Assessing mobile technology use and mHealth acceptance among HIV-positive men who have sex with men and transgender women in Malaysia

Autor: Claire Cravero, Archana Krishnan, Damian Weikum, Frederick L. Altice, Adeeba Kamarulzaman
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Gerontology
RNA viruses
Male
Epidemiology
HIV Infections
Pathology and Laboratory Medicine
Men who have sex with men
Geographical Locations
0302 clinical medicine
Unsafe Sex
Immunodeficiency Viruses
Health care
Medicine and Health Sciences
Medicine
030212 general & internal medicine
Homosexuality
Computer Networks
mHealth
media_common
Multidisciplinary
Alcohol Consumption
Telemedicine
Medical Microbiology
HIV epidemiology
Viral Pathogens
Viruses
Engineering and Technology
Pathogens
0305 other medical science
Research Article
Computer and Information Sciences
Asia
Science
media_common.quotation_subject
Stigma (botany)
Equipment
Men WHO Have Sex with Men
Microbiology
Transgender Persons
03 medical and health sciences
Retroviruses
Mental Health and Psychiatry
Humans
Mobile technology
Homosexuality
Male
Microbial Pathogens
Nutrition
Communication Equipment
Internet
030505 public health
business.industry
Lentivirus
Organisms
Malaysia
Biology and Life Sciences
HIV
Diet
Regimen
People and Places
Patient Compliance
Population Groupings
Cell Phones
business
Sexuality Groupings
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 3, p e0248705 (2021)
ISSN: 1932-6203
Popis: Background Mobile health (mHealth) can be beneficial in monitoring the complex healthcare regimen for people with HIV that includes adhering to medication and refraining from risky practices such as unsafe sex and injection drug use. Not only is mHealth often implemented without appropriate feasibility and acceptability research, but there is limited mHealth research among key HIV-positive populations such as men who have sex with men (MSM) and transgender women (TGW). Methods This study assessed access to and use of mobile technology and acceptability of mHealth among 150 HIV-positive MSM and TGW who were prescribed antiretroviral therapy (ART) in Malaysia–an emerging economy with rapid telecommunications growth and societal stigma against these groups. Results Findings among the 114 MSM and 36 TGW reveal high levels of depression (42%), stigma (2.53/4.00) and risky sexual behavior (30%), and suboptimal ART adherence (22%). On the other hand, the sample had excellent access to smartphones (75.3%) and the internet (78%), and had high acceptance of mHealth especially for those with suboptimal ART adherence. Conclusion In settings like Malaysia where homosexuality and cross-dressing are socially and legally stigmatized, HIV prevention and treatment strategies delivered using an mHealth platform have the potential to overcome in-person barriers.
Databáze: OpenAIRE
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