scholarly journals Exploring the Attitudes of Men who Have Sex with Men on Anal Self-Examination for Early Detection of Primary Anorectal Syphilis: A Qualitative Study

2021 ◽  
Author(s):  
Ei T Aung ◽  
Christopher K Fairley ◽  
Jason J Ong ◽  
Jade E Bilardi ◽  
Marcus Y Chen ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Professionals ◽  
Screening Tool ◽  
Secondary Syphilis ◽  
Policy Implications ◽  
Health Clinic ◽  
Structured Interviews ◽  
Receptive Anal Sex ◽  
Sex With Men ◽  
Self Examination

Abstract Background: Studies show men who have sex with men (MSM) practising receptive anal sex are more likely to present with secondary syphilis, suggesting anorectal primary lesions are being missed. Regular anal self-examination might be able to detect anorectal syphilis lesions, hence potentially reducing transmission. This study aimed to explore the attitudes of MSM on performing anal self-examination to detect primary syphilis.Methods: In this qualitative study, 20 MSM over 18 years of age were purposively sampled from a sexual health clinic to participate in semi-structured interviews. Interviews were recorded, transcribed verbatim and data analysed thematically.Results: Four major themes and 12 sub-themes emerged from the study: (1) reasons for performing anal self-examination, (2) preferred resources for anal self-examination, (3) attitudes towards partner anal examination, and (4) acceptability of anal self-examination.Most participants had performed some form of anal self-examination in the past, and, just over half performed regularly for mostly health-related concerns. Most participants who infrequently or never performed anal self-examination were agreeable to perform regularly if it was recommended by health professionals with appropriate guidance. Participants preferred education on anal self-examination from health professionals and trusted online learning resources. Conclusion: Our study showed MSM were agreeable to anal self-examination however would like to receive education and training to gain more confidence in conducting anal self-examination as a screening tool. Further studies are required to explore the adherence and acceptability of anal self-examination for syphilis prior to studies examining efficacy. Policy implications: The study provides foundation for any future policy aiming at utilising anal self-examination as a screening tool for syphilis among MSM.

scholarly journals Exploring the attitudes of men who have sex with men on anal self-examination for early detection of primary anorectal syphilis: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ei T. Aung ◽  
Christopher K. Fairley ◽  
Jason J. Ong ◽  
Jade E. Bilardi ◽  
Marcus Y. Chen ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Professionals ◽  
Screening Tool ◽  
Secondary Syphilis ◽  
Health Clinic ◽  
Structured Interviews ◽  
Receptive Anal Sex ◽  
Health Related ◽  
Sex With Men ◽  
Self Examination

Abstract Background Studies show men who have sex with men (MSM) practising receptive anal sex are more likely to present with secondary syphilis, suggesting anorectal primary lesions are being missed. Regular anal self-examination might be able to detect anorectal syphilis lesions, hence potentially reducing transmission. This study aimed to explore the attitudes of MSM on performing anal self-examination to detect primary syphilis. Methods In this qualitative study, 20 MSM over 18 years of age were purposively sampled from a sexual health clinic to participate in semi-structured interviews. Interviews were recorded, transcribed verbatim and data analysed thematically. Results Four major themes and 12 sub-themes were generated from the study: (1) reasons for performing anal self-examination, (2) preferred educational resources for anal self-examination, (3) attitudes towards partner anal examination, and (4) acceptability of anal self-examination. Most participants had performed some form of anal self-examination in the past, and, just over half performed regularly for mostly health-related concerns. Most participants who infrequently or never performed anal self-examination were agreeable to perform regularly if it was recommended by health professionals with appropriate guidance. Participants preferred education on anal self-examination from health professionals and trusted online learning resources. Conclusion Our study showed MSM were agreeable to anal self-examination however would like to receive education and training to gain more confidence in conducting anal self-examination as a screening tool. Further studies are required to explore the adherence and acceptability of anal self-examination for syphilis prior to studies examining efficacy. The study provides foundation for any future policy aiming at utilising anal self-examination as a screening tool for syphilis among MSM.

scholarly journals A Cross-Sectional Survey on Attitudes of Men Who Have Sex With Men Towards Anal Self-Examination for Detection of Anal Syphilis

2021 ◽  
Author(s):  
Ei T Aung ◽  
Christopher K Fairley ◽  
Jason J Ong ◽  
Tiffany P Phillips ◽  
Marcus Y Chen ◽  
...  
Keyword(s):  
Secondary Syphilis ◽  
Health Clinic ◽  
Median Frequency ◽  
Anal Sex ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Future ◽  
Receptive Anal Sex ◽  
Sex With Men ◽  
Self Examination

Abstract Studies suggest men who have sex with men (MSM) practising receptive anal sex are more likely to present with secondary syphilis, implying primary anorectal lesions are likely to be missed. If men could detect anorectal lesions in the primary stage by regular anal self-examination (ASE), transmission could be reduced by early diagnosis and treatment. We aimed to explore the attitudes of MSM on performing ASE to detect primary anorectal syphilis. An online anonymous cross-sectional survey among MSM over 18 years of age living in Australia, was conducted between July and November 2020 and recruitment was from a sexual health clinic and social media. A total of 574 MSM completed the survey (median age: 34 [IQR 27–45]): 32% (183) had previously performed ASE. Among 56% (374) who had never performed ASE, 68% (250) would consider performing ASE in the future with a preferred median frequency of 2 times per 4 weeks (IQR: 1–4), whilst men who were already performing ASE were performing it at median 1 per 4 weeks (IQR: 0.2-3). Almost two-thirds of MSM who had never performed ASE were willing to adopt ASE practice in the future. Studies are required to determine the effectiveness of ASE for syphilis detection.

scholarly journals MOTHERS CARING FOR CHILDREN LIVING WITH CEREBRAL PALSY: SUGGESTIONS FOR PSYCHO-SOCIAL SUPPORT

2021 ◽  
Vol 57 (3) ◽  
Author(s):  
Phumudzo Raphulu ◽  
Modjadji Linda Shirindi ◽  
Mankwane Daisy Makofane
Keyword(s):  
Social Support ◽  
Cerebral Palsy ◽  
Data Analysis ◽  
Qualitative Study ◽  
Social Workers ◽  
Health Professionals ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Children With Cerebral Palsy ◽  
Thematic Data

Caring for children with cerebral palsy presents numerous circumstances which may contribute to mothers’ inability to cope with the demands of meeting their children’s needs. A qualitative study supported by explorative, descriptive and contextual designs was undertaken. Purposive and snowball sampling facilitated the identification of twelve participants who were interviewed through semi-structured interviews. The enquiry was based on the ecosystems approach. Thematic data analysis was followed through Tesch’s eight steps and Guba’s model was used for data verification. The findings highlighted the necessity to enhance the psycho-social functioning of mothers through collaboration of social workers, health professionals and various organisations.

What makes an optimal delivery for PrEP against HIV: A qualitative study in MSM

2022 ◽  
pp. 095646242110608
Author(s):  
Janice Y. C. Lau ◽  
Ngai-Sze Wong ◽  
Krystal C. K. Lee ◽  
Tsz-Ho Kwan ◽  
Grace C. Y. Lui ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Service Providers ◽  
Effective Means ◽  
Qualitative Assessment ◽  
Theory Approach ◽  
Service Model ◽  
Structured Interviews ◽  
Sexually Transmitted ◽  
Ethnic Chinese ◽  
Sex With Men

Background Pre-exposure prophylaxis (PrEP) is an effective means of HIV prevention for men who have sex with men (MSM), a key population whose engagement is crucial for achieving effective public health outcomes. An optimal service model would be important in planning the implementation of PrEP in places where such service has not been established. Methods A qualitative study was conducted to delineate the attributes of an optimal PrEP service model for MSM in Hong Kong, a city where no formal PrEP programs existed. Twenty purposively sampled MSM who were enrollees of two pilot PrEP projects participated in the semi-structured interviews promoting story-telling. The coded data were thematically analyzed following Grounded Theory approach, focusing on uncovering a typology of the essential attributes of an optimal PrEP service model, and the reasons for such preferences. Results Participating MSM were all ethnic Chinese and aged 26 to 52 years. All had received PrEP from pilot projects in conjunction with periodic screening of sexually transmitted infections (STI), HIV antibody, and plasma creatinine. Four major themes emerged as regards the attributes of a preferred PrEP service: (i) comprehensiveness of HIV/STI and safety monitoring; (ii) convenient unitary service; (iii) stigma-free PrEP access and protecting confidentiality; and (iv) affordable price. Whereas regular provision of PrEP was acceptable to MSM, unaffordability and related stigma were the anticipated challenges for potential service providers. Conclusions The qualitative assessment of MSM’s preference for PrEP service delivery has yielded important information on the many facets of a desirable service model.

Common dedication to facilitating good dying experiences: Qualitative study of end-of-life care professionals’ attitudes towards voluntary assisted dying

2019 ◽  
Vol 33 (6) ◽  
pp. 562-569 ◽  
Author(s):  
Sarah-May Blaschke ◽  
Penelope Schofield ◽  
Keryn Taylor ◽  
Anna Ugalde
Keyword(s):  
Qualitative Study ◽  
End Of Life ◽  
Health Professionals ◽  
End Of Life Care ◽  
Policy Development ◽  
Sampling Strategy ◽  
Assisted Dying ◽  
Life Care ◽  
Structured Interviews ◽  
Moral Philosophies

Background: Debate about appropriate and ethically acceptable end-of-life choices is ongoing, which includes discussion about the legalization of voluntary assisted dying. Given health professionals’ role in caring for patients at the end life, their stance towards assisting a person with dying can have implications for policy development and implementation in jurisdictions where law changes are being considered. Aim: To explore end-of-life care professionals’ attitudes towards voluntary assisted dying 6 months prior to vote on legalization. Design: Qualitative study using textual data collected through semi-structured interviews. Purposive sampling strategy used to collect a broad representation of perspectives. Audio-recorded interviews were transcribed verbatim and subjected to qualitative descriptive analysis techniques. Participants: A total of 16 health professionals with experience in caring for people with life-limiting illness. Results: Participants reported two overarching positions grounded in differing moral philosophies with compelling arguments both for and against legalization of voluntary assisted dying. A third and common line of argument emerged from areas of shared concern and uncertainty about the practical consequences of introducing voluntary assisted dying. While a diversity of opinion was evident, all participants advocated for more public education and funding into end-of-life care services to make high-quality care equitable and widely available. Conclusion: Common dedication to reducing suffering and facilitating good dying experiences exists among experts despite their divergent views on voluntary assisted dying. Ongoing engagement with stakeholders is needed for practical resolution in the interest of developing health policy for best patient care.

Mapping mental health professionals’ perspectives and practices regarding the implementation of Digital Mental Health: a qualitative study (Preprint)

2021 ◽  
Author(s):  
Cristina Mendes-Santos ◽  
Francisco Nunes ◽  
Elisabete Weiderpass ◽  
Rui Santana ◽  
Gerhard Andersson
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Healthcare ◽  
Cost Effective ◽  
Clinical Settings ◽  
Structured Interviews ◽  
Intervention Delivery ◽  
Training Programmes

BACKGROUND Despite Digital Mental Health’s potential to provide cost-effective mental healthcare, its adoption in clinical settings is limited and little is known about the perspectives and practices of mental health professionals regarding its implementation or the factors influencing such perspectives and practices. OBJECTIVE The current study aimed at characterizing in-depth the perspectives and practices of mental health professionals regarding the implementation of Digital Mental Health and exploring the factors impacting such perspectives and practices. METHODS A qualitative study using in-depth semi-structured interviews with Portuguese mental health professionals (N=13) - psychologists and psychiatrists – was conducted. Transcribed interviews were thematically analysed. RESULTS Mental health professionals deemed important or engaged in the following practices during the implementation of Digital Mental Health: i) Indication evaluation; ii) Therapeutic contract negotiation; iii) Digital psychological assessment; iv) Technology setup and management; and v) Intervention delivery and follow-up. Low threshold accessibility and professionals' perceived duty to provide support to their clients facilitated the implementation of Digital Mental Health. Conversely, the lack of structured intervention frameworks; the unavailability of usable, validated, and affordable technology; and the absence of structured training programmes, inhibited Digital Mental Health’s implementation by mental health professionals. CONCLUSIONS The publication of practice frameworks, the development of evidence-based technology, and the delivery of structured training seem key to expedite implementation and encourage the sustained adoption of Digital Mental Health by mental health professionals.

scholarly journals Brief communication (Original). Challenges of providing treatment and care to men who have sex with men and with HIV/AIDS in Bangkok

2014 ◽  
Vol 8 (6) ◽  
pp. 785-792 ◽  
Author(s):  
Andrew Tam ◽  
Jennifer Ho ◽  
Annette H. Sohn
Keyword(s):  
Asia Pacific ◽  
Health Clinic ◽  
Structured Interviews ◽  
Access To Treatment ◽  
Related Services ◽  
Staff Members ◽  
Treatment Services ◽  
Barriers To Use ◽  
Sex With Men ◽  
Hiv Aids

Abstract Background: Across the Asia-Pacific, men who have sex with men (MSM) constitute a growing proportion of those infected with and at risk for HIV/AIDS, but frequently lack access to treatment-related resources because of stigma and discrimination. Objective: To identify challenges that a community-based organization (CBO) and its corresponding HIV clinic in Bangkok, Thailand, face in order to facilitate access to HIV-related care and treatment services by HIV-positive MSM. Methods: Data were collected through focus group discussions, semi-structured interviews, and surveys of staff members and volunteers working at the support facilities from April through May 2011. Results: A total of 21 staff and volunteers working at the support facilities participated. Participants reported various barriers to use of HIV-related services by MSM including fear of stigmatization because of their infection status, limited clinic/hospital hours, and misunderstanding of risks. Conclusions: In response to these barriers, CBOs implemented solutions ranging from outreach activities to organization of a men’s health clinic targeting MSM.

scholarly journals The views of parents concerning the planning of services for rehabilitation of families of children with congenital cardiac disease

2003 ◽  
Vol 13 (1) ◽  
pp. 20-27 ◽  
Author(s):  
Lynne Kendall ◽  
Patricia Sloper ◽  
Robert J. P. Lewin ◽  
Jonathan M. Parsons
Keyword(s):  
Young People ◽  
Qualitative Study ◽  
Cardiac Disease ◽  
Health Professionals ◽  
Medical Condition ◽  
Small Study ◽  
Structured Interviews ◽  
Congenital Cardiac Disease ◽  
Growing Body ◽  
Areas Of Concern

Background and purpose:Although much previous research has focused on the medical aspects of congenital cardiac disease, there is a growing body of research which suggests that families may need help and support with the wider issues associated with the medical condition. We have previously ascertained from young people with congenital cardiac disease their views on this subject. The purpose of this study was to obtain the views of their parents about the need for, and shape of, services for rehabilitation.Methods:This was a qualitative study using semi-structured interviews. We interviewed 17 parents in their own home. Interviews were tape-recorded and transcribed.Results:Parents would welcome more help and support from health professionals to enable them to manage more effectively the condition with their children. Particular areas of concern relate to the information they receive about the condition; communication between themselves and health professionals; establishing safe levels of activity; and managing the condition at school.Conclusions:This is a small study of the experiences and views of parents, which provides some important information on ways in which health professionals could address the current lack of services for rehabilitation.

scholarly journals Acceptability of saliva-based HIVST among men who have sex with men (MSM) and transgender women (TGW) in Russia: a qualitative study

2021 ◽  
Author(s):  
Peter Meylakhs ◽  
Anastasia Meylakhs ◽  
Arsen Davitadze
Keyword(s):  
Qualitative Study ◽  
Hiv Infection ◽  
Transgender Women ◽  
Ease Of Use ◽  
Structured Interviews ◽  
Testing Strategies ◽  
Self Testing ◽  
Sex With Men

Abstract The COVID-19 pandemic increased actuality of HIV self-testing (HIVST). Men who have sex with men (MSM) and transgender women (TGW) in Russia are highly stigmatized populations vulnerable to HIV infection and hard to reach with facility-based testing strategies. The study explored acceptability of HIV self-testing (HIVST) among these key groups in Russia. 32 semi-structured interviews with MSM and 3 TGW women from 5 Russian cities who underwent HIVST were conducted. Benefits of HIVST included ease of use, convenience and confidentiality. Confidentiality helped participants to avoid stigma related to their identity thus empowering them in conditions of high stigmatization of LGBTQ-people. Participants expressed concerns about accuracy of saliva-based HIVST and lack of counseling in case of reactive result. Our results suggest high acceptability of HIVST among Russian MSM and TGW and indicate that increase in HIVST uptake could be facilitated by popularization of HIVST and addressing the participants’ concerns.

scholarly journals The Experiences of Iranian Nurses in Critical Events and Natural Disasters: A Qualitative Study

2021 ◽  
Author(s):  
Ali Hasanpour Dehkordi ◽  
Shahriar Salehi Tali ◽  
Reza Ganeigheshlagh
Keyword(s):  
Qualitative Study ◽  
Natural Disasters ◽  
Health Professionals ◽  
Medical Staff ◽  
Healthcare Providers ◽  
Main Theme ◽  
Critical Events ◽  
Structured Interviews ◽  
Psychological Disturbance ◽  
Hermeneutic Approach

Medical staff and healthcare providers are always involved in earthquakes; therefore, the aim of this study was to explore the experience of nurses in dealing with critical events and natural disasters. A qualitative study was conducted by semi-structured interviews with 12 medical staff. Data were analyzed by qualitative analysis hermeneutic approach. Four categories were developed as follows: “confusion,” “coercion,” “psychological disturbance,” and “wasting of resources.” The categories led to the development of the main theme of “miss management.” Earthquakes are considered serious challenges for nurses and health professionals involved in such disasters. It will culminate in dire consequences including physical, mental, and psychological damage as well as high mortality rate among people and healthcare providers.

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