{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T23:57:39Z","timestamp":1783468659653,"version":"3.55.0"},"reference-count":79,"publisher":"JMIR Publications Inc.","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The growth in mobile technology access, utilization, and services holds great promise in facilitating HIV prevention efforts through mobile health (mHealth) interventions in Malaysia. Despite these promising trends, there is a dearth of evidence on the use of mHealth platforms that addresses HIV prevention among Malaysian men who have sex with men.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The goal of this study was to gain insight into (1) access and utilization of communication technology (eg, landline phone, internet, mobile phone), (2) acceptability of mHealth-based interventions for HIV prevention services, and (3) preferences regarding the format and frequency of mHealth interventions among Malaysian men who have sex with men.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional survey with Malaysian men who have sex with men between July 2018 and March 2020. Participants were recruited using respondent-driven sampling in the Greater Kuala Lumpur region of Malaysia. We collected information on demographic characteristics, HIV risk-related behaviors, access to and the frequency of use of communication technology, and acceptability of using mHealth for HIV prevention using a self-administered questionnaire with a 5-point scale (1, never; 2, rarely; 3, sometimes; 4, often; 5, all the time).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 376 men participated in the survey. Almost all respondents owned or had access to a smartphone with internet access (368\/376, 97.9%) and accessed the internet daily (373\/376, 99.2%), mainly on a smartphone (334\/376, 88.8%). Participants on average used smartphones primarily for social networking (mean 4.5, SD 0.8), followed by sending or receiving emails (mean 4.0, SD 1.0), and searching for health-related information (mean 3.5, SD 0.9). There was high acceptance of the use of mHealth for HIV prevention (mean 4.1, SD 1.5), including for receiving HIV prevention information (345\/376, 91.8%), receiving medication reminders (336\/376, 89.4%), screening and monitoring sexual activity (306\/376, 81.4%) or illicit drug use (281\/376, 74.7%), and monitoring drug cravings (280\/376, 74.5%). Participants overwhelmingly preferred a smartphone app over other modalities (eg, text, phone call, email) for engaging in mHealth HIV prevention tools. Preference for app notifications ranged from 186\/336 (53.9%), for receiving HIV prevention information, to 212\/336 (69.3%), for screening and monitoring sexual activity. Acceptance of mHealth was higher for those who were university graduates (P=.003), living in a relationship with a partner (P=.04), engaged in sexualized drug use (P=.01), and engaged in receptive anal sex (P=.006).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings from this study provide support for developing and deploying mHealth strategies for HIV prevention using a smartphone app in men who have sex with men\u2014a key population with suboptimal engagement in HIV prevention and treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/36917","type":"journal-article","created":{"date-parts":[[2022,5,8]],"date-time":"2022-05-08T07:17:15Z","timestamp":1651994235000},"page":"e36917","source":"Crossref","is-referenced-by-count":30,"title":["Mobile Health Technology Use and the Acceptability of an mHealth Platform for HIV Prevention Among Men Who Have Sex With Men in Malaysia: Cross-sectional Respondent-Driven Sampling Survey"],"prefix":"10.2196","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4340-3101","authenticated-orcid":false,"given":"Roman","family":"Shrestha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-6112","authenticated-orcid":false,"given":"Francesca","family":"Maviglia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7860-693X","authenticated-orcid":false,"given":"Frederick L","family":"Altice","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2511-2071","authenticated-orcid":false,"given":"Elizabeth","family":"DiDomizio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9350-8230","authenticated-orcid":false,"given":"Antoine","family":"Khati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8681-0252","authenticated-orcid":false,"given":"Colleen","family":"Mistler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1977-6709","authenticated-orcid":false,"given":"Iskandar","family":"Azwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8074-4450","authenticated-orcid":false,"given":"Adeeba","family":"Kamarulzaman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7037-9808","authenticated-orcid":false,"given":"Mohd 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behavioral surveillance, 23 U.S. citiesCenters for Disease Control and Prevention20172022-06-13https:\/\/www.cdc.gov\/hiv\/pdf\/library\/reports\/surveillance\/cdc-hiv-surveillance-special-report-number-22.pdf"},{"key":"ref6","unstructured":"Global AIDS monitoring 2020: Malaysia HIV\/AIDS progress reportMinistry of Health Malaysia20192022-06-13https:\/\/www.moh.gov.my\/moh\/resources\/Penerbitan\/Laporan\/Umum\/Laporan_Global_AIDS_Monitoring_2020_new.pdf"},{"key":"ref7","unstructured":"MalaysiaJoint United Nations Programme on 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