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Ecological association between Grindr user characteristics and HIV prevalence in Malaysia: a cross-sectional study
Hakimi Kassim1,2, Kamarul Ismail3, Md Enamul Huq3
1Department of Bioengineering, Imperial College London, London, SW7 2AZ, UK. m.mohdkassim@imperial.ac.uk.
Objective:
Men who have sex with men in Malaysia face a high HIV burden, but demographic, behavioral, and digital health data remain limited by social constraints. This nationwide, cross-sectional ecological study utilized a grid-based geographic sampling method to systematically collect publicly accessible Grindr profiles across all Malaysian states and federal territories. Population-normalized Grind user rates, profile characteristics, and regional people living with HIV rates were analyzed using Spearman's rank-order correlation to evaluate whether geosocial networking platform data offer insights into regional HIV epidemiology.
Results:
A significant positive correlation was observed between population-normalized Grindr user rates and PLHIV rates (rs = 0.5821, P = 0.0252). While unadjusted analyses showed nominal positive correlations between regional PLHIV rates and specific profile characteristics, none maintained significance following false discovery rate correction (Q = 5%). This lack of post-correction significance is driven by the limited statistical power of the regional sample size (n = 16) and high percentages of profile non-disclosure. Thus, while grid-based sampling systematically assesses digital user density, individual profile characteristics cannot reliably indicate regional HIV prevalence when data omissions are widespread.
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