A Qualitative Study of Young Men Who Have Sex With Men and Multilevel Factors Related to HIV Risks in Malaysia

Burch, William J.; Hart, Graham; Lim, Sin How

doi:10.1521/aeap.2018.30.2.85

Cited by 13 publications

(20 citation statements)

References 13 publications

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“…Our findings support calls in the recent International AIDS Society-Lancet Commission (Bekker et al, 2018) to rejuvenate global HIV efforts by expanded access to HIV prevention; the development of flexible, people-centered health systems that are shaped and informed by, and tailored to the needs of, health service users; and efforts to effectively address the social determinants of health. Specifically, our research complements research from lower-middle income country settings and other Asian countries that documents the challenges of engaging men who have sex with men in contexts where societal stigma surrounding homosexuality persists (Bui, Le, Mai, Zablotska-Manos, & Maher, 2017;Burch, Hart, & Lim, 2018;Liu et al, 2015;Logie et al, 2017;St. Lawrence et al, 2015;Taegtmeyer et al, 2013;Wei et al, 2014), and highlights the importance of drawing on the strengths of communities in leading HIV prevention and testing efforts (Bien et al, 2015;Taegtmeyer et al, 2013).…”

Section: Discussionmentioning

confidence: 91%

Understanding the Social Influences on Engaging Key Populations With HIV Prevention: A Qualitative Study With Men Who Have Sex With Men in Three Indonesian Cities

Lazuardi

Newman

Tasya

et al. 2019

AIDS Education and Prevention

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The globally recognized test and treat approach underpins Indonesian national strategies to reduce and prevent HIV among key populations, including men who have sex with men. More comprehensive understanding of how engagement with HIV prevention is shaped by social and community practices will support these efforts. Between 2015 and 2016, focus groups and semi-structured interviews were conducted with 54 men who have sex with men in three urban settings in Indonesia to elicit their views on, and experiences of, HIV prevention and care. Focused on data relating to testing, findings documented the important influence of informal peer networks, community-based organizations and outreach workers. Some social dimensions of service access complicated this, particularly fear of stigma or lack of confidentiality in large service settings. The many differences between men challenges assumptions that a single set of HIV prevention strategies will work to engage all men who have sex with men living in Indonesia.

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Section: Discussionmentioning

confidence: 91%

Understanding the Social Influences on Engaging Key Populations With HIV Prevention: A Qualitative Study With Men Who Have Sex With Men in Three Indonesian Cities

Lazuardi

Newman

Tasya

et al. 2019

AIDS Education and Prevention

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“…As a majority Muslim country, Malaysia has the colonial penal code and sharia law that criminalize male-to-male sexual behaviors (amfAR, 2011). Malaysian MSM experience heightened stigma and discrimination from society at large (Burch, Hart, & Lim, 2018;Lim et al, 2018). The rising rates of HIV infection among MSM may be the result of not knowing their HIV status and not being regularly tested for HIV.…”

mentioning

confidence: 99%

A Qualitative Study of HIV “Test-and-Treat” Experience Among Men Who Have Sex With Men in Malaysia

Lim

Alias

Kien

et al. 2019

AIDS Education and Prevention

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This study aimed to examine the barriers and facilitators to HIV testing and treatment among Malaysian MSM. Between June 2014 and December 2015, in-depth interviews were conducted in 20 HIV-positive MSM recruited from a teaching hospital and NGO in Kuala Lumpur. Thematic analysis was used to identify, analyze, and report themes. Most participants investigated their HIV status after long period of sickness. Others sought testing upon partner's diagnosis and some were diagnosed via blood donation. Barriers to testing include personal (perceived good health, fear of positive result, denial); social and structural factors (stigmatization by health providers and family, lack of information about free HIV testing and long wait time). Barriers to treatment comprise personal factors (perceived HIV as incurable and treatment as complicated), social factors (HIV and homosexual stigma), and cost. Promoting benefits of regular testing and early treatment is needed to improve HIV care continuum among MSM in Malaysia.

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“…In this category, the main protective factors of exposure to HIV were described according to the structural and behavioral elements of the individual ( 20 ) . According to the synthesis of the selected studies, accessibility to voluntary testing ( 4 , 21 ) , reduced socioeconomic disadvantage, and provision of housing stability ( 22 , 27 ) were the most frequent findings associated with structural elements. As for the behavioral elements, condom use ( 2 , 26 ) was described in the studies as the main HIV protection factor.…”

Section: Resultsmentioning

confidence: 99%

Multilevel model in the identification of behavioral and structural risk factors for HIV: integrative review

et al. 2023

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Objectives: to investigate studies that adopted the multilevel analysis model to identify behavioral and structural risk factors associated with HIV infection. Methods: an integrative review of the literature with studies available in full, obtained from EMBASE, CINAHL, Pubmed, and Scopus, whose selected descriptors were the indexed terms: “HIV”, “multilevel analysis” and “behavior”. Results: the search resulted in 236 studies. Out of these, ten studies comprised the sample. Economic disadvantage, neighborhood characteristics, housing instability, incarceration, transactional sex, multiple partners, substance abuse, and age at first intercourse were classified as structural and behavioral risk factors for HIV. Reduced socioeconomic disadvantage, provision of housing stability, and condom use were associated with protective factors for HIV exposure. Conclusions: by applying the multilevel model in risk factor research studies, it was possible to identify the structural and behavioral elements of HIV risk.

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A Qualitative Study of Young Men Who Have Sex With Men and Multilevel Factors Related to HIV Risks in Malaysia

Cited by 13 publications

References 13 publications

Understanding the Social Influences on Engaging Key Populations With HIV Prevention: A Qualitative Study With Men Who Have Sex With Men in Three Indonesian Cities

Understanding the Social Influences on Engaging Key Populations With HIV Prevention: A Qualitative Study With Men Who Have Sex With Men in Three Indonesian Cities

A Qualitative Study of HIV “Test-and-Treat” Experience Among Men Who Have Sex With Men in Malaysia

Multilevel model in the identification of behavioral and structural risk factors for HIV: integrative review

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