School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
University Health Services, University of Nairobi, Nairobi, Kenya.
Front Public Health. 2021 Oct 11;9:619694. doi: 10.3389/fpubh.2021.619694. eCollection 2021.
Globally, men who have sex with men (MSM) are a key population for the human immunodeficiency virus (HIV) epidemic. Among MSM, young men who have sex with men (YMSM) are disproportionately affected by HIV and other sexually transmitted infections (STI). However, there is a dearth of research and interventions targeting HIV/STI prevention among YMSM. In Kenya, there is paucity of knowledge on the burden of HIV/STI and related factors among YMSM, including tertiary student men who have sex with men (TSMSM). The barriers TSMSM experience in accessing and utilizing health services in their learning institutions have seldom been explored. In the context of healthcare providers (HCP) working in tertiary institutions, little is known about their knowledge, attitudes, and practices toward providing services to TSMSM. The aims of the study are to: estimate prevalence and correlates of HIV/STI among TSMSM; estimate population size of TSMSM; explore experiences of TSMSM with access and utilization of health services; and assess HCP knowledge of, attitudes toward, and practices in provision of services to TSMSM. A mixed-methods approach will be used in three phases: Phase I-formative qualitative research will be conducted to understand TSMSM social networks, select "seeds", and explore strategies for implementing a respondent-driven sampling (RDS) survey. Interviews will be conducted with at least three staff who work in community based/non-governmental organizations (CBO/NGO) that serve MSM and at least 10 TSMSM. Phase II-an integrated bio-behavioral assessment (IBBA) will be conducted, where 200 TSMSM recruited by RDS will be offered HIV/STI testing, complete a behavioral survey, and provide information for population size estimation (PSE). Phase III-in-depth interviews will be held with 20 TSMSM selected from 200 TSMSM in phase II, to explore their experiences with access and utilization of healthcare services. Focus group discussions (FGD) will be conducted with HCP working in tertiary institutions to assess their knowledge of, attitudes toward, and practices in providing services to TSMSM. Data collection started in September 2020 and is expected to end by September 2021. Findings from this study will be useful in informing HIV/STI prevention programming for TSMSM, by policy makers such the Kenyan ministries of health and education, tertiary education institutions, service providers, advocacy groups, and other interested stakeholders.
全球范围内,男男性行为者(MSM)是艾滋病病毒(HIV)流行的关键人群。在 MSM 中,与男性发生性关系的年轻男性(YMSM)受 HIV 和其他性传播感染(STI)的影响不成比例。然而,针对 YMSM 的 HIV/STI 预防的研究和干预措施却很少。在肯尼亚,有关 YMSM 中的 HIV/STI 负担和相关因素的知识很少,包括与男性发生性关系的大学生男同性恋者(TSMSM)。TSMSM 在其学习机构中获得和利用卫生服务所面临的障碍很少被探索。在从事于高等教育机构的医疗保健提供者(HCP)的背景下,他们对为 TSMSM 提供服务的知识、态度和实践知之甚少。该研究的目的是:估计 TSMSM 中的 HIV/STI 流行率和相关因素;估计 TSMSM 的人口规模;探索 TSMSM 获得和利用卫生服务的经验;评估 HCP 为 TSMSM 提供服务的知识、态度和实践。将采用混合方法在三个阶段进行:第一阶段-形成性定性研究将进行,以了解 TSMSM 的社交网络,选择“种子”,并探索实施响应驱动抽样(RDS)调查的策略。将对至少三名在为 MSM 服务的社区为基础/非政府组织(CBO/NGO)工作的工作人员和至少 10 名 TSMSM 进行访谈。第二阶段-将进行综合生物行为评估(IBBA),通过 RDS 招募的 200 名 TSMSM 将接受 HIV/STI 检测,完成行为调查,并提供人口规模估计(PSE)信息。第三阶段-将从第二阶段的 200 名 TSMSM 中选择 20 名 TSMSM 进行深入访谈,以探索他们获得和利用医疗保健服务的经验。将与在高等教育机构工作的 HCP 进行焦点小组讨论(FGD),以评估他们为 TSMSM 提供服务的知识、态度和实践。数据收集始于 2020 年 9 月,预计将于 2021 年 9 月结束。该研究的结果将有助于为政策制定者(如肯尼亚卫生部和教育部、高等教育机构、服务提供者、宣传团体和其他利益相关者)制定针对 TSMSM 的 HIV/STI 预防规划提供信息。
PLOS Glob Public Health. 2025-6-26
JMIR Public Health Surveill. 2025-3-19
Int J Environ Res Public Health. 2022-11-18
Int J STD AIDS. 2018-12
Lancet Infect Dis. 2018-1