UNSAFE SEXUAL BEHAVIOUR AMONG HIV-POSITIVE MSM PARTICIPATING IN COMMUNITY-BASED TREATMENT ADHERENCE PEER SUPPORT PROGRAM

  • Safirah Jaan Jaafar Department of Community Health, Faculty of Medicine, Univerviti Kebangsaan Malaysia Medical Center, Bandar Tun Razak, 56000, Cheras Kuala Lumpur MALAYSIA
  • Khamisah Awang Lukman Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, University Malaysia Sabah, 88400 Kota Kinabalu, Sabah, Malaysia. https://orcid.org/0000-0003-4840-2925
  • Nazarudin Safian Department of Community Health, Faculty of Medicine, Univerviti Kebangsaan Malaysia Medical Center, Bandar Tun Razak, 56000, Cheras Kuala Lumpur MALAYSIA
  • Than Myint Faculty of Health Sciences, STI Myanmar University, Yangon, Myanmar
  • Swe
  • Mohd Rohaizat Hassan Department of Community Health, Faculty of Medicine, Univerviti Kebangsaan Malaysia Medical Center, Bandar Tun Razak, 56000, Cheras Kuala Lumpur MALAYSIA
  • Rosnah Sutan Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia
  • Wong Chin Mun Department of Community Health, Faculty of Medicine, Univerviti Kebangsaan Malaysia Medical Center, Bandar Tun Razak, 56000, Cheras Kuala Lumpur MALAYSIA
  • Mohammad Saffree Jeffree Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, University Malaysia Sabah, 88400 Kota Kinabalu, Sabah, Malaysia http://orcid.org/0000-0002-0373-4451
Keywords: Men who have sex with men (MSM), HIV-infected MSM, Treatment Adherence Peer Support Program (TAPS), unsafe sexual behaviour

Abstract

This study aims to investigate the unsafe sexual behaviour among HIV-positive men who have sex with men (MSM) participating in community-based Treatment Adherence Peer Support Program (TAPS) based in Kota Kinabalu, Sabah. A cross-sectional study that involved 109 HIV-positive MSM was conducted using a validated questionnaire adapted from Integrated Biological and Behavioural Surveillance (IBBS) 2012, in two main languages which are Malay and English.1 This questionnaire contained information on socio-demographic factors, respondents’ sexual history since they were diagnosed with HIV, and participation with community-based TAPS. Among the total 109 respondents, 62.4% had stated that they had practised unsafe sexual behaviour since they were diagnosed with HIV. Prevalence of self-reported Sexually Transmitted Infections (STIs) was 24.8%. About 92.7% of participants were on highly active antiretroviral therapy (HAART) and had achieved 96% of compliancy. Prevalence of unsafe sexual behaviour differed significantly between respondents on HAART (66.3%) compared to the non-HAART group (12.5%) (χ2 = 7.005, p < 0.01). Duration of last participation in the TAPS program significantly associated with unsafe sexual behaviour (χ2 = 16.96, p <0.01). There is a high prevalence of unsafe sexual behaviour and self-reported STIs among HIV-infected MSM. Participation in TAPS resulted in a higher percentage of HAART coverage and the compliancy among the respondents; however, the prevalence of unsafe sexual behavioural remains high. The study findings highlight the importance of regular STIs screening among HIV-infected MSM.

References

Anita Suleiman SN, Teh Yik Koon, Noorhaida Ujang, Muhammad Amir Kamaluddin. INTEGRATED BIOLOGICAL & BEHAVIOURAL SURVEILLANCE SURVEY. 2012.

UNAIDS GA. Global AIDS update 2016. Geneva, Switzerland: World Health Organization Library. 2016.

Huang M, Hussein H. The HIV/AIDS epidemic country paper: Malaysia. AIDS Education and Prevention. 2004; 16(Supplement A):100-109.

Jürgens R, Ball A, Verster A. Interventions to reduce HIV transmission related to injecting drug use in prison. The Lancet infectious diseases. 2009; 9(1):57-66.

SECTION HS, Division DC, Malaysia MoH. Global AIDS Response Progress Report Malaysia. 2015.

Barmania S, Aljunid SM. Navigating HIV prevention policy and Islam in Malaysia: contention, compatibility or reconciliation? Findings from in-depth interviews among key stakeholders. BMC Public Health. 2016; 16(1):524.

Benotsch EG, Kalichman SC, Kelly JA. Sexual compulsivity and substance use in HIV-seropositive men who have sex with men: Prevalence and predictors of high-risk behaviors. Addictive behaviors. 1999; 24(6): 857-868.

National Strategic Plan On HIV And AIDS. National Strategy on HIV and AIDS 2011 – 2015. 2015.

World Health Organization. Global HIV/AIDS response: epidemic update and health sector progress towards universal access: progress report 2011. Global HIV/AIDS response: epidemic update and health sector progress towards universal access: progress report 2011. 2011(1).

van Griensven F, Varangrat A, Wimonsate W, et al. Trends in HIV prevalence, estimated HIV incidence, and risk behavior among men who have sex with men in Bangkok, Thailand, 2003–2007. JAIDS Journal of Acquired Immune Deficiency Syndromes. 2010; 53(2):234-239.

Feng Y, Wu Z, Detels R, et al. HIV/STD prevalence among MSM in Chengdu, China and associated risk factors for HIV infection. Journal of acquired immune deficiency syndromes (1999). 2010; 53(Suppl 1): S74.

Wagenaar BH, Sullivan PS, Stephenson R. HIV knowledge and associated factors among internet-using men who have sex with men (MSM) in South Africa and the United States. PloS one. 2012; 7(3):e32915.

Crepaz N, Marks G, Liau A, et al. Prevalence of unprotected anal intercourse among HIV-diagnosed MSM in the United States: a meta-analysis. Aids. 2009; 23(13):1617-1629.

Hoover KW, Butler M, Workowski K, et al. STD screening of HIV-infected MSM in HIV clinics. Sexually transmitted diseases. 2010; 37(12): 771-776.

Published
2021-04-24
How to Cite
Jaafar, S. J., Awang Lukman, K., Safian, N., Myint , T., Swe, Hassan, M. R., Sutan, R., Chin Mun , W., & Jeffree, M. S. (2021). UNSAFE SEXUAL BEHAVIOUR AMONG HIV-POSITIVE MSM PARTICIPATING IN COMMUNITY-BASED TREATMENT ADHERENCE PEER SUPPORT PROGRAM. Malaysian Journal of Public Health Medicine, 21(1), 239-243. https://doi.org/10.37268/mjphm/vol.21/no.1/art.808