Evidence map›Paper›PMID 28902857›Full record

ArticlePloS one2017

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

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

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 4 countries.

Sin How LimCenter of Excellence for Research in AIDS (CERiA), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.ORCID http://orcid.org/0000-0002-8727-4826
Gitau MburuDivision of Health Research, University of Lancaster, United Kingdom.
Adam BourneAustralian Research Centre in Sex, Health & Society, La Trobe University, Melbourne, Australia.
Joselyn PangInternational Programs, Australian Federation of AIDS Organizations, Bangkok, Thailand.
Jeffrey A WickershamCenter of Excellence for Research in AIDS (CERiA), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Clayton Koh Thuan WeiMalaysian AIDS Council, Kuala Lumpur, Malaysia.
Ilias Adam YeeMalaysian AIDS Council, Kuala Lumpur, Malaysia.
Bangyuan WangDivision of Health Research, University of Lancaster, United Kingdom.
Matteo CassolatoDivision of Health Research, University of Lancaster, United Kingdom.
Iskandar AzwaInfectious Diseases Unit, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Lancaster University · GBNational Cancer Council Malaysia · MYUniversity of Malaya · MYLa Trobe University · AUYale University · US

Funding

Training in Drug Abuse & HIV Prevention for Female & Transgender Sex WorkersK01DA038529 · NIDA · YALE UNIVERSITY · PI WICKERSHAM, JEFFREY ALLEN · 2014 to 2018
$838k
NIDA NIH HHS K01 DA038529
6 · The paper itself

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' 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.

Indexed as

AdolescentAdultAgedAnti-HIV AgentsHealth Knowledge, Attitudes, PracticeHIV-1HIV InfectionsHomosexuality, MaleHumansMalaysiaMaleMiddle AgedMotivationOnline SystemsPatient Acceptance of Health CarePre-Exposure ProphylaxisAnti-HIV Agents

Identifiers

PMID28902857
PMCPMC5597127
OpenAlexW2756172453

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.