HIV understanding, experiences and perceptions of HIV-positive men who have sex with men in Amazonian Peru: A qualitative study.

Abstract Background HIV-related incidence and mortality is increasing across Peru, with highest mortality rates recorded in Amazonian Loreto. This epidemic is concentrated in men who have sex with men, a population with 14% HIV treatment adherence despite free national provision. This study investigates barriers and facilitators to following healthcare advice through experiences and perceptions of HIV-positive men who have sex with men and healthcare professionals in Loreto. Methods Twenty qualitative interviews with HIV-positive men who have sex with men and one focus group with HIV-specialist healthcare professionals were conducted in Loreto, January-February 2019. Thematic content analysis was used. Results A culture of isolation and discrimination was identified, propagated by poor public knowledge surrounding HIV transmission and treatment. Employment potential was hampered and 7/20 patients had suicidal thoughts post-diagnosis. Barriers to care included: shame, depression, travel cost/times, a preference for traditional plant-based medicine and side-effects of ART. Facilitators included: education, family and clinic support, disease acceptance and lifestyle changes. Conclusion More effective, focussed community education and workplace discrimination investigations are recommended.

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HIV understanding, experiences and perceptions of HIV-positive men who have sex with men in Amazonian Peru: A qualitative study.

10.21203/rs.3.rs-15919/v3 ◽

2020 ◽

Author(s):

Jasmine Tattsbridge ◽

Connie Wiskin ◽

Gilles De Wildt ◽

Anna Clavé Llavall ◽

César Ramal-Asayag

Keyword(s):

Healthcare Professionals ◽

Hiv Transmission ◽

Community Education ◽

Qualitative Interviews ◽

Hiv Treatment ◽

Lifestyle Changes ◽

Hiv Positive ◽

Incidence And Mortality ◽

Sex With Men ◽

Hiv Positive Men

Abstract Background HIV-related incidence and mortality is increasing across Peru, with highest mortality rates recorded in Amazonian region of Loreto. This epidemic is concentrated in men who have sex with men, a population with 14% HIV treatment adherence despite free national provision. This study investigates barriers and facilitators to following healthcare advice through experiences and perceptions of HIV-positive men who have sex with men and healthcare professionals in Loreto. Methods Twenty qualitative interviews with HIV-positive men who have sex with men and one focus group with HIV-specialist healthcare professionals were conducted in Loreto, January-February 2019. Interviews were transcribed per verbatim. Thematic content analysis and deviant case analysis were used. Results A culture of isolation and discrimination was identified, propagated by poor public knowledge surrounding HIV transmission and treatment. Employment potential was hampered and 7/20 patients had suicidal thoughts post-diagnosis. Barriers to care included: shame, depression, travel cost/times, a preference for traditional plant-based medicine and side-effects of antiretroviral therapy. Facilitators included: education, family and clinic support, disease acceptance and lifestyle changes. Conclusion More effective, focussed community education and workplace discrimination investigations are recommended to reduce stigma and increase adherence to treatment in this population.

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HIV understanding, experiences and perceptions of HIV-positive men who have sex with men in Amazonian Peru: A qualitative study.

10.21203/rs.3.rs-15919/v1 ◽

2020 ◽

Author(s):

Jasmine Tattsbridge ◽

Connie Wiskin ◽

Gilles De Wildt ◽

Anna Clavé Llavall ◽

César Ramal-Asayag

Keyword(s):

Healthcare Professionals ◽

Hiv Transmission ◽

Community Education ◽

Qualitative Interviews ◽

Hiv Treatment ◽

Hiv Positive ◽

Incidence And Mortality ◽

Employment Potential ◽

Sex With Men ◽

Based Medicine

Abstract Background HIV-related incidence and mortality is increasing across Peru, with highest mortality rates recorded in Amazonian Loreto. This epidemic is concentrated in MSM, a population with 14% HIV treatment adherence despite free national provision. This study investigates barriers and facilitators to following healthcare advice through experiences and perceptions of HIV-positive MSM and healthcare professionals in Loreto. Methods Twenty qualitative interviews with HIV-positive MSM and one focus group with HIV-specialist healthcare professionals were conducted in Loreto, January-February 2019. Thematic content analysis was used. Results A culture of isolation and discrimination was identified, propagated by poor public knowledge surrounding HIV transmission and treatment. Employment potential was hampered and 7/20 patients had suicidal thoughts post-diagnosis. Barriers to care included: shame, depression, travel cost/times, a preference for traditional plant-based medicine and side-effects of ART. Facilitators included: education, family and clinic support, disease acceptance and lifestyle changes.Conclusion More targeted community education and workplace discrimination investigations are recommended.

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Sexual risk behavior, sexually transmitted infections, and HIV transmission risks in HIV-positive men who have sex with men (MSM) - approaches for medical prevention

JDDG Journal der Deutschen Dermatologischen Gesellschaft ◽

10.1111/ddg.13217 ◽

2017 ◽

Vol 15 (4) ◽

pp. 421-428 ◽

Cited By ~ 2

Author(s):

Stefan Esser ◽

Judith Krotzek ◽

Henrike Dirks ◽

Norbert Scherbaum ◽

Dirk Schadendorf

Keyword(s):

Sexually Transmitted Infections ◽

Risk Behavior ◽

Sexual Risk ◽

Sexual Risk Behavior ◽

Hiv Transmission ◽

Hiv Positive ◽

Sexually Transmitted ◽

Medical Prevention ◽

Sex With Men ◽

Hiv Positive Men

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HIV Treatment Optimism and Unsafe Anal Intercourse Among HIV-Positive Men Who Have Sex With Men: Findings from the Positive Connections Study

AIDS Education and Prevention ◽

10.1521/aeap.2010.22.2.126 ◽

2010 ◽

Vol 22 (2) ◽

pp. 126-137 ◽

Cited By ~ 36

Author(s):

David J. Brennan ◽

Seth L. Welles ◽

Michael H. Miner ◽

Michael W. Ross ◽

B. R. Simon Rosser

Keyword(s):

Anal Intercourse ◽

Hiv Treatment ◽

Hiv Positive ◽

Sex With Men ◽

Hiv Positive Men

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Condom Use and Perceived Risk of HIV Transmission Among Sexually Active HIV-Positive Men Who Have Sex With Men

AIDS Education and Prevention ◽

10.1521/aeap.17.1.79.58690 ◽

2005 ◽

Vol 17 (1) ◽

pp. 79-89 ◽

Cited By ~ 17

Author(s):

Lisa Belcher ◽

Maya R. Sternberg ◽

Richard J. Wolitski ◽

Perry Halkitis ◽

Colleen Hoff ◽

...

Keyword(s):

Condom Use ◽

Perceived Risk ◽

Hiv Transmission ◽

Hiv Positive ◽

Sexually Active ◽

Sex With Men ◽

Hiv Positive Men

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Past year and prior incarceration and HIV transmission risk among HIV-positive men who have sex with men in the US

AIDS Care ◽

10.1080/09540121.2018.1499861 ◽

2018 ◽

Vol 31 (3) ◽

pp. 349-356 ◽

Cited By ~ 5

Author(s):

Maria R. Khan ◽

Kathleen A. McGinnis ◽

Christian Grov ◽

Joy D. Scheidell ◽

Laura Hawks ◽

...

Keyword(s):

Hiv Transmission ◽

Transmission Risk ◽

Hiv Positive ◽

The Us ◽

Sex With Men ◽

Hiv Transmission Risk ◽

Hiv Positive Men

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HIV serosorting among HIV-positive men who have sex with men is associated with increased self-reported incidence of bacterial sexually transmissible infections

Sexual Health ◽

10.1071/sh10053 ◽

2011 ◽

Vol 8 (2) ◽

pp. 184 ◽

Cited By ~ 45

Author(s):

Ulrich Marcus ◽

Axel J. Schmidt ◽

Osamah Hamouda

Keyword(s):

Condom Use ◽

Hiv Transmission ◽

Hiv Positive ◽

Hiv Test ◽

Increased Risk ◽

Sexually Transmissible Infections ◽

Sex With Men ◽

Hiv Serosorting ◽

Hiv Negative ◽

Hiv Positive Men

Background: We aimed to quantify the frequency of HIV serosorting among men who have sex with men (MSM) in Germany, and evaluate the association of serosorting with other sexual risk management approaches (RMA) and with the frequency of bacterial sexually transmissible infections (STI). Methods: An anonymous, self-administered questionnaire was distributed through German online sexual networking sites and medical practices in 2006. The analysis was based on 2985 respondents who reported an HIV test result. Based on two questions on RMA, serosorting was classified as tactical (an event-based decision) or strategic (a premeditated search for a seroconcordant partner). The analysis was stratified by HIV serostatus and seroconcordant partnership status. Results: HIV serosorting patterns were different for HIV-positive and HIV-negative participants. Tactical serosorting ranked second after RMA based on condom use (HIV-positive: 55.1%, HIV-negative: 45.1%; P < 0.001). While the overlap of strategic and tactical HIV serosorting among HIV-positive MSM was substantial (58.0%), HIV-negative strategic and tactical serosorting were more distinct (18.1% overlap). Among HIV-positive and HIV-negative respondents, tactical serosorting was associated with reduced condom use. Compared with respondents using RMA other than serosorting, HIV-positive men reporting serosorting had a three-fold increased risk for bacterial STI (strategic: odds ratio (OR) = 2.62; 95% confidence interval (CI): 1.76–3.89; tactical: OR = 3.19; 95% CI: 2.14–4.75; both for respondents without HIV seroconcordant partners). Conclusions: HIV serosorting has emerged as a common RMA among MSM. For HIV-positive MSM, it may contribute to high rates of bacterial STI that may lead to elevated per-contact risks for HIV transmission.

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