ArticleAIDS and behavior2026
Structural and Social Drivers of Pre-Exposure Prophylaxis (PrEP) Literacy Disparities Among Men who have Sex with Men in China: A PrEP Care Cascade Analysis.
Article in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Challenges in HIV prevention and treatment among men who have sex with men in China: structural exclusion, healthcare inequity, and testing avoidance.Frontiers in public health · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite the proven efficacy of pre-exposure prophylaxis (PrEP) for HIV prevention, uptake among men who have sex with men (MSM) in China remains low. Guided by the PrEP care cascade framework, we conceptualized PrEP literacy as a social practice shaped by structural and community dynamics, encompassing four dimensions: essential knowledge, eligibility self-assessment, access to medication, and adherence to follow-up care. We examine how social support, community norms, and structural barriers intersect to shape PrEP literacy disparities. A cross-sectional study was conducted in partnership with 20 community-based organizations (CBOs) across 20 Chinese cities (December 2023). We surveyed 1,400 MSM with an electronic questionnaire assessing demographics, sexual behaviors, PrEP-related norms, social support, and PrEP literacy using a validated 14-item scale aligned with the cascade framework. Multivariable logistic regression models were used to identify factors associated with PrEP literacy, adjusting for sociodemographic confounders. Participants exhibited stark disparities across PrEP literacy dimensions. Eligibility assessment proficiency was the lowest, with widespread misperceptions about clinical indications. Social-structural factors significantly predicted PrEP literacy: MSM reporting stronger PrEP-supportive norms (adjusted odds ratio [AOR] = 1.05, p < 0.001) and social support (AOR = 1.03, p < 0.001) had higher odds of adequate literacy. PrEP literacy gaps among Chinese MSM reflect structural inequities in health education and community-level misperceptions about eligibility. Interventions must address social-structural barriers through norm-driven, community-led strategies -peer navigation programs to reframe eligibility awareness and partnerships with CBOs to decentralize PrEP access. Policymakers should integrate PrEP literacy into national HIV prevention frameworks by leveraging China's existing CBO infrastructure.
Indexed as
Identifiers
41870662What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.