Abstract
Abstract
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.
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.
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