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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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Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia : Findings from an online survey. / Lim, Sin How; Mburu, Gitau; Bourne, Adam; Pang, Joselyn; Wickersham, Jeffrey A.; Wei, Clayton Koh Thuan; Yee, Ilias; Wang, Bangyuan; Cassolato, Matteo; Azwa, Iskandar.

In: PLoS ONE, Vol. 12, No. 9, e0182838, 13.09.2017.

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Lim, SH, Mburu, G, Bourne, A, Pang, J, Wickersham, JA, Wei, CKT, Yee, I, Wang, B, Cassolato, M & Azwa, I 2017, 'Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey', PLoS ONE, vol. 12, no. 9, e0182838. https://doi.org/10.1371/journal.pone.0182838

APA

Lim, S. H., Mburu, G., Bourne, A., Pang, J., Wickersham, J. A., Wei, C. K. T., Yee, I., Wang, B., Cassolato, M., & Azwa, I. (2017). Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey. PLoS ONE, 12(9), [e0182838]. https://doi.org/10.1371/journal.pone.0182838

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Lim, Sin How ; Mburu, Gitau ; Bourne, Adam ; Pang, Joselyn ; Wickersham, Jeffrey A. ; Wei, Clayton Koh Thuan ; Yee, Ilias ; Wang, Bangyuan ; Cassolato, Matteo ; Azwa, Iskandar. / Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia : Findings from an online survey. In: PLoS ONE. 2017 ; Vol. 12, No. 9.

Bibtex

@article{b0026c6cfb864051a44c855a1c0c7b4e,
title = "Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey",
abstract = "ObjectiveWe examined willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Malaysia. MethodsAn 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{\textquoteright} 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. ResultsFewer 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. ConclusionsOverall, 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.",
author = "Lim, {Sin How} and Gitau Mburu and Adam Bourne and Joselyn Pang and Wickersham, {Jeffrey A.} and Wei, {Clayton Koh Thuan} and Ilias Yee and Bangyuan Wang and Matteo Cassolato and Iskandar Azwa",
year = "2017",
month = sep,
day = "13",
doi = "10.1371/journal.pone.0182838",
language = "English",
volume = "12",
journal = "PLoS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "9",

}

RIS

TY - JOUR

T1 - Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia

T2 - Findings from an online survey

AU - Lim, Sin How

AU - Mburu, Gitau

AU - Bourne, Adam

AU - Pang, Joselyn

AU - Wickersham, Jeffrey A.

AU - Wei, Clayton Koh Thuan

AU - Yee, Ilias

AU - Wang, Bangyuan

AU - Cassolato, Matteo

AU - Azwa, Iskandar

PY - 2017/9/13

Y1 - 2017/9/13

N2 - ObjectiveWe examined willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Malaysia. MethodsAn 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. ResultsFewer 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. ConclusionsOverall, 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.

AB - ObjectiveWe examined willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Malaysia. MethodsAn 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. ResultsFewer 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. ConclusionsOverall, 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.

U2 - 10.1371/journal.pone.0182838

DO - 10.1371/journal.pone.0182838

M3 - Journal article

VL - 12

JO - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 9

M1 - e0182838

ER -