HIV Risk Perception, Sexual Behavior, and HIV Prevalence among Men-Who-Have-Sex-with-Men at a Community-Based Voluntary Counseling and Testing Center in Kuala Lumpur, Malaysia

Koh, Kwee Choy; Yong, Lit Sin

doi:10.1155/2014/236240

Cited by 39 publications

(37 citation statements)

References 9 publications

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“…Among MSM who were RD, 15.9% tested HIV‐positive, 87.1% engaged in condomless sex in the past six months, 37% tested positive for an STI, and 6.8% had used ATS (injection or non‐injection). When compared to other studies, our numbers are higher for those who participated in condomless sex (18% to 76%) but similar for STI diagnosis (21% to 39%) . Moreover, a considerable number of MSM who perceived themselves to be at low risk for acquiring HIV were found to be HIV positive, but unaware of their status .…”

Section: Discussioncontrasting

confidence: 64%

Discordance between self‐perceived and actual risk of HIV infection among men who have sex with men and transgender women in Thailand: a cross‐sectional assessment

et al. 2019

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Introduction Low uptake of HIV testing and services, including pre‐exposure prophylaxis (PrEP), in Thai men who have sex with men (MSM) and transgender women (TGW) may be due to the inaccuracy in self‐risk assessment. This study investigated the discordance between self‐perceived HIV risk and actual risk. Methods Data were obtained between May 2015 and October 2016 from MSM and TGW enrolled in key population‐led Test and Treat study in six community health centres in Thailand. Eligible participants were at least 18 years old, Thai national, had sex with men, had unprotected sex with a man in the past six months or had at least three male sex partners in the past six months, and were not known to be HIV positive. Baseline demographic behavioural characteristics questionnaires, including self‐perceived HIV risk, were self‐administered. Participants received HIV/STI (syphilis/gonorrhoea/chlamydia) testing at baseline. Participants who self‐perceived to have low risk, but engaged in HIV‐susceptible practices were categorized as having risk discordance (RD). Regression was conducted to assess factors associated with RD among MSM and TGW separately. Results Of the 882 MSM and 406 TGW participants who perceived themselves as having low HIV risk, over 80% reported at least one of the following: tested HIV positive, engaged in condomless sex, tested positive for a sexually transmitted infection sexually transmitted infection (STI; or used amphetamine‐type stimulants. Logistic regression found that living with a male partner (p = 0.005), having never tested for HIV (p = 0.045), and living in Bangkok (p = 0.01) and Chiang Mai (p < 0.001) were associated with increased risk discordance among MSM. Living with a male partner (p = 0.002), being less than 17 years old at sexual debut (p = 0.001), and having a low knowledge score about HIV transmission (p < 0.001) were associated with increased risk discordance among TGW. However, for TGW, being a sex worker decreased the chance of risk discordance (p = 0.034). Conclusions Future HIV prevention messages need to fill in the gap between self‐perceived risk and actual risk in order to help HIV‐vulnerable populations understand their risk better and proactively seek HIV prevention services.

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Section: Discussioncontrasting

confidence: 64%

Discordance between self‐perceived and actual risk of HIV infection among men who have sex with men and transgender women in Thailand: a cross‐sectional assessment

et al. 2019

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“…The need for the implementation of a REHEP to combat the HIV epidemic is further strengthened by the fact that even though perceived high HIV risk is associated with many of the established risk factors for transmission of HIV, high-risk perceptions are also positively correlated with HIV infections among individuals. [21] …”

Section: Introductionmentioning

confidence: 99%

Effects of Rational-Emotive Health Education Program on HIV risk perceptions among in-school adolescents in Nigeria

et al. 2016

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Exploring beliefs about personal risk for human immunodeficiency virus (HIV) infection is essential to understanding what motivates people to engage in behaviors that reduce or increase their risk of HIV infection. Therefore, the current study's objective was to examine the effects of a Rational-Emotive Health Education Program (REHEP) on HIV risk perceptions among in-school adolescents in Anambra State, Nigeria.Forty-four participants were identified as having high-risk perceptions about HIV infection through a self-report questionnaire and met the inclusion criteria. The treatment process was guided by a REHEP manual and consisted of 8 weeks of full intervention and 2 weeks of follow-up meetings that marked the end of intervention. The study used repeated measures analysis of variance to assess improvements in individual participants and across control and treatment group risk perceptions after the intervention.HIV risk perceptions of in-school adolescents did not differ across the treatment and control groups at baseline. Through REHEP, HIV risk perceptions significantly reduced in the treatment group compared to those in the control group. REHEP had significant effect on HIV risk perceptions of in-school adolescents exposed to treatment group, despite their sex. Religious background did not determine the significant effect of REHEP on HIV risk perceptions of in-school adolescents in the treatment group.Follow-up studies that would use a REHEP to assist client population from other parts of the country to promote HIV risk reduction, especially among those with high-risk behavior, are needed in Nigeria.

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“…Otro hallazgo relevante del estudio indica que las personas que acudieron a realizarse la prueba de vih y que se creían en riesgo, presentaron mayor frecuencia de positividad para vih, resultados que son similares a los de otros estudios en este tipo de población [33,34]. Probablemente el experimentar situaciones de riesgo que creen un ambiente de sospecha de infección por vih, genera una actitud favorable para buscar opciones que permitan conocer si se tiene la infección.…”

Section: Discusión Y Conclusionesunclassified

Características en hombres que tienen sexo con hombres VIH+ en Cali-Colombia 2012-2015

Mueses-Marín

Tello-Bolívar

Galindo-Quintero

2017

Rev. Fac. Nac. Salud Pública

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HIV Risk Perception, Sexual Behavior, and HIV Prevalence among Men-Who-Have-Sex-with-Men at a Community-Based Voluntary Counseling and Testing Center in Kuala Lumpur, Malaysia

Cited by 39 publications

References 9 publications

Discordance between self‐perceived and actual risk of HIV infection among men who have sex with men and transgender women in Thailand: a cross‐sectional assessment

Discordance between self‐perceived and actual risk of HIV infection among men who have sex with men and transgender women in Thailand: a cross‐sectional assessment

Effects of Rational-Emotive Health Education Program on HIV risk perceptions among in-school adolescents in Nigeria

Características en hombres que tienen sexo con hombres VIH+ en Cali-Colombia 2012-2015

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