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Journal of Community Health

, Volume 45, Issue 1, pp 10–19 | Cite as

Use of Smartphone to Seek Sexual Health Information Online Among Malaysian Men Who Have Sex with Men (MSM): Implications for mHealth Intervention to Increase HIV Testing and Reduce HIV Risks

  • Roman ShresthaEmail author
  • Sin How Lim
  • Frederick L. Altice
  • Michael Copenhaver
  • Jeffrey A. Wickersham
  • Rumana Saifi
  • Mohd Akbar Ab Halim
  • Herlianna Naning
  • Adeeba Kamarulzaman
Original Paper

Abstract

In settings where stigma and discrimination toward men who have sex with men (MSM) are high or illegal, like in Malaysia, innovative methods to anonymously reach them are urgently needed. The near ubiquitous availability of mobile technology, including smartphones, has the potential to open new frontiers (such as mHealth) to prevent HIV and other sexually transmitted infections (STIs). The extent to which MSM use mHealth tools for HIV and STI prevention in the Malaysia context, however, is unknown. A cross-sectional online survey in 622 Malaysian MSM was conducted between July and November 2017. Participants were recruited via advertisements on mobile apps frequently used by MSM. In addition to demographic, smartphone access and utilization, and other information were assessed using logistic regression to determine factors associated with the use of a smartphone to search for online sexual health information. Nearly all (99.2%) participants owned a smartphone, with 63% reported having used one to seek sexual health information, including HIV/STIs. Overall, 96% used smartphones to find sexual partners, with high levels of HIV risk behavior reported. Independent correlates of smartphone use to seek online sexual health information included older age (aOR 0.943, p = 0.005), higher education (aOR 2.14, p = 027), recent (past year) HIV testing (aOR 3.91, p = 0.026), and seeking sexual partners using geosocial networking apps (aOR 5.58, p = 0.006). These findings suggest high smartphone use by high-risk MSM to seek sexual health information and suggests that mHealth strategies may be an effective strategy to engage MSM in HIV prevention activities.

Keywords

HIV Men who have sex with men mHealth Smartphone Malaysia 

Notes

Acknowledgements

This work was supported by Grants from the National Institute on Drug Abuse for career development (K24 DA017072 to FLA; K02 DA033139 to MMC; K01 DA038529 to JW).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

The study protocol was approved by the Medical Ethics Committee of the University of Malaya, Malaysia.

Informed Consent

The interviewees provided written informed consent before participating in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Roman Shrestha
    • 1
    • 5
    Email author
  • Sin How Lim
    • 2
  • Frederick L. Altice
    • 1
    • 2
  • Michael Copenhaver
    • 3
  • Jeffrey A. Wickersham
    • 1
    • 2
  • Rumana Saifi
    • 2
  • Mohd Akbar Ab Halim
    • 2
  • Herlianna Naning
    • 2
  • Adeeba Kamarulzaman
    • 2
    • 4
  1. 1.Section of Infectious Diseases, Department of Internal MedicineYale School of MedicineNew HavenUSA
  2. 2.Centre of Excellence for Research in AIDS (CERiA), Faculty of MedicineUniversity of MalayaKuala LumpurMalaysia
  3. 3.Department of Allied Health SciencesUniversity of ConnecticutStorrsUSA
  4. 4.Department of Epidemiology of Microbial DiseasesYale School of Public HealthNew HavenUSA
  5. 5.Section of Infectious Diseases, Department of Internal MedicineYale School of MedicineNew HavenUSA

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