Department of Epidemiology, University of Washington, USA.
Center for AIDS and STD, University of Washington, USA.
HIV Res Clin Pract. 2024 Dec;25(1):2424040. doi: 10.1080/25787489.2024.2424040. Epub 2024 Nov 4.
BACKGROUND: Globally, there is suboptimal coverage of antiretroviral treatment to treat and prevent HIV. It is crucial for individuals to know their partner's HIV status so they may use all appropriate and available prevention tools. For sexual minority men in South Africa, a population known to face intersecting forms of marginalization including a disparate burden of HIV incidence, there are challenges to status sharing. OBJECTIVE: We explore perspectives of healthcare workers (HCW) with expertise providing services to sexual minority men to identify strategies to support HIV status sharing. METHODS: As part of a larger study designed to improve HIV-related health outcomes for sexual minority men, we conducted one focus group discussion (participant = 4) and two in-depth-interviews with HCW. We used thematic analysis to synthesize qualitative themes and identify corresponding implications for interventions. RESULTS: HCW each had 5-23 years of experience. We identified three implementation considerations to support sharing of HIV status: (1) ensuring partner support for sharing status while circumventing risk of personal harms, (2) facilitating concordant couple-based peer support and belonging, and (3) leveraging the strengths of mass media as educational tools. CONCLUSION: HCW highlighted that sharing that one is living with HIV is a sensitive and potentially dangerous process that can be managed by involving both partners in the process. This process may be supported by incorporating HIV status sharing narratives in popular media.
背景:在全球范围内,抗逆转录病毒治疗(ART)的覆盖率不足,无法治疗和预防 HIV。了解伴侣的 HIV 状况对于个人来说至关重要,这样他们才能使用所有适当和可用的预防工具。在南非,性少数群体男性面临着多种形式的边缘化,包括 HIV 发病率高的问题,他们在分享 HIV 状况方面面临挑战。
目的:我们探索了具有为性少数群体男性提供服务专业知识的医疗保健工作者(HCW)的观点,以确定支持 HIV 状况分享的策略。
方法:作为旨在改善性少数群体男性与 HIV 相关健康结果的更大研究的一部分,我们对 4 名 HCW 进行了一次焦点小组讨论和两次深入访谈。我们使用主题分析来综合定性主题,并确定相应的干预措施的影响。
结果:每位 HCW 都有 5-23 年的经验。我们确定了支持 HIV 状况分享的三个实施考虑因素:(1)确保伴侣支持分享状况,同时避免个人伤害的风险;(2)促进基于伴侣的一致的同伴支持和归属感;(3)利用大众媒体作为教育工具的优势。
结论:HCW 强调,分享自己患有 HIV 是一个敏感且潜在危险的过程,可以通过让双方参与该过程来管理。这一过程可以通过将 HIV 状况分享的叙述纳入流行媒体来支持。
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