Greater Kuala Lumpur Research Articles

Purchase Intention of Residential Property in Greater Kuala Lumpur, Malaysia

High housing prices in the urban area have posted a challenge for potential first-time home buyers to own a house. This study aims to investigate factors that influence Malaysians to purchase a residential property in Greater Kuala Lumpur (KL). This study examines the effect of attitude, subjective norm, perceived behaviour control, location, living space and financial factors on the intention to purchase residential property based on the Theory of Planned Behavior. The findings indicated that there are positive relationships between attitude, subjective norm, perceived behaviour control and financial factors toward purchase intention for residential property, while location and living space were found to have no relationship on consumers’ purchase intention of residential property in Greater KL. These findings will provide insightful information to the housing developer in their venture on new housing projects, marketing strategies and be meeting the homeownership needs as well as to the policy maker and bankers’ decision for economic development. The limitation of the current study is arising from its focus on the selected geographical area of the Klang Valley property market only.

Interaction of Urban Heating and Local Winds During the Calm Intermonsoon Seasons in the Tropics

AbstractRapid urbanization of cities has greatly modified the thermal and dynamic profile in the urban boundary layer. This paper attempts to study the interaction of urban heating and the local topographic‐induced flow circulation for a tropical coastal city, Greater Kuala Lumpur, in Malaysia. The role of sea‐and‐valley‐breeze‐orientated synoptic flow (SBOS) on the interaction is determined by comparing two intermonsoon periods. A state‐of‐the‐art numerical model, Advanced Research Weather Research and Forecasting model, is used to identify the influence of urbanization through modification of urban surfaces. The model reasonably reproduces the vertical sounding data and near‐surface weather parameters. The diurnal urban heating pattern is attributed to three predominant factors: (i) weak under calm and clear‐sky condition (morning heating), (ii) weak under larger atmospheric moisture content (late afternoon convection), and (iii) largest (1.4°C) due to differential cooling rate of urban and rural surface at night. The interaction of urban thermals and upper level SBOS affects the effect of urbanization on local circulation during the day. The urban thermals reduce the weak opposing SBOS (<2 m s−1) and enhance the inflow of moisture‐rich sea breeze passage. This increases the intensity of downwind convective precipitation during late afternoon. On contrary, the strong opposing SBOS (>2 m s−1) suppresses the vertical lifting of urban thermals and decelerates the sea breeze front. It is discovered that the interaction of urban heating and topographic‐induced flow is interdependent while the synoptic flow plays a critical role in modifying both factors, respectively.

Prevalence of Human Immunodeficiency Virus and Sexually Transmitted Infections Among Cisgender and Transgender Women Sex Workers in Greater Kuala Lumpur, Malaysia: Results From a Respondent-Driven Sampling Study.

Sex workers face a disproportionate burden of human immunodeficiency virus (HIV) and sexually transmitted infections (STI) worldwide. For cisgender women sex workers (CWSW), global HIV prevalence is over 10%, whereas transgender women sex workers (TWSW) face an HIV burden of 19% to 27%. We used respondent-driven sampling to recruit 492 sex workers, including CWSW (n = 299) and TWSW (n = 193) in Greater Kuala Lumpur, Malaysia. Participants completed an in-depth survey and were screened for HIV, syphilis, Chlamydia trachomatis, and Neisseria gonorrhoeae. Sample characteristics stratified by gender identity and interview site are presented. Bivariate analyses comparing CWSW and TWSW were conducted using independent samples t tests for continuous variables and χ tests for categorical variables. Pooled HIV prevalence was high (11.7%; 95% confidence interval [CI], 8.8-14.5), and was similar for CWSW (11.1%) and TWSW (12.4%). Rates of syphilis 25.5% (95% CI, 21.6-29.5), C. trachomatis (14.8%; 95% CI, 11.6-18.0) and N. gonorrhoeae (5.8%; 95% CI, 3.7-7.9) were also concerning. Both groups reported lifetime HIV testing (62.4%), but CWSW were less likely to have ever been HIV tested (54.5%) than TWSW (74.6%). Median time since last HIV test was 24 months. Previous screening for STI was low. Inconsistent condom use and drug use during sex work were not uncommon. High HIV and STI prevalence, coupled with infrequent HIV and STI screening, inconsistent condom use, and occupational drug use, underscore the need for expanded HIV and STI prevention, screening, and treatment efforts among CWSW and TWSW in Malaysia.

HIV Testing and awareness of HIV status among people who inject drugs in greater Kuala Lumpur, Malaysia.

ABSTRACTHIV testing services are the gateway into HIV treatment and are critical for monitoring the epidemic. HIV testing is recommended at least annually in high-risk populations, including people who inject drugs (PWID). In Malaysia, the HIV epidemic is concentrated among PWID, but their adherence to testing recommendations and the proportion of HIV-positive PWID who are aware of their status remain unknown. We recruited 460 PWID in Greater Kuala Lumpur using respondent-driven sampling and conducted HIV testing. We examined past testing behaviors, estimating testing frequency, correlates of testing in the past 12 months, and the proportion of those living with HIV who were aware of their status. Results showed that most PWID living with HIV (90.4%, 95% CI: 83.6%–95.9%) were aware of their status. Among those never previously diagnosed with HIV, few had accessed HIV testing in the past 12 months (14.3%, 95% CI: 11.1%–18.0%). Prison (57.0%) and compulsory drug detention centers (36.1%) were the primary locations where PWID reported ever being HIV tested, and the main correlate of recent testing in regression was recent criminal justice involvement. Although awareness of HIV status may be high among PWID living with HIV in Kuala Lumpur, testing occurs primarily in prisons and compulsory drug detention centers, where it is involuntary and linkage to care is limited. A shift in HIV testing policy is needed to align health and human rights objectives, replacing mandatory testing with voluntary testing in settings where individuals can be rapidly linked to HIV care.

Housing Challenges Among Young People in Greater Kuala Lumpur (GKL), Malaysia

Housing Challenges Among Young People in Greater Kuala Lumpur (GKL), Malaysia

The carbon savings and health co-benefits from the introduction of mass rapid transit system in Greater Kuala Lumpur, Malaysia

SCK and JHH: Research was funded by the United Nations University- International Institute for Global Health and the National University of Malaysia under the project codes of UNU-IIGH 80814 and FF-2014-400, respectively. MT and JW: The work was undertaken by the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust (MR/K023187/1), under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged.

Numerical study on effect of urban heating on local climate during calm inter-monsoon period in greater Kuala Lumpur, Malaysia

The Weather Research and Forecasting (WRF) mesoscale model is used to study the effect of urban heating on the local climate of the largest urban agglomeration of Malaysia, Greater Kuala Lumpur (GKL) during a period of weak synoptic forcing. Urbanization has induced a modelled daily mean urban heat island (UHI) intensity of 0.9°C with a more severe heating (1.9°C) at night. The diurnal wind field of GKL is greatly affected by the circulation of land/sea breeze. The immense heat generated in the city accelerates the moisture-bearing sea breeze during the day and the induced vertical lifting simultaneously creates a conducive environment for convective precipitation on the upwind region. The urban heating effect and surface roughness weakens the evening flow circulations in the region and potentially inhibits dispersion of heat and atmospheric pollutants. Simulation of UHI phenomenon is especially sensitive to the characterization of urban grids through sensitivity evaluation of numerous land use maps and urban canopy model (UCM) settings. When compared to observations, the WRF model best captures the urban heating phenomenon with updated land use map and calibrated single layer UCM, while the simple bulk UCM setting performs better than the default complex single layer UCM.

Acceptability of a microfinance-based empowerment intervention for transgender and cisgender women sex workers in Greater Kuala Lumpur, Malaysia.

Introduction: Cisgender and transgender woman sex workers (CWSWs and TWSWs, respectively) are key populations in Malaysia with higher HIV-prevalence than that of the general population. Given the impact economic instability can have on HIV transmission in these populations, novel HIV prevention interventions that reduce poverty may reduce HIV incidence and improve linkage and retention to care for those already living with HIV. We examine the feasibility of a microfinance-based HIV prevention intervention among CWSW and TWSWs in Greater Kuala Lumpur, Malaysia.Methods: We conducted 35 in-depth interviews to examine the acceptability of a microfinance-based HIV prevention intervention, focusing on: (1) participants’ readiness to engage in other occupations and the types of jobs in which they were interested in; (2) their level of interest in the components of the potential intervention, including training on financial literacy and vocational education; and (3) possible barriers and facilitators to the successful completion of the intervention. Using grounded theory as a framework of analysis, transcripts were analysed through Nvivo 11.Results: Participants were on average 41 years old, slightly less than half (48%) were married, and more than half (52%) identified as Muslim. Participants express high motivation to seek employment in other professions as they perceived sex work as not a “proper job” with opportunities for career growth but rather as a short-term option offering an unstable form of income. Participants wanted to develop their own small enterprise. Most participants expressed a high level of interest in microfinance intervention and training to enable them to enter a new profession. Possible barriers to intervention participation included time, stigma, and a lack of resources.Conclusion: Findings indicate that a microfinance intervention is acceptable and desirable for CWSWs and TWSWs in urban Malaysian contexts as participants reported that they were ready to engage in alternative forms of income generation.

Urban-scale Material Flow Analysis for Cities in Greater Kuala Lumpur, Malaysia

Abstract The objective of the study was to estimate environmental impacts of the cities in Greater Kuala Lumpur; Kajang, Sepang, and Putrajaya by using Urban-scale Material Flow Analysis (USMFA). The study assessed prime material flow within three cities in Malaysia; electricity consumption, water usage, food consumption, carbon dioxide emission, wastewater production and solid waste. A functional unit of kg/cap/day was defined for all the material flows. Putrajaya was seen as the highest consumer of water, even with the lowest population. Kajang contributed the most of in terms of environmental impacts, followed by Sepang and Putrajaya.

The complex interplay of social networks, geography and HIV risk among Malaysian Drug Injectors: Results from respondent-driven sampling

BackgroundHIV is primarily concentrated among people who inject drugs (PWID) in Malaysia, where currently HIV prevention and treatment coverage is inadequate. To improve the targeting of interventions, we examined HIV clustering and the role that social networks and geographical distance play in influencing HIV transmission among PWID. MethodsData were derived from a respondent-driven survey sample (RDS) collected during 2010 of 460 PWID in greater Kuala Lumpur. Analysis focused on socio-demographic, clinical, behavioural, and network information. Spatial probit models were developed based on a distinction between the influence of peers (individuals nominated through a recruitment network) and neighbours (residing a close distance to the individual). The models were expanded to account for the potential influence of the network formation. ResultsRecruitment patterns of HIV-infected PWID clustered both spatially and across the recruitment networks. In addition, HIV-infected PWID were more likely to have peers and neighbours who inject with clean needles were HIV-infected and lived nearby (<5km), more likely to have been previously incarcerated, less likely to use clean needles (26.8% vs 53.0% of the reported injections, p<0.01), and have fewer recent injection partners (2.4 vs 5.4, p<0.01). The association between the HIV status of peers and neighbours remained significantly correlated even after controlling for unobserved variation related to network formation and sero-sorting. ConclusionThe relationship between HIV status across networks and space in Kuala Lumpur underscores the importance of these factors for surveillance and prevention strategies, and this needs to be more closely integrated. RDS can be applied to identify injection network structures, and this provides an important mechanism for improving public health surveillance, accessing high-risk populations, and implementing risk-reduction interventions to slow HIV transmission.

Community Palliative Care Nurses' Challenges and Coping Strategies on Delivering Home-Based Pediatric Palliative Care.

The aim of this study was to explore the experience of community palliative care nurses providing home care to children. A qualitative study was conducted at the 3 community palliative care provider organizations in greater Kuala Lumpur from August to October 2014. Data were collected with semistructured interviews with 16 nurses who have provided care to children and was analyzed using thematic analysis. Two categories were identified: (1) challenges nurses faced and (2) coping strategies. The themes identified from the categories are (1) communication challenges, (2) inadequate training and knowledge, (3) personal suffering, (4) challenges of the system, (5) intrapersonal coping skills, (6) interpersonal coping strategies, and (7) systemic supports. These results reinforces the need for integration of pediatric palliative care teaching and communication skills training into all undergraduate health care programs. Provider organizational support to meet the specific needs of the nurses in the community can help retain them in their role. It will also be important to develop standards for current and new palliative care services to ensure delivery of quality pediatric palliative care.

Housing Affordability Problems among Young Households

Young households are facing various challenges especially as a new entrant in the employment sector. More specifically, there have been worries that young households may not be able to afford a house due to the increasing house prices and cost of living. The aim of this paper is to ascertain the housing affordability problems among young households in Greater Kuala Lumpur. The aim is supported with two objectives which are to identify the housing affordability problems among young households and to discuss the relationship between the identified problems. This paper adopts the case study method and Greater Kuala Lumpur is chosen as the location of the case study. This paper concludes that the main problem faced by young households is limited supply of affordable housing in the market. Even more, the perceived affordable housing in the market is open to all income groups which suggest that young households has to compete with other income groups in the market for homeownership.

HIV Prevalence Among People Who Inject Drugs in Greater Kuala Lumpur Recruited Using Respondent-Driven Sampling.

The HIV epidemic in Malaysia is concentrated among people who inject drugs (PWID). Accurate estimates of HIV prevalence are critical for developing appropriate treatment and prevention interventions for PWID in Malaysia. In 2010, 461 PWID were recruited using respondent-driven sampling in Greater Kuala Lumpur, Malaysia. Participants completed rapid HIV testing and behavioral assessments. Estimates of HIV prevalence were computed for each of the three recruitment sites and the overall sample. HIV prevalence was 15.8% (95% CI 12.5-19.2%) overall but varied widely by location: 37.0% (28.6-45.4%) in Kampung Baru, 10.3% (5.0-15.6%) in Kajang, and 6.3% (3.0-9.5%) in Shah Alam. Recruitment extended to locations far from initial interview sites but was concentrated around discrete geographic regions. We document the high prevalence of HIV among PWID in Greater Kuala Lumpur. Sustained support for community surveillance and HIV prevention interventions is needed to stem the HIV epidemic among PWID in Malaysia.

Water Consumption Patterns in Greater Kuala Lumpur: Potential for Reduction

Water Consumption Patterns in Greater Kuala Lumpur: Potential for Reduction

Appraisal of residential satisfaction in double-storey terrace housing in Kuala Lumpur, Malaysia

Double-storey terrace housing is considered as a popular housing type in Malaysia. However, empirical studies identified that, an increase in crime rate in urban areas has affected on residents' satisfaction of landed housing such as double-storey terrace house. In addition, design of double-storey terrace house lacks ventilation and natural lighting which have also affected on residents' satisfaction. As a result of residents' dissatisfaction, double-storey terrace house is found as the most modified housing types in Malaysia. Thus, this paper aims to appraise residential satisfaction in two double-storey terrace neighbourhoods - Taman Sri Rampai and Taman Keramat Permai in Greater Kuala Lumpur. The research objectives were formulated based on a dynamic interaction approach which includes three main processes-cognitive, affective and behavioural. In order to examine and compare the residential satisfaction in two neighbourhoods, five components of double-storey terrace housing were analyzed through residents’ perception on the level of satisfaction. The recommendations of the study suggests that two housing design and five neighbourhood elements can enhance residents' satisfaction with double-storey terrace housing.

Ethnic groupism: Understanding ethnicisation of work in Malaysia

This paper examines the degree to which work is becoming de-ethnicised in the Malaysian tourism industry sector. This so-called de-ethnicisation of work is formulated in the Malaysian Government’s 10th Malaysia Plan (2011–2015) as an indicator of Malaysian society’s entry into modernity, the overall yardstick being Malaysia’s progression to a high-income nation by 2020. Empirical research was conducted among employees of 10 ‘Western’ luxury five-star hotels in the greater Kuala Lumpur. The degree of association of occupation with ethnicity was tested through a quantitative survey of 786 respondents from a representative sample of the parent population in 2010. Contrary to the Government’s de-ethnicisation agenda, findings show a continuing strong correlation between ethnicity and occupation, reinforced by qualitative research conducted between 2010 and 2011, which reveals specific ethno-marketing practices and an ‘ethnic groupism’ phenomenon as plausible explanations, among other causal factors.

The Pursuit of Sustainability of Homeownership Schemes for First-Time Buyers

A large portion of first-time homebuyers lack adequate means to meet their needs of housing owing to home price inflation in Malaysian cities. One way to address the housing needs of urban household is to provide affordable quality homes. Drawing upon a case study of Greater Kuala Lumpur, Malaysia, this study attempts to discuss the cloud of issues related to different homeownership schemes available for first-time homebuyers. Results suggest that affordable housing should be made available at the price and locations that can be accepted by first-time homeowners. In line with the principle of sustainability, homeownership schemes for first-time homebuyers should be economically viable, socially acceptable and technically feasible.

Treatment Readiness, Attitudes Toward, and Experiences with Methadone and Buprenorphine Maintenance Therapy Among People Who Inject Drugs in Malaysia

BackgroundLittle is known about attitudes toward and experiences with opioid maintenance therapy (OMT) among people who inject drugs in Malaysia, a country where people who inject drugs comprise 1.3% of the adult population. MethodsIn 2010, 460 people who inject drugs in Greater Kuala Lumpur, Malaysia were surveyed to evaluate attitudes toward and experiences with OMT and treatment readiness. Attitudes towards OMT with both methadone and buprenorphine were assessed using an opinions scale. Multivariable linear regression was used to assess correlates of treatment readiness, measured with the 19-item Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). ResultsAll 460 participants used opioids and nearly all (99.1%) met criteria for opioid dependence. Few had had previous experience with methadone (9.3%) or buprenorphine (12.6%) maintenance therapy, yet many had used methadone (55.2%) or buprenorphine (51.7%) outside of treatment settings. Fifteen percent had injected buprenorphine in the past month, and of the few that were currently receiving buprenorphine maintenance therapy, almost all were injecting it. The majority of subjects exhibited a moderate level of treatment readiness and a preference for methadone over buprenorphine. Those with low treatment readiness scores were more likely to have previous experience with compulsory drug detention centers (p<0.01), needle/syringe exchange programs (p<0.005), or be of Indian ethnicity (p<0.001). Past use of methadone (p<0.01), older age (p<0.001), higher stress symptom severity (p<0.001), and sharing of needles or syringes (p<0.05) were associated with higher treatment readiness scores. ConclusionThere are suboptimal levels of OMT experience among people who inject drugs that may be improved by addressing factors that influence patient attitudes. Those individuals with moderate treatment readiness may be targeted by brief motivational and cognitive interventions in primary care, prisons or OMT clinics aimed at improving entry into and retention in treatment.

Estimating the Effects of Light Rail Transit (LRT) System on Residential Property Values Using Geographically Weighted Regression (GWR)

This study assesses the effect of light rail transit system (LRT) on residential property values in Greater Kuala Lumpur, Malaysia, where traffic congestion has been a major issue since the mid 1990s. A relatively new technique namely Geographically Weighted Regression (GWR) is employed to estimate the increased value of land in the form of residential property values as a result of improved accessibility owing to the construction of the LRT systems. Using the Kelana Jaya LRT Line, located in Greater Kuala Lumpur, Malaysia as a case study, this paper reveals that the improvement of accessibility to employment and other amenities provided by the LRT system added premiums on residential property values but with spatial variation over geographical area indicates that the existence of the LRT systems may have a positive effect on residential property values in some areas but negative in others. The use of the GWR in this study is identified as a better approach to investigate the effect of the LRT system on residential property values since it has the capability to produce meaningful results by revealing spatially varying relationship.

Meeting first-time buyers’ housing needs and preferences in greater Kuala Lumpur

High housing prices in Greater Kuala Lumpur have made it difficult for potential first-time homebuyers to own a house. As a result, affordable housing schemes were introduced recently to assist potential homeowners. The Malaysian government has launched many kinds of public low-cost housing schemes; however, many housing projects resulting from these schemes have turned into slums that do not provide a wholesome environment for families. To avoid building more slums and to provide more benefits for young buyers, the goal of this paper is to determine the correct housing attributes required for first-time homebuyers in the urban area. Three hundred questionnaires were distributed to young Malaysians in Greater Kuala Lumpur (KL), and 265 questionnaires were returned. The responses to the questionnaire revealed that accessibility and neighborhood environment play a role in the decision to own. It can also be observed that ecologically friendly homes that embrace sustainability are important considerations for prospective homebuyers.