Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey

We examined willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Malaysia. An online survey of 990 MSM was conducted between March and April 2016. Eligibility criteria included being biological male, Malaysian citizen, 18 years of age or abov...

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Veröffentlicht in:PloS one 2017-09, Vol.12 (9), p.e0182838-e0182838
Hauptverfasser: Lim, Sin How, Mburu, Gitau, Bourne, Adam, Pang, Joselyn, Wickersham, Jeffrey A, Wei, Clayton Koh Thuan, Yee, Ilias Adam, Wang, Bangyuan, Cassolato, Matteo, Azwa, Iskandar
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container_issue 9
container_start_page e0182838
container_title PloS one
container_volume 12
creator Lim, Sin How
Mburu, Gitau
Bourne, Adam
Pang, Joselyn
Wickersham, Jeffrey A
Wei, Clayton Koh Thuan
Yee, Ilias Adam
Wang, Bangyuan
Cassolato, Matteo
Azwa, Iskandar
description We examined willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Malaysia. An online survey of 990 MSM was conducted between March and April 2016. Eligibility criteria included being biological male, Malaysian citizen, 18 years of age or above, identifying as MSM, and being HIV negative or unknown status. Participants' demographics, sexual and drug use behaviors, attitudes towards PrEP, and preferences regarding future access to PrEP were collected. Bivariate analysis and logistic regression were performed to determine factors associated with willingness to use PrEP. Fewer than half of participants (44%) knew about PrEP before completing the survey. Overall, 39% of the sample were willing to take PrEP. Multivariate logistic regression indicated that Malay men (AOR: 1.73, 95% CI:1.12, 2.70), having 2 or more male anal sex partners in the past 6 months (AOR: 1.98, 95% CI: 1.29, 3.05), previous knowledge of PrEP (AOR: 1.40, 95%CI: 1.06, 1.86), lack of confidence in practising safer sex (AOR: 1.36, 95% CI: 1.02, 1.81), and having ever paid for sex with a male partner (AOR: 1.39, 95% CI: 1.01, 1.91) were independently associated with greater willingness to use PrEP, while men who identified as heterosexual were less willing to use PrEP (AOR, 0.36, 95% CI: 0.13, 0.97). Majority of participants preferred to access PrEP at affordable cost below 100 Malaysian Ringgit (USD25) per month from community based organisations followed by private or government hospitals. Overall, MSM in Malaysia reported a relatively low level of willingness to use PrEP, although willingness was higher among those previously aware of PrEP. There is a need to provide PrEP at affordable cost, increase demand and awareness of PrEP, and to provide access to this preventative medication via diverse, integrated and tailored sexual health services.
doi_str_mv 10.1371/journal.pone.0182838
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Multivariate logistic regression indicated that Malay men (AOR: 1.73, 95% CI:1.12, 2.70), having 2 or more male anal sex partners in the past 6 months (AOR: 1.98, 95% CI: 1.29, 3.05), previous knowledge of PrEP (AOR: 1.40, 95%CI: 1.06, 1.86), lack of confidence in practising safer sex (AOR: 1.36, 95% CI: 1.02, 1.81), and having ever paid for sex with a male partner (AOR: 1.39, 95% CI: 1.01, 1.91) were independently associated with greater willingness to use PrEP, while men who identified as heterosexual were less willing to use PrEP (AOR, 0.36, 95% CI: 0.13, 0.97). Majority of participants preferred to access PrEP at affordable cost below 100 Malaysian Ringgit (USD25) per month from community based organisations followed by private or government hospitals. Overall, MSM in Malaysia reported a relatively low level of willingness to use PrEP, although willingness was higher among those previously aware of PrEP. 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An online survey of 990 MSM was conducted between March and April 2016. Eligibility criteria included being biological male, Malaysian citizen, 18 years of age or above, identifying as MSM, and being HIV negative or unknown status. Participants' demographics, sexual and drug use behaviors, attitudes towards PrEP, and preferences regarding future access to PrEP were collected. Bivariate analysis and logistic regression were performed to determine factors associated with willingness to use PrEP. Fewer than half of participants (44%) knew about PrEP before completing the survey. Overall, 39% of the sample were willing to take PrEP. Multivariate logistic regression indicated that Malay men (AOR: 1.73, 95% CI:1.12, 2.70), having 2 or more male anal sex partners in the past 6 months (AOR: 1.98, 95% CI: 1.29, 3.05), previous knowledge of PrEP (AOR: 1.40, 95%CI: 1.06, 1.86), lack of confidence in practising safer sex (AOR: 1.36, 95% CI: 1.02, 1.81), and having ever paid for sex with a male partner (AOR: 1.39, 95% CI: 1.01, 1.91) were independently associated with greater willingness to use PrEP, while men who identified as heterosexual were less willing to use PrEP (AOR, 0.36, 95% CI: 0.13, 0.97). Majority of participants preferred to access PrEP at affordable cost below 100 Malaysian Ringgit (USD25) per month from community based organisations followed by private or government hospitals. Overall, MSM in Malaysia reported a relatively low level of willingness to use PrEP, although willingness was higher among those previously aware of PrEP. There is a need to provide PrEP at affordable cost, increase demand and awareness of PrEP, and to provide access to this preventative medication via diverse, integrated and tailored sexual health services.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28902857</pmid><doi>10.1371/journal.pone.0182838</doi><orcidid>https://orcid.org/0000-0002-8727-4826</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
ispartof PloS one, 2017-09, Vol.12 (9), p.e0182838-e0182838
issn 1932-6203
1932-6203
language eng
recordid cdi_plos_journals_1938527010
source MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS)
subjects Acquired immune deficiency syndrome
Adolescent
Adult
Aged
AIDS
Anal sex
Anti-HIV Agents - therapeutic use
Antiretroviral drugs
Behavior
Biology and Life Sciences
Bivariate analysis
Demographics
Demography
Disease prevention
Drug abuse
Drugs
Exposure
Gays & lesbians
Health Knowledge, Attitudes, Practice
HIV
HIV Infections - prevention & control
HIV-1
Homosexuality, Male - statistics & numerical data
Human immunodeficiency virus
Humans
Infectious diseases
Internet
Low level
Malaysia - epidemiology
Male
Medical diagnosis
Medical research
Medicine
Medicine and Health Sciences
Men
Mens health
Middle Aged
Motivation
Online Systems
Patient Acceptance of Health Care - statistics & numerical data
People and Places
Pre-Exposure Prophylaxis - statistics & numerical data
Prevention
Prophylaxis
Regression analysis
Research and Analysis Methods
Sex
Sexual Partners
Studies
Surveys and Questionnaires
Volition
Young Adult
title Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey
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