PMID- 28902857
OWN - NLM
STAT- MEDLINE
DCOM- 20171031
LR  - 20180611
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 9
DP  - 2017
TI  - Willingness to use pre-exposure prophylaxis for HIV prevention among men who have
      sex with men in Malaysia: Findings from an online survey.
PG  - e0182838
LID - 10.1371/journal.pone.0182838 [doi]
AB  - OBJECTIVE: We examined willingness to use pre-exposure prophylaxis (PrEP) for HIV
      prevention among men who have sex with men (MSM) in Malaysia. METHODS: 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. RESULTS: 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.
      CONCLUSIONS: 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.
FAU - Lim, Sin How
AU  - Lim SH
AUID- ORCID: http://orcid.org/0000-0002-8727-4826
AD  - Center of Excellence for Research in AIDS (CERiA), Faculty of Medicine,
      University of Malaya, Kuala Lumpur, Malaysia.
FAU - Mburu, Gitau
AU  - Mburu G
AD  - Division of Health Research, University of Lancaster, United Kingdom.
FAU - Bourne, Adam
AU  - Bourne A
AD  - Australian Research Centre in Sex, Health & Society, La Trobe University,
      Melbourne, Australia.
AD  - Sigma Research, Department of Social & Environmental Health Research, London
      School of Hygiene & Tropical Medicine, London, United Kingdom.
FAU - Pang, Joselyn
AU  - Pang J
AD  - International Programs, Australian Federation of AIDS Organizations, Bangkok,
      Thailand.
FAU - Wickersham, Jeffrey A
AU  - Wickersham JA
AD  - Center of Excellence for Research in AIDS (CERiA), Faculty of Medicine,
      University of Malaya, Kuala Lumpur, Malaysia.
AD  - Yale School of Medicine, Department of Internal Medicine, Section of Infectious
      Diseases, AIDS Program, New Haven, CT, United States of America.
FAU - Wei, Clayton Koh Thuan
AU  - Wei CKT
AD  - Malaysian AIDS Council, Kuala Lumpur, Malaysia.
FAU - Yee, Ilias Adam
AU  - Yee IA
AD  - Malaysian AIDS Council, Kuala Lumpur, Malaysia.
FAU - Wang, Bangyuan
AU  - Wang B
AD  - Division of Health Research, University of Lancaster, United Kingdom.
FAU - Cassolato, Matteo
AU  - Cassolato M
AD  - Division of Health Research, University of Lancaster, United Kingdom.
FAU - Azwa, Iskandar
AU  - Azwa I
AD  - Infectious Diseases Unit, Faculty of Medicine, University of Malaya, Kuala
      Lumpur, Malaysia.
LA  - eng
GR  - K01 DA038529/DA/NIDA NIH HHS/United States
PT  - Journal Article
DEP - 20170913
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
RN  - 0 (Anti-HIV Agents)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Anti-HIV Agents/*therapeutic use
MH  - HIV Infections/*prevention & control
MH  - HIV-1
MH  - Health Knowledge, Attitudes, Practice
MH  - Homosexuality, Male/*statistics & numerical data
MH  - Humans
MH  - Malaysia/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Motivation
MH  - Online Systems
MH  - Patient Acceptance of Health Care/*statistics & numerical data
MH  - Pre-Exposure Prophylaxis/*statistics & numerical data
MH  - Sexual Partners
MH  - Surveys and Questionnaires
MH  - Volition
MH  - Young Adult
PMC - PMC5597127
EDAT- 2017/09/14 06:00
MHDA- 2017/11/01 06:00
CRDT- 2017/09/14 06:00
PHST- 2017/01/09 00:00 [received]
PHST- 2017/07/25 00:00 [accepted]
PHST- 2017/09/14 06:00 [entrez]
PHST- 2017/09/14 06:00 [pubmed]
PHST- 2017/11/01 06:00 [medline]
AID - 10.1371/journal.pone.0182838 [doi]
AID - PONE-D-17-00968 [pii]
PST - epublish
SO  - PLoS One. 2017 Sep 13;12(9):e0182838. doi: 10.1371/journal.pone.0182838.
      eCollection 2017.