Exploring Attitudes Toward Pre-Exposure Prophylaxis for HIV Prevention Prior to Implementation Among Female Sex Workers in Malaysia: Results from a Qualitative Study
Document Type
Article
Publication Date
1-1-2024
Abstract
Introduction: Pre-exposure prophylaxis (PrEP) is an effective method for prevention of HIV transmission. Female sex workers (FSW) in Malaysia are at substantially increased risk of acquiring HIV compared to the general female population, yet little is known about this population's current HIV prevention practices or acceptance of PrEP. This study aims to inform the culturally relevant implementation of PrEP through the qualitative exploration of (1) the potential need for PrEP in this population and (2) the factors that determine FSW willingness to use oral PrEP. Methods: In-depth, semi-structured interviews (n = 30) were conducted with FSW in English, Malay, or Tamil. Transcribed and translated interviews were analyzed using a grounded theory approach. Results: FSW express positive interest in PrEP but prefer it as a supplement to condoms, not a replacement. Perceived challenges to PrEP use include cost, adherence, and side effects. Conclusion: The findings suggest that in combination with condom use, PrEP may be an acceptable method of HIV prevention. Effective PrEP rollout may also include condom promotion using a peer-driven model, cost subsidies, and sex work harm reduction and empowerment components.
Keywords
sex work, HIV, pre-exposure prophylaxis, Malaysia
Divisions
ceria
Funders
Yale Downs International Health Student Travel Fellowship,Yale Council for Southeast Asia Studies,United States Department of Health & Human Services National Institutes of Health (NIH) - USA (R21AI157857); (R34MH130233)
Publication Title
Patient Preference and Adherence
Volume
18
Publisher
Dove Medical Press
Publisher Location
PO BOX 300-008, ALBANY, AUCKLAND 0752, NEW ZEALAND