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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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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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0182838</identifier><identifier>PMID: 28902857</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>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</subject><ispartof>PloS one, 2017-09, Vol.12 (9), p.e0182838-e0182838</ispartof><rights>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication: https://creativecommons.org/publicdomain/zero/1.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-ca3a5ab1a7168a41d3cc6296590f07a2af7fb0c3e497bf84859ddbab7437e5d83</citedby><cites>FETCH-LOGICAL-c526t-ca3a5ab1a7168a41d3cc6296590f07a2af7fb0c3e497bf84859ddbab7437e5d83</cites><orcidid>0000-0002-8727-4826</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597127/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597127/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28902857$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lim, Sin How</creatorcontrib><creatorcontrib>Mburu, Gitau</creatorcontrib><creatorcontrib>Bourne, Adam</creatorcontrib><creatorcontrib>Pang, Joselyn</creatorcontrib><creatorcontrib>Wickersham, Jeffrey A</creatorcontrib><creatorcontrib>Wei, Clayton Koh Thuan</creatorcontrib><creatorcontrib>Yee, Ilias Adam</creatorcontrib><creatorcontrib>Wang, Bangyuan</creatorcontrib><creatorcontrib>Cassolato, Matteo</creatorcontrib><creatorcontrib>Azwa, Iskandar</creatorcontrib><title>Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey</title><title>PloS one</title><addtitle>PLoS One</addtitle><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.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>AIDS</subject><subject>Anal sex</subject><subject>Anti-HIV Agents - therapeutic use</subject><subject>Antiretroviral drugs</subject><subject>Behavior</subject><subject>Biology and Life Sciences</subject><subject>Bivariate analysis</subject><subject>Demographics</subject><subject>Demography</subject><subject>Disease prevention</subject><subject>Drug abuse</subject><subject>Drugs</subject><subject>Exposure</subject><subject>Gays & lesbians</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>HIV-1</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Internet</subject><subject>Low level</subject><subject>Malaysia - epidemiology</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Men</subject><subject>Mens health</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Online Systems</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>People and Places</subject><subject>Pre-Exposure Prophylaxis - statistics & numerical data</subject><subject>Prevention</subject><subject>Prophylaxis</subject><subject>Regression analysis</subject><subject>Research and Analysis Methods</subject><subject>Sex</subject><subject>Sexual Partners</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Volition</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptUstuEzEUHSEQLYU_QGCJDZsEe_wcFpVQRWmkIjY8ltadGU_iyGMP9kya_AJfjdOkVYtY2b4-j3uvTlG8JnhOqCQf1mGKHtx8CN7MMVGloupJcUoqWs5EienTB_eT4kVKa4w5VUI8L05KVeFScXla_PllnbN-6U1KaAxoSgYN0czMdghpivtHGFY7B1ubUBciulr83AM2xo82eAR98EvUG49uVgGtYGNQMlt0Y8fVbdV69BUc7JKFj-jS-jZ7ZaEYegQeBZ-9M2OKG7N7WTzrwCXz6nieFT8uP3-_uJpdf_uyuPh0PWt4KcZZAxQ41AQkEQoYaWnTiLISvMIdllBCJ7saN9SwStadYopXbVtDLRmVhreKnhVvD7qDC0kf15h0XpbipcQEZ8TigGgDrPUQbQ9xpwNYfVsIcakhjrZxRjdM4LKjHRCGmRCt4szISgLrpGJCdVnr_Og21b1pm7y3CO6R6OMfb1d6GTaa80qSUmaB90eBGH5PJo26t6kxzoE3YTr0nV0l2U_27h_o_6djB1QTQ0rRdPfNEKz30bpj6X209DFamfbm4SD3pLss0b_OsM8i</recordid><startdate>20170913</startdate><enddate>20170913</enddate><creator>Lim, Sin How</creator><creator>Mburu, Gitau</creator><creator>Bourne, Adam</creator><creator>Pang, Joselyn</creator><creator>Wickersham, Jeffrey A</creator><creator>Wei, Clayton Koh Thuan</creator><creator>Yee, Ilias Adam</creator><creator>Wang, Bangyuan</creator><creator>Cassolato, Matteo</creator><creator>Azwa, Iskandar</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-8727-4826</orcidid></search><sort><creationdate>20170913</creationdate><title>Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-ca3a5ab1a7168a41d3cc6296590f07a2af7fb0c3e497bf84859ddbab7437e5d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>AIDS</topic><topic>Anal sex</topic><topic>Anti-HIV Agents - therapeutic use</topic><topic>Antiretroviral drugs</topic><topic>Behavior</topic><topic>Biology and Life Sciences</topic><topic>Bivariate analysis</topic><topic>Demographics</topic><topic>Demography</topic><topic>Disease prevention</topic><topic>Drug abuse</topic><topic>Drugs</topic><topic>Exposure</topic><topic>Gays & lesbians</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>HIV</topic><topic>HIV Infections - prevention & control</topic><topic>HIV-1</topic><topic>Homosexuality, Male - statistics & numerical data</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Internet</topic><topic>Low level</topic><topic>Malaysia - epidemiology</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Men</topic><topic>Mens health</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Online Systems</topic><topic>Patient Acceptance of Health Care - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lim, Sin How</au><au>Mburu, Gitau</au><au>Bourne, Adam</au><au>Pang, Joselyn</au><au>Wickersham, Jeffrey A</au><au>Wei, Clayton Koh Thuan</au><au>Yee, Ilias Adam</au><au>Wang, Bangyuan</au><au>Cassolato, Matteo</au><au>Azwa, Iskandar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-09-13</date><risdate>2017</risdate><volume>12</volume><issue>9</issue><spage>e0182838</spage><epage>e0182838</epage><pages>e0182838-e0182838</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.</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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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 |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T16%3A00%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Willingness%20to%20use%20pre-exposure%20prophylaxis%20for%20HIV%20prevention%20among%20men%20who%20have%20sex%20with%20men%20in%20Malaysia:%20Findings%20from%20an%20online%20survey&rft.jtitle=PloS%20one&rft.au=Lim,%20Sin%20How&rft.date=2017-09-13&rft.volume=12&rft.issue=9&rft.spage=e0182838&rft.epage=e0182838&rft.pages=e0182838-e0182838&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0182838&rft_dat=%3Cproquest_plos_%3E1938527010%3C/proquest_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1938527010&rft_id=info:pmid/28902857&rft_doaj_id=oai_doaj_org_article_c4602f3fa140466d854e797a4f78468f&rfr_iscdi=true |