Impact of HIV risk perception on both pre-exposure prophylaxis and condom use

J Health Psychol. 2021 Sep;26(10):1575-1586. doi: 10.1177/1359105319883927. Epub 2019 Oct 24.

Abstract

Risk perception is one of the several important factors impacting sexual health behaviours. This study investigated the evolution of HIV risk perception on pre-exposure prophylaxis adherence and condom use in men who have sex with men at high risk of HIV and associated factors. Group-based trajectory modelling helped in identifying patterns of risk perception, pre-exposure prophylaxis adherence and condom use over time. The association between the former and the latter two dimensions was then investigated. An estimated 61 per cent (p < 0.001) of participants perceiving low risk and 100 per cent (p < 0.001) of those perceiving high risk had systematic pre-exposure prophylaxis adherence, while an estimated 49 per cent (p < 0.001) and 99.8 per cent (p < 0.001), respectively, reported low-level condom use.

Keywords: HIV; condom use; men who have sex with men; pre-exposure prophylaxis adherence; risk perception; trajectories.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Condoms
  • HIV Infections* / prevention & control
  • Homosexuality, Male
  • Humans
  • Male
  • Perception
  • Pre-Exposure Prophylaxis*
  • Sexual and Gender Minorities*