Knowledge of HIV pre-exposure prophylaxis among immigrant Asian gay men living in New Zealand
Jeffery Adams 1 3 , Rommel Coquilla 1 , Jed Montayre 2 , Stephen Neville 21 SHORE & Whāriki Research Centre, Massey University, PO Box 6137, Auckland 1141, New Zealand
2 Department of Nursing, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand
3 Corresponding author. Email: j.b.adams@massey.ac.nz
Journal of Primary Health Care 11(4) 351-358 https://doi.org/10.1071/HC19076
Published: 18 December 2019
Journal Compilation © Royal New Zealand College of General Practitioners 2019 This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
Abstract
INTRODUCTION: HIV pre-exposure prophylaxis (PrEP) is a new bio-medical means of reducing the risk of HIV infection. It’s use by individuals at high risk of HIV acquisition is recommended.
Aims: This study identifies the ways immigrant Asian gay men living in New Zealand talk about and understand issues related to PrEP.
METHODS: A qualitative descriptive methodology was used. Individual interviews were conducted with 18 immigrant Asian gay men who were not users of PrEP. Participants were aged 21 – 36 years and one-third had arrived in New Zealand within 3 years of completing the interview. Data were analysed using thematic analysis.
RESULTS: Three themes evident across the men’s talk in relation to pre-exposure prophylaxis were identified: ‘I’m not sure what PrEP is’; ‘PrEP is not proven’; and ‘PrEP is for others, not me’.
DISCUSSION: PrEP is necessary for working towards the elimination of HIV. To improve uptake among Asian gay men, improved literacy around HIV and pre-exposure prophylaxis is required. This knowledge needs to be improved at both the individual level in primary care services and collectively through health promotion initiatives. These services and health promotion initiatives need to be provided in ways that encourage engagement by Asian gay men.
KEYwords: Asian; gay; HIV pre-exposure prophylaxis
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