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18. Willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Malaysia: findings from a qualitative study

Author

Bourne, Adam, Cassolato, Matteo, Wei, Clayton Koh Thuan, Wang, Bangyuan, Pang, Joselyn, Lim, Sin How, Azwa, Iskandar, Yee, Ilias, and Mburu, Gitau

Subjects
Prophylaxis -- Usage, MSM (Men who have sex with men) -- Research -- Sexual behavior, Social networks -- Usage, HIV -- Prevention, Antiretroviral agents -- Dosage and administration, Sexually transmitted disease prevention -- Prevention, Health
Abstract

Background: Men who have sex with men (MSM) continue to be disproportionately affected by HIV in Malaysia. Recent success has been observed within demonstration projects examining the efficacy of HIV pre-exposure prophylaxis (PrEP), an antiretroviral -based medication taken by HIV-negative men to prevent sero-conversion. In order for such promising findings to be translated in real-world settings, it is important to understand the acceptability of PrEP, including perceived barriers to access or uptake. Methods: As part of a larger mixed-methods study exploring acceptability and willingness to use PrEP among MSM in Malaysia, 19 men took part in audio-recorded focus group discussions hosted by a community-based HIV organization and facilitated by a trained researcher. Discussions focussed on awareness and potential information management, general perceptions of PrEP and potential motivations or barriers to the use of PrEP, including those at the personal, social, health system or structural level. Data were transcribed verbatim and underwent a detailed thematic analysis. Results: Rather than perceiving PrEP as a replacement for condoms in terms of having safer sex, many participants viewed it as an additional layer protection, serving as a crucial barrier to infection on occasions where condom use was intended, but did not occur. It was also perceived as more valuable to 'at-risk' men, such as those in HIV sero-discordant relationships or those with a higher number of sexual partners. Elements of discussion tended to suggest that some men taking PrEP may be subject to stigma from others, on the assumption they may be promiscuous or engage in high-risk sexual behaviours. Conclusions: This qualitative study indicates that, broadly speaking, PrEP may be acceptable to MSM in Malaysia. However, in order for its potential to be realized, and uptake achieved, educative interventions are required to inform the target population as to the efficacy and potential, positive impact of PrEP. Given concerns for how those taking it may be stigmatized, it is crucial that the use of PrEP is presented as a responsible course of action, and one of a range of strategies that men can use to keep themselves safe from HIV. Keywords: MSM; PrEP; qualitative; Malaysia; risk reduction; HIV prevention, Background Pre-exposure prophylaxis (PrEP) is a significant development in the continuing global efforts to prevent transmission and acquisition of HIV [1,2]. In order to realize the potential of this antiretroviral [...]

Published
2017
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21. “I want the doctors to know that I am as bright as a candle”

Author

Earnshaw, Valerie A., primary, Cox, Jon, additional, Wong, Pui Li, additional, Saifi, Rumana, additional, Walters, Suzan, additional, Azwa, Iskandar, additional, Omar, Sharifah Faridah Syed, additional, Collier, Zachary K., additional, Hassan, Asfarina Amir, additional, Lim, Sin How, additional, Wickersham, Jeffrey, additional, Haddad, Marwan S., additional, and Kamarulzaman, Adeeba, additional

Published
2022
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22. Acceptability and Feasibility of Online, Asynchronous Photovoice with Key Populations and People Living with HIV

Author

Earnshaw, Valerie A., primary, Cox, Jon, additional, Wong, Pui Li, additional, Saifi, Rumana, additional, Walters, Suzan, additional, Azwa, Iskandar, additional, Omar, Sharifah Faridah Syed, additional, Collier, Zachary K., additional, Hassan, Asfarina Amir, additional, Lim, Sin How, additional, Wickersham, Jeffrey, additional, Haddad, Marwan S., additional, Kamarulzaman, Adeeba, additional, and Altice, Frederick L., additional

Published
2022
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33. PERCEPTIONS, ATTITUDES, AND RESPONSES TO DENGUE EARLY WARNING AMONG URBAN COMMUNITY IN KUALA LUMPUR

Author

Aida Rahimi, Chai Yan Yu, Mohd Syafiq Yusop, Kok Piao Yee, Siti Nazihah Abdullah, Fatin Zahidah Ismail, Rafdzah Ahmad Zaki, Tan Qing Hang, Lim Sin How, Nik Daliana Nik Farid, and Leong Yu Kai

Subjects
Kuala lumpur, Warning system, media_common.quotation_subject, Public Health, Environmental and Occupational Health, Good attitude, medicine.disease, Urban community, Dengue fever, Environmental health, Perception, medicine, Early warning system, Psychology, Public activity, media_common
Abstract

Dengue early warning system, based on many different factors including climatic factors, is likely to be a useful tool for predicting dengue cases. This study aims to assess the perceptions, attitudes, and responses to dengue early warning among a sample of residents in Kuala Lumpur, Malaysia as well as the factors associated with their willingness in participating dengue prevention public activity. A community-based cross-sectional study was conducted among residents of Titiwangsa District, Kuala Lumpur. A structured questionnaire was administered via face-to-face interview. About 75% of the respondents perceived dengue early warning as a useful tool for the community to take preventive measures. However, more than half did not know elevated temperature increases dengue cases. More than 80% wanted to know more how climate can be used to predict dengue outbreak. Willingness of participating in dengue control public activity was associated with age (p

Published
2019
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