Published on in Vol 8, No 1 (2022): Jan-Dec

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/39303, first published .
Mobile Technology Use and Acceptability of mHealth for HIV Prevention Among Men Who Have Sex With Men in Malaysia

Mobile Technology Use and Acceptability of mHealth for HIV Prevention Among Men Who Have Sex With Men in Malaysia

Mobile Technology Use and Acceptability of mHealth for HIV Prevention Among Men Who Have Sex With Men in Malaysia

Abstract

1Section of Infectious Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, United States

2Department of Allied Health Sciences, University of Connecticut, Storrs, CT, United States

3Centre of Excellence for Research in AIDS (CERiA), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

*these authors contributed equally

Corresponding Author:

Francesca Maviglia

Section of Infectious Diseases

Department of Internal Medicine

Yale School of Medicine

135 College St

Suite 323

New Haven, CT, 06510

United States

Phone: 1 2037372849

Email: francesca.maviglia@yale.edu


Background: The growth in mobile technology access, utilization, and services holds great promise for facilitating HIV prevention efforts in Malaysia. Despite these promising trends, there is a dearth of evidence on the use of mobile health (mHealth) platforms to address the HIV prevention needs of Malaysian men who have sex with men (MSM).

Objective: The goal of this study was to gain insights into (1) the access and utilization of communication technology (eg, landline phone, internet, and cell phone), (2) the acceptability of mHealth-based interventions for HIV prevention services, and (3) preferences regarding the format and frequency of mHealth interventions among Malaysian MSM.

Methods: A cross-sectional survey of 376 Malaysian MSM was conducted between July 2018 and March 2020. Participants were recruited using respondent-driven sampling in the Greater Kuala Lumpur region, Malaysia. Participants completed a self-administered assessment of participant demographics, HIV risk-related behaviors, access to and frequency of the use of communication technology, and the acceptability of mHealth for HIV prevention.

Results: Almost all participants owned or had access to a smartphone with internet access (97.9%) and accessed the internet daily (99.2%), mainly on a smartphone (88.8%). Using a 5-point scale, participants on average used smartphones primarily for social networking (mean 4.5, SD 0.8), followed by sending or receiving emails (mean 4.0, SD 1.0) and searching for health-related information (mean 3.5, SD 0.9). Further, the results indicated the high acceptance of mHealth for HIV prevention, that is, receiving HIV prevention information (91.8%), receiving reminders to take medications (89.4%), tracking sexual activity (81.4%), tracking drug use (74.7%), and monitoring drug cravings (74.5%), with the most preferred method being the smartphone app for all activities.

Conclusions: The findings from this study provide support for developing and deploying mHealth strategies for HIV prevention in MSM by using a smartphone app, which are crucial for a key population with suboptimal engagement in HIV prevention and treatment.

Conflicts of Interest: None declared.

iproc 2022;8(1):e39303

doi:10.2196/39303

Keywords


Edited by S Pagoto; This is a non–peer-reviewed article. submitted 05.05.22; accepted 15.06.22; published 29.06.22

Copyright

©Francesca Maviglia, Roman Shrestha, Frederick L Altice, Libby DiDomizio, Antoine Khati, Colleen Mistler, Iskandar Azwa, Adeeba Kamarulzaman, Mohd Akbar Halim, Jeffrey A Wickersham. Originally published in Iproceedings (https://www.iproc.org), 29.06.2022.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on https://www.iproc.org/, as well as this copyright and license information must be included.