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      Advances and challenges in sexually transmitted infections prevention among men who have sex with men in Asia

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Purpose of review

          This review summarizes recently published research on sexually transmitted infections (STIs) and sexually transmitted diseases (STDs) among men who have sex with men (MSM) in Asia, covering four main areas: prevalence and consequences of STIs/STDs, factors associated with STI risk, strategies and measures of STI prevention, challenges in the prevention of SITs.

          Recent findings

          Studies show that STIs among Asian MSM are still prevalent, with the prevalence of STIs varying slightly from country to country. In addition to the number of sexual partners, frequency of condom use, high-risk sexual behaviors, the influence of Confucianism, law, and COVID-19 are also related to STI risk. Social stigma, weak health systems, lack of funding and policy support are the current challenges for STIs prevention.

          Summary

          In the future, new media technologies are encouraged to be used to enhance education and reduce stigma and discrimination against MSM and STIs. Expanding STI screening, strengthening STI knowledge propaganda and education among MSM population, and providing necessary counseling and medical services are main strategies in STI prevention. It is also important to strengthen STI awareness and policy support at the national level.

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          Preexposure Prophylaxis for the Prevention of HIV Infection

          Roger Chou, Christopher Evans, Adam Hoverman … (2019)
          Effective prevention strategies for HIV infection are an important public health priority. Preexposure prophylaxis (PrEP) involves use of antiretroviral therapy (ART) daily or before and after sex to decrease risk of acquiring HIV infection.
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            Diagnosis and Treatment of Sexually Transmitted Infections: A Review

            Susan Tuddenham, Matthew M Hamill, Khalil Ghanem (2022)
            Article 0 comments Cited 43 times – based on 0 reviews     Review now
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              Increasing awareness of HIV pre‐exposure prophylaxis (PrEP) and willingness to use HIV PrEP among men who have sex with men: a systematic review and meta‐analysis of global data

              Zhishan Sun, Qianfei Gu, Yifan Dai … (2022)
              Abstract Introduction Integrated knowledge regarding pre‐exposure prophylaxis (PrEP) awareness and willingness to use PrEP can be useful for HIV prevention in high incidence groups. This review summarizes the awareness of PrEP and willingness to use PrEP among men who have sex with men (MSM). Methods Online electronic databases were searched before 31 August 2021. A meta‐analysis was conducted to pool studies analysing PrEP awareness and willingness to use PrEP. LOESS regression and linear regression were applied to fit the trends over time for the proportion of MSM aware of PrEP and willing to use PrEP. Dose–response meta‐analysis (DRMA) was conducted by a restricted cubic spline model to explore the relationship between willingness to use PrEP and selected factors. Results and Discussion A total of 156 articles involving 228,403 MSM were included. The pooled proportions of MSM aware of PrEP and willing to use PrEP were 50.0 (95% CI: 44.8–55.2) and 58.6% (95% CI: 54.8–62.4), respectively. PrEP awareness varied among countries with different economic status and different WHO regions, among different publication and research years, PrEP types and support policies. PrEP willingness differed among countries with different economic status and groups with different risks of HIV. The awareness of PrEP increased from 2007 to 2019 with a slope of 0.040260 (p<0.0001), while the proportion of MSM willing to use PrEP decreased from 2007 to 2014 (slope = –0.03647, p = 0.00390) but increased after 2014 (slope = 0.04187, p = 0.03895). The main facilitators of willingness to use PrEP were PrEP awareness, condomless sexual behaviours, high perceived risk of HIV infection and influence of social network. The main barriers were doubts about the efficacy and side effects of PrEP. DRMA results indicated that MSM with more sexual partners and lower level of education were more willing to use PrEP. No publication bias was observed. Conclusions The proportions of PrEP awareness and willingness to use PrEP among MSM have increased since 2014, although the awareness was low and the willingness was moderate. Improving awareness of PrEP through increasing access to PrEP‐related health education and enhancing risk perceptions of HIV infection could have positive effects on the willingness to use PrEP among MSM.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Curr Opin Infect Dis
                Journal ID (iso-abbrev): Curr Opin Infect Dis
                Journal ID (publisher-id): COIDI
                Title: Current Opinion in Infectious Diseases
                Publisher: Lippincott Williams & Wilkins (Hagerstown, MD )
                ISSN (Print): 0951-7375
                ISSN (Electronic): 1473-6527
                Publication date (Print): February 2023
                Publication date (Electronic): 8 December 2022
                Volume: 36
                Issue: 1
                Pages: 26-34
                Affiliations
                Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, PR China
                Author notes
                Correspondence to Wei Ma, PhD, Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, 44 West Wenhua Road, Jinan, Shandong 250012, PR China. Tel: +86 531 8838 2141; e-mail: weima@ 123456sdu.edu.cn
                Article
                Publisher ID: QCO360101 Accession ID: 00006
                DOI: 10.1097/QCO.0000000000000892
                PMC ID: 9794152
                PubMed ID: 36480294
                SO-VID: 2192c959-1305-4ff7-ab1a-cb6a14d0408d
                Copyright © Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc.
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0

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                Categories
                Subject: STD: Edited by Joseph A. Duncan
                Custom metadata
                OPEN-ACCESS TRUE

                Keywords: asia,men who have sex with men,sexually transmitted infections
                Data availability:
                Keywords: asia, men who have sex with men, sexually transmitted infections

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