HIV understanding, experiences and perceptions of HIV-positive men who have sex with men in Amazonian Peru: a qualitative study

Autor:	Gilles de Wildt, Jasmine Tattsbridge, Anna Clavé Llavall, Cesar Ramal-Asayag, Connie Wiskin
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	Adult Male medicine.medical_specialty Health Knowledge Attitudes Practice Health Personnel Population Social Stigma HIV Infections Men who have sex with men 03 medical and health sciences Sexual and Gender Minorities 0302 clinical medicine Health care Peru medicine Humans 030212 general & internal medicine education Qualitative Research education.field_of_study 030505 public health business.industry Public health lcsh:Public aspects of medicine Public Health Environmental and Occupational Health HIV lcsh:RA1-1270 Focus Groups Middle Aged Focus group Antiretroviral therapy Anti-Retroviral Agents Family medicine Biostatistics Thematic analysis 0305 other medical science business Qualitative Qualitative research Research Article
Zdroj:	BMC Public Health, Vol 20, Iss 1, Pp 1-17 (2020) BMC Public Health
ISSN:	1471-2458
DOI:	10.1186/s12889-020-08745-y
Popis:	Background HIV-related incidence and mortality is increasing across Peru, with highest mortality rates recorded in the Amazonian region of Loreto. This epidemic is concentrated in men who have sex with men, a population with 14% HIV treatment adherence despite free national provision. This study investigates barriers and facilitators to following healthcare advice through experiences and perceptions of HIV-positive men who have sex with men and healthcare professionals in Loreto. Methods Twenty qualitative interviews with HIV-positive men who have sex with men and one focus group with HIV-specialist healthcare professionals were conducted in Loreto, January–February 2019. Interviews were transcribed per verbatim. Thematic content analysis and deviant case analysis were used. Results A culture of isolation and discrimination was identified, propagated by poor public knowledge surrounding HIV transmission and treatment. Employment potential was hampered and 7/20 patients had suicidal thoughts post-diagnosis. Barriers to care included: shame, depression, travel cost/times, a preference for traditional plant-based medicine and side-effects of antiretroviral therapy. Facilitators included: education, family and clinic support, disease acceptance and lifestyle changes. Conclusion More effective, focussed community education and workplace discrimination investigations are recommended to reduce stigma and increase adherence to treatment in this population.
Databáze:	OpenAIRE
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