Table 2.
Associations Between Attitudes, Perceived Benefits and Disadvantages, Risk Compensation, and Willingness to Use Preexposure Prophylaxis Among Trans Women (N=355)
| Variables | Total (N=355) n (%) | Willingness to use PrEP n (%) |
p Value | |
|---|---|---|---|---|
| No (n=69) | Yes (n=286) | |||
| PrEP-related attitude measures | ||||
| How likely would you be to take PrEP, if it was prescribed by a medical doctor? | ||||
| Very unlikely/unlikely | 32 (9.0) | 19 (27.5) | 13 (4.5) | <0.01 |
| Very likely/likely | 323 (91.0) | 50 (72.5) | 273 (95.5) | |
| Would you take PrEP, if you still had to use condoms? | ||||
| No | 34 (9.6) | 24 (34.8) | 10 (3.4) | <0.01 |
| Yes | 321 (90.4) | 45 (65.2) | 276 (96.6) | |
| If you are on PrEP, would you want your main partner to know about it? | ||||
| No | 88 (24.8) | 41 (59.4) | 47 (16.4) | <0.01 |
| Yes | 267 (75.2) | 28 (40.6) | 239 (83.6) | |
| How likely would you be to take PrEP, if it has to be taken daily? | ||||
| Very unlikely/unlikely | 48 (13.5) | 21 (30.4) | 27 (9.4) | <0.01 |
| Very likely/likely | 307 (86.5) | 48 (69.6) | 259 (90.6) | |
| How likely would you be to take PrEP, if it has some minor side effects? | ||||
| Very unlikely/unlikely | 93 (26.2) | 45 (65.2) | 48 (16.8) | <0.01 |
| Very likely/likely | 262 (73.8) | 24 (34.8) | 238 (83.2) | |
| Perceived benefits | ||||
| It could prevent me from getting HIV | ||||
| No | 13 (3.7) | 10 (14.4) | 3 (1.0) | <0.001 |
| Yes | 342 (96.3) | 59 (85.6) | 283 (99.0) | |
| It would reduce my worry about getting HIV | ||||
| No | 15 (4.2) | 12 (17.4) | 3 (1.0) | <0.001 |
| Yes | 340 (95.8) | 57 (82.6) | 283 (99.0) | |
| It would reduce my worry about giving HIV to my sex partner(s) | ||||
| No | 51 (14.4) | 28 (40.6) | 23 (8.0) | <0.001 |
| Yes | 304 (85.6) | 41 (59.4) | 263 (92.0) | |
| It would prevent me getting HIV from forced sex | ||||
| No | 48 (13.5) | 30 (43.4) | 18 (6.2) | <0.001 |
| Yes | 307 (86.5) | 39 (56.6) | 268 (73.8) | |
| I could tell my partners that I am protected against HIV | ||||
| No | 100 (28.2) | 48 (69.5) | 52 (18.2) | <0.001 |
| Yes | 255 (71.8) | 21 (30.5) | 234 (81.8) | |
| Perceived disadvantages | ||||
| I would worry about what my hijra/trans friends think of me | ||||
| No | 183 (51.5) | 36 (52.1) | 147 (51.3) | 0.90 |
| Yes | 172 (48.5) | 33 (47.9) | 139 (48.7) | |
| I would worry about what my family thinks of me | ||||
| No | 186 (52.4) | 41 (59.4) | 145 (50.7) | 0.19 |
| Yes | 169 (47.6) | 28 (40.6) | 141 (49.3) | |
| I would worry about what my male regular partner thinks of me | ||||
| No | 207 (58.3) | 50 (72.4) | 157 (54.9) | <0.01 |
| Yes | 148 (41.7) | 19 (27.6) | 129 (45.1) | |
| I would worry that I have to get an HIV test before getting PrEP | ||||
| No | 209 (58.9) | 61 (88.4) | 148 (51.8) | <0.001 |
| Yes | 146 (41.1) | 8 (11.6) | 138 (48.2) | |
| I would worry that people would think I am HIV-positive if I am on PrEP | ||||
| No | 215 (60.6) | 45 (65.2) | 170 (59.4) | 0.37 |
| Yes | 140 (39.4) | 24 (34.8) | 116 (40.6) | |
| I would not be able to take medications (PrEP) daily | ||||
| No | 210 (59.2) | 33 (47.9) | 177 (62.0) | 0.03 |
| Yes | 145 (40.8) | 36 (52.1) | 109 (38.0) | |
| I would worry that PrEP may interact with hormones that I take now or in the future | ||||
| No | 191 (53.8) | 35 (50.7) | 156 (54.5) | 0.56 |
| Yes | 164 (46.2) | 34 (49.3) | 130 (45.5) | |
| Preferences in pricing and access venue | ||||
| Pricing of PrEP | ||||
| Free | 224 (63.1) | 56 (81.1) | 168 (58.8) | <0.01 |
| Subsidized/charged | 131 (36.9) | 13 (18.9) | 118 (41.2) | |
| Venue preference to receive PrEP | ||||
| Govt. hospitals and other venues | 97 (27.3) | 3 (4.3) | 94 (32.9) | <0.001 |
| CBOs/NGOs | 258 (72.7) | 66 (95.7) | 192 (67.1) | |
| Risk compensation | ||||
| PrEP use would avoid the hassle of using condoms | ||||
| No | 180 (50.7) | 16 (23.2) | 164 (57.3) | <0.001 |
| Yes | 175 (49.3) | 53 (76.8) | 122 (42.7) | |
| PrEP use would allow me to have sex with more sexual partners | ||||
| No | 97 (27.3) | 3 (4.3) | 94 (32.9) | <0.001 |
| Yes | 258 (72.7) | 66 (95.7) | 192 (67.1) | |
CBO, community-based organization; NGO, nongovernmental organization.