Understanding the Unique Barriers and Facilitators that Affect Men’s Initiation and Retention in HIV Care
A Qualitative Study to Inform Interventions for Men Across the Treatment Cascade in Malawi
Bibliographic Data
| ID | 15335403 |
|---|---|
| Authors | Kate Coursey (0000-0001-9970-8647, University of California, Los Angeles, corresponding author), Khumbo Phiri (0000-0001-9166-0749), Augustine Choko (0000-0001-6095-9430, University of Liverpool), Augustine T Choko, Pericles Kalande (0009-0006-3651-200X), Stephanie Chamberlin (0000-0002-5776-9318, University of Denver), Julie Hubbard (0000-0002-5704-6822, University of California, Los Angeles), Marguerite Thorp (0000-0002-8119-7903, University of California, Los Angeles), Risa M Hoffman (0000-0001-9575-4574, University of California, Los Angeles), Thomas J Coates (0000-0002-2470-2096, University of California, Los Angeles), Kathryn Dovel (0000-0002-5622-3401, University of California, Los Angeles) |
| Year | 2022 |
| Volume | 27 |
| Issue | 6 |
| Pages | 1766-1775 |
| Publication date | 2022-11-18 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | AIDS and Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-022-03909-w |
| PMID | 36401144 |
| OpenAlex | W4309413034 |
| Language | EN |
| Citations received | 8 |
| References cited | 41 |
Men in sub-Saharan Africa are underrepresented in antiretroviral therapy (ART) programs. Our secondary analysis of 40 in-depth interviews with Malawian men living with HIV examined barriers and facilitators for ART initiation versus retention. Interviewees included men who never initiated or initiated ART late (initiation respondents, n = 19); and men who initiated ART but were late for an appointment (retention respondents, n = 21). Transcribed interviews were coded using deductive and inductive coding techniques and analyzed using constant comparison methods. Long wait times, frequent facility visits, and insufficient in-clinic privacy were barriers for initiation and retention. Poor knowledge of ART was primarily a barrier for initiation; unexpected travel was a barrier for retention. Key facilitators for initiation and retention included previous positive experiences with health facilities. Having examples of successful men using ART primarily facilitated initiation; support from spouses and male peers facilitated retention. Results may inform interventions to increase men's engagement in ART services
Affect (linguistics · Family medicine · Health psychology · Human immunodeficiency virus (HIV · Psychological intervention · Public health · Public health interventions · Qualitative research · Sociology · Adolescent Sexual and Reproductive Health · Clinical Psychology · Communication · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Gerontology
Perspectives of people living with HIV on barriers to timely ART initiation following referral for antiretroviral therapy
Implementation of male-specific motivational interviewing in Malawi
Gender and stigma in antiretroviral treatment adherence in Mozambique
Trajectories and predictors of HIV care retention among individuals receiving ART in rural South Africa
Finding the missing men with tuberculosis
Preferences for Hypertension Care in Malawi
Barriers and Facilitators of Access and Adherence to Antiretroviral Therapy Among Young People Living with HIV in Shinyanga Region, Tanzania
Community and Individual Education Influences on Sexual and Reproductive Health Knowledge in Uganda
What Role Do Masculine Norms Play in Men’s HIV Testing in Sub-Saharan Africa?
An Ecological Perspective on Health Promotion Programs
Optimizing Test and Treat in Malawi
Poor rates of linkage to HIV care and uptake of treatment after home-based HIV testing among newly diagnosed 15-to-49 year-old men and women in a high HIV prevalence setting in South Africa
Conceptions of agency and constraint for HIV-positive patients and healthcare workers to support long-term engagement with antiretroviral therapy care in Khayelitsha, South Africa
The role of support groups in linking and retaining newly diagnosed clients in HIV care in a peri-urban location in South Africa
Deadly”, “fierce”, “shameful”
Barriers and Facilitators to Interventions Improving Retention in HIV Care
Stumbling Blocks at the Clinic
Factors that Motivated Otherwise Healthy HIV-Positive Young Adults to Access HIV Testing and Treatment in South Africa
Timing and Predictors of Initiation on Antiretroviral Therapy Among Newly-Diagnosed HIV-Infected Persons in South Africa
Understanding Treatment Refusal Among Adults Presenting for HIV-Testing in Soweto, South Africa
How HIV Clients Find Their Way Back to the ART Clinic
Good health’ as a barrier and facilitator to ART initiation
Why do people living with HIV not initiate treatment? A systematic review of qualitative evidence from low- and middle-income countries
Masculinity as a barrier to men's use of HIV services in Zimbabwe
Dividuality, masculine respectability and reputation
The Constant Comparative Method of Qualitative Analysis
| Unique citing works | 8 |
|---|---|
| Citations per year | 2,67 |
| Citation span | 2023 - 2026 (4) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 7 |