{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T06:10:37Z","timestamp":1792649437735,"version":"4.5.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Ministry of Science and Technology, Taiwan","award":["MOST 108\u20132636-B-006\u2013004"],"award-info":[{"award-number":["MOST 108\u20132636-B-006\u2013004"]}]},{"name":"Ministry of Science and Technology, Taiwan","award":["MOST 109\u20132636-B-006\u2013004"],"award-info":[{"award-number":["MOST 109\u20132636-B-006\u2013004"]}]},{"name":"Ministry of Science and Technology, Taiwan","award":["MOST 110\u20132636-B-006\u2013011"],"award-info":[{"award-number":["MOST 110\u20132636-B-006\u2013011"]}]},{"name":"Ministry of Science and Technology, Taiwan","award":["MOST 111\u20132636-B-006\u2013011"],"award-info":[{"award-number":["MOST 111\u20132636-B-006\u2013011"]}]},{"DOI":"10.13039\/100020953","name":"Taiwan Centers for Disease Control","doi-asserted-by":"crossref","award":["MOHW114-CDC-C-114-000102"],"award-info":[{"award-number":["MOHW114-CDC-C-114-000102"]}],"id":[{"id":"10.13039\/100020953","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2026,1,1]]},"abstract":"<jats:p>Given the global burden of sexually transmitted infections (STIs) and the introduction of doxycycline post-exposure prophylaxis (doxy-PEP) as an effective biomedical prevention strategy, there is a need to re-evaluate and culturally tailor STI screening policies for better integration into prevention services. We assessed preferences for STI prevention services among gay, bisexual, and other men who have sex with men (GBMSM) in Taiwan in the context of doxy-PEP. An anonymous, self-administered, web-based survey was conducted between April and May 2025 via a geosocial app popular among Taiwanese GBMSM. A discrete choice experiment with a D-efficient design evaluated preferences across screening frequency, service integration, STI screening types, location, and out-of-pocket costs. Mixed logit models and latent class analysis (LCA) were used for analysis. Among 606 cisgender GBMSM (median age: 34; interquartile range: 30\u201340), half reported awareness of doxy-PEP, 18% had used it, and 42% were willing to use it in the next 6 months. Participants preferred fixed-interval screening, integrated prevention services (including doxy-PEP, STI screening, HIV pre-exposure prophylaxis or antiretroviral therapy, and vaccination), and lower costs. LCA identified two groups: \u201cCost-Conscious Pragmatists\u201d (41%) prioritizing affordability and a simpler STI screening package (i.e., syphilis and gonorrhea), and \u201cComprehensive Care Self-Investors\u201d (59%) willing to pay more for comprehensive, frequent STI screening. While GBMSM in Taiwan may favor routine, integrated services, cost strongly shapes uptake. A modular screening design with core essential services and optional add-ons could maximize accessibility and equitable access across beneficiaries with diverse financial capabilities.<\/jats:p>","DOI":"10.1177\/10872914251394651","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T07:49:40Z","timestamp":1762933780000},"page":"5-13","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Optimizing Sexually Transmitted Infection Screening Packages in the Context of Doxycycline Post-Exposure Prophylaxis Use Among Cisgender Gay, Bisexual, and Other Men Who Have Sex with Men in Taiwan: A Discrete Choice Experiment"],"prefix":"10.1177","volume":"40","author":[{"given":"Tsai-Wei","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Miwa","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David Bin-Chia","family":"Wu","sequence":"additional","affiliation":[{"name":"Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore."},{"name":"School of Pharmacy, Faculty of Health &amp; Medical Sciences, Taylor\u2019s University Malaysia, Subang Jaya, Malaysia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac Yen-Hao","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia Anne","family":"Joson","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephane Wen-Wei","family":"Ku","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, Taipei City Hospital Renai Branch, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huei-Jiuan","family":"Wu","sequence":"additional","affiliation":[{"name":"The Kirby Institute, University of New South Wales, Sydney, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia-Wen","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poyao","family":"Huang","sequence":"additional","affiliation":[{"name":"Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan."},{"name":"Master of Public Health Degree Program, College of Public Health, National Taiwan University, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Strong","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"Taiwan National Infectious Disease Statistics System. Statistics for Syphilis [Internet]. Taiwan Centers for Disease Control. Available from: https:\/\/nidss.cdc.gov.tw\/en\/nndss\/disease?id=090 [Last accessed August31 2025]."},{"key":"e_1_3_6_3_2","unstructured":"World Health Organization. Consolidated guidelines on HIV viral hepatitis and STI prevention diagnosis treatment and care for key populations [Internet]. Geneva: World Health Organization; 2022. Available from: https:\/\/iris.who.int\/bitstream\/handle\/10665\/360601\/9789240052390-eng.pdf?sequence=1 [Last accessed: August31 2025]."},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-018-2252-9"},{"key":"e_1_3_6_5_2","unstructured":"World Health Organization. Guidelines for the management of symptomatic sexually transmitted infections [Internet]. Geneva: World Health Organizaion; 2021. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK572659\/ [Last accessed: August31 2025]."},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr7302a1"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(17)30725-9"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2211934"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(24)00236-6"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2023.0289"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2025.0051"},{"key":"e_1_3_6_12_2","unstructured":"Taiwan Centers for Disease Control. Guidelines for Diagnosis Treatment and Prevention of Syphilis and Gonorrhea among Adults in Taiwan [Internet]. Taiwan Centers for Disease Control; 2025. 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