Johns Hopkins Center for Communication Programs, Baltimore, MD, USA.
Health Behavior & Society Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
AIDS Behav. 2019 Sep;23(9):2600-2609. doi: 10.1007/s10461-019-02614-5.
Men diagnosed with HIV face gender-related barriers to initiating and adhering to antiretroviral therapy (ART). This qualitative study (73 in-depth interviews; 28 focus group discussions), conducted with men in three urban sites in Côte d'Ivoire in 2016, examined perceptions of ART, including benefits and challenges, to explore how ART mitigates HIV's threats to men's sexuality, economic success, family roles, social status, and health. Participants perceived that adhering to ART would reduce risk of transmitting HIV to others, minimize job loss and lost productivity, and help maintain men's roles as decision makers and providers. ART adherence was thought to help reduce the threat of HIV-related stigma, despite concerns about unintentional disclosure. While ART was perceived to improve health directly, it restricted men's schedules. Side effects were also a major challenge. Social and behavior change approaches building on these insights may improve male engagement across the HIV care continuum.
男性艾滋病病毒感染者在启动和坚持抗逆转录病毒治疗（ART）方面面临与性别相关的障碍。这项定性研究（73 次深入访谈；28 次焦点小组讨论）于 2016 年在科特迪瓦三个城市地点进行，研究了对 ART 的看法，包括益处和挑战，以探讨 ART 如何减轻 HIV 对男性性行为、经济成功、家庭角色、社会地位和健康的威胁。参与者认为，坚持接受 ART 治疗将降低将 HIV 传染给他人的风险，最大限度地减少失业和生产力损失，并有助于维持男性作为决策者和提供者的角色。尽管担心无意中透露信息，但人们认为 ART 治疗有助于减少与 HIV 相关耻辱感的威胁。虽然 ART 被认为可以直接改善健康状况，但它限制了男性的日程安排。副作用也是一个主要挑战。基于这些见解的社会和行为改变方法可能会改善男性在整个 HIV 护理连续体中的参与度。
