Comparing Provider and Client Preferences for HIV Prevention Services in South Africa among Men Who Have Sex with Men.
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Auteurs : John Shaver [États-Unis] ; Patrick Sullivan [États-Unis] ; Aaron Siegler [États-Unis] ; Alex De Voux [États-Unis] ; Nancy Phaswana-Mafuya [Afrique du Sud] ; Linda-Gail Bekker [États-Unis] ; Stefan D. Baral [États-Unis] ; Andrea L. Wirtz [États-Unis] ; Chris Beyrer [États-Unis] ; Ben Brown [Afrique du Sud] ; Rob Stephenson [États-Unis]Source :
- Journal of the International Association of Providers of AIDS Care [ 2325-9582 ] ; 2017.
Abstract
Combination prevention efforts are now recommended toward reducing HIV incidence among men who have sex with men (MSM). Understanding the perceptions of both MSM and service providers is critical to informing the development of prevention packages and ultimately improving intervention effectiveness. This study assessed the preferences of MSM and health service providers in the administration of HIV-prevention efforts. Qualitative data were gathered from a series of separate MSM and health care provider focus groups in 2 South African cities. Participants discussed HIV-prevention services and MSM client experiences within South Africa and identified the 3 most important clinic characteristics and 3 most important HIV-prevention services for MSM clients. Priorities indicated by both MSM and health care providers were confidentiality of visit, friendly staff, and condoms, while discrepancies existed between MSM and providers regarding provider consistency and the provision of pre-exposure prophylaxis/post-exposure prophylaxis (PrEP/PEP) and lubricant as prevention methods. Effective interventions must address these discrepancies through the design of intervention and provider training to optimally accommodate MSM.
DOI: 10.1177/2325957417736611
PubMed: 29108450
Affiliations:
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Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>3 HIV/AIDS/STI/and TB (HAST), Human Sciences Research Council, Port Elizabeth</wicri:regionArea><wicri:noRegion>Port Elizabeth</wicri:noRegion></affiliation></author><author><name sortKey="Bekker, Linda Gail" sort="Bekker, Linda Gail" uniqKey="Bekker L" first="Linda-Gail" last="Bekker">Linda-Gail Bekker</name><affiliation wicri:level="2"><nlm:affiliation>2 Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>2 Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Baral, Stefan D" sort="Baral, Stefan D" uniqKey="Baral S" first="Stefan D" last="Baral">Stefan D. Baral</name><affiliation wicri:level="2"><nlm:affiliation>6 Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>6 Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Wirtz, Andrea L" sort="Wirtz, Andrea L" uniqKey="Wirtz A" first="Andrea L" last="Wirtz">Andrea L. Wirtz</name><affiliation wicri:level="2"><nlm:affiliation>6 Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>6 Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Beyrer, Chris" sort="Beyrer, Chris" uniqKey="Beyrer C" first="Chris" last="Beyrer">Chris Beyrer</name><affiliation wicri:level="2"><nlm:affiliation>6 Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>6 Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Brown, Ben" sort="Brown, Ben" uniqKey="Brown B" first="Ben" last="Brown">Ben Brown</name><affiliation wicri:level="1"><nlm:affiliation>4 Nelson Mandela Metropolitan University, Port Elizabeth, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>4 Nelson Mandela Metropolitan University, Port Elizabeth</wicri:regionArea><wicri:noRegion>Port Elizabeth</wicri:noRegion></affiliation></author><author><name sortKey="Stephenson, Rob" sort="Stephenson, Rob" uniqKey="Stephenson R" first="Rob" last="Stephenson">Rob Stephenson</name><affiliation wicri:level="2"><nlm:affiliation>1 Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>1 Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author></analytic><series><title level="j">Journal of the International Association of Providers of AIDS Care</title><idno type="eISSN">2325-9582</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Combination prevention efforts are now recommended toward reducing HIV incidence among men who have sex with men (MSM). Understanding the perceptions of both MSM and service providers is critical to informing the development of prevention packages and ultimately improving intervention effectiveness. This study assessed the preferences of MSM and health service providers in the administration of HIV-prevention efforts. Qualitative data were gathered from a series of separate MSM and health care provider focus groups in 2 South African cities. Participants discussed HIV-prevention services and MSM client experiences within South Africa and identified the 3 most important clinic characteristics and 3 most important HIV-prevention services for MSM clients. Priorities indicated by both MSM and health care providers were confidentiality of visit, friendly staff, and condoms, while discrepancies existed between MSM and providers regarding provider consistency and the provision of pre-exposure prophylaxis/post-exposure prophylaxis (PrEP/PEP) and lubricant as prevention methods. Effective interventions must address these discrepancies through the design of intervention and provider training to optimally accommodate MSM.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li><li>Maryland</li><li>Michigan</li></region></list><tree><country name="États-Unis"><region name="Michigan"><name sortKey="Shaver, John" sort="Shaver, John" uniqKey="Shaver J" first="John" last="Shaver">John Shaver</name></region><name sortKey="Baral, Stefan D" sort="Baral, Stefan D" uniqKey="Baral S" first="Stefan D" last="Baral">Stefan D. Baral</name><name sortKey="Bekker, Linda Gail" sort="Bekker, Linda Gail" uniqKey="Bekker L" first="Linda-Gail" last="Bekker">Linda-Gail Bekker</name><name sortKey="Beyrer, Chris" sort="Beyrer, Chris" uniqKey="Beyrer C" first="Chris" last="Beyrer">Chris Beyrer</name><name sortKey="De Voux, Alex" sort="De Voux, Alex" uniqKey="De Voux A" first="Alex" last="De Voux">Alex De Voux</name><name sortKey="Siegler, Aaron" sort="Siegler, Aaron" uniqKey="Siegler A" first="Aaron" last="Siegler">Aaron Siegler</name><name sortKey="Stephenson, Rob" sort="Stephenson, Rob" uniqKey="Stephenson R" first="Rob" last="Stephenson">Rob Stephenson</name><name sortKey="Sullivan, Patrick" sort="Sullivan, Patrick" uniqKey="Sullivan P" first="Patrick" last="Sullivan">Patrick Sullivan</name><name sortKey="Wirtz, Andrea L" sort="Wirtz, Andrea L" uniqKey="Wirtz A" first="Andrea L" last="Wirtz">Andrea L. Wirtz</name></country><country name="Afrique du Sud"><noRegion><name sortKey="Phaswana Mafuya, Nancy" sort="Phaswana Mafuya, Nancy" uniqKey="Phaswana Mafuya N" first="Nancy" last="Phaswana-Mafuya">Nancy Phaswana-Mafuya</name></noRegion><name sortKey="Brown, Ben" sort="Brown, Ben" uniqKey="Brown B" first="Ben" last="Brown">Ben Brown</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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