services provided by non-governmental organizations

 No

90.2

 Yes

9.8

Details of the most recent episode of SDU

 Number of participants

  2

78.0

   ≥ 3

22.0

 Alcohol consumption

  No

85.4

  Yes

14.6

 Use of erectile dysfunction drugs

  No

69.5

  Yes

30.5

 Group sex

  No

80.5

  Yes

19.5

 Condomless anal intercourse

  No

48.8

  Yes

51.2

Perceptions related to PrEP (among participants with experience of SDU in the past year who were not on PrEP)

(n = 70)

Willingness to take once-daily oral pill as PrEP in the next six months after being briefed some facts of PrEP

 No (definitely not/probably not/neutral)

32.9

 Yes (probably will/definitely will)

67.1

Willingness to pay (HK$ per month) for using once-daily oral pill as PrEP (among those with willingness to take PrEP in the next six months, n = 56)

  ≤ 300

24.2

 301–500

14.3

 501–1000

18.6

 1000–2000

21.4

 2001–4000

17.1

 4001–6000

2.9

 6001–8000

1.4

  > 8000

0.0

Perceptions related to PrEP based on the TPB

 Positive attitudes toward PrEP (% agree)

  PrEP can reduce your chance of HIV infection during SDU

81.4

  PrEP would reduce your worry of HIV infection when having condomless sex during SDU

64.3

  PrEP provides you more choice for HIV prevention

84.3

Positive Attitude Scalea

8.1 (1.3)

 Negative attitudes toward PrEP (% agree)

  Psychoactive substances that are used during SDU would reduce the protective effect of PrEP

17.1

  Psychoactive substances that are used during SDU would aggravate the side-effects of PrEP

30.0

  Psychoactive substances that are used during SDU would make you forget to take PrEP

28.6

  Daily use of PrEP would cause severe financial burden for you

80.0

  You will be stigmatized by medical professionals when you are using PrEP-related services

37.1

Negative Attitude Scaleb

10.2 (2.2)

 Perceived subjective norm related to PrEP

  People who are important to you will support you to use PrEP

   Disagree/neutral

32.9

   Agree

67.1

 Perceived behavioral control to use PrEP

  In general, you are confident in taking PrEP every day in the next six months

  Strongly disagree/disagree/neutral

35.7

  Agree/strongly agree

64.3

  1. Sexualized drug use is defined as use of the following psychoactive substances before/during anal intercourse, including ketamine, methamphetamine, cocaine, cannabis, ecstasy, Dormicum/Halcion/Erimin 5/non-prescription hypnotic drugs, heroin, cough suppressant (not for curing cough), amyl nitrite (popper), GHB/GBL (γ-hydroxybutyrate), 5-methoxy-N, N-diisopropyltryptamine (Foxy), and mephedrone
  2. aPositive Attitude Scale, three items, Cronbach’s alpha: 0.648, one factor was identified by explanatory factor analysis, explaining for 61.6% of the total variance. Higher score of the scale indicated more positive attitudes toward PrEP
  3. bNegative Attitude Scale, five items, Cronbach’s alpha: 0.747, one factor was identified by explanatory factor analysis, explaining for 56.6% of the total variance. Higher score of the scale indicated more negative attitudes toward PrEP