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Barriers to access and uptake of antiretroviral therapy among HIV-positive men who have sex with men in Hanoi, Vietnam

From HIV testing to treatment

Dados Bibliográficos

ID15098280
AutoresHao Thi Minh Bui (0000-0002-7990-8091, Hanoi Medical University), Giang Minh Le (0000-0003-3370-4453, Hanoi Medical University), Anh Q Mai (Hanoi Medical University), Anh Q (0000-0002-7586-8619, Hanoi Medical University), Iryna Zablotska (0000-0003-1456-2197), Iryna Zablotska-Manos (Viral Hepatitis Epidemiology and Prevention Program, The Kirby Institute for Infection and Immunity, UNSW Australia, Sydney, Australia), Lisa Maher (0000-0001-6020-6519, Viral Hepatitis Epidemiology and Prevention Program, The Kirby Institute for Infection and Immunity, UNSW Australia, Sydney, Australia, autor correspondente)
Ano2017
Volume19
Fascículo8
Páginas859-872
Data de publicação2017-08-03
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoCulture Health & Sexuality (JOURNAL)
Identificadores do periódicoISSN: 1369-1058 • E-ISSN: 1464-5351
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2016.1269203
PMID28100136
OpenAlexW2574154974
IdiomaEN
Citações recebidas7
Referências citadas20

Little is known about the experiences of Vietnamese men who have sex with men in accessing HIV testing and treatment. We aimed to explore barriers to access and uptake of antiretroviral therapy (ART) among HIV-positive men who have sex with men in Hanoi. During 2015, we conducted qualitative interviews with 35 participants recruited using snowball sampling based on previous research and social networks. Key individual impediments to ART uptake included inadequate preparation for a positive diagnosis and the dual stigmatisation of homosexuality and HIV and its consequences, leading to fear of disclosure of HIV status. Health system barriers included lack of clarity and consistency about how to register for and access ART, failure to protect patient confidentiality and a reticence by providers to discuss sexual identity and same-sex issues. Results suggest fundamental problems in the way HIV testing is currently delivered in Hanoi, including a lack of client-centred counselling, peer support and clear referral pathways. Overcoming these barriers will require educating men who have sex with men about the benefits of routine testing, improving access to quality diagnostic services and building a safe, confidential treatment environment for HIV-positive men to access, receive and remain in care

Confidentiality · Expanded access · Family medicine · Homosexuality · Human sexuality · Men who have sex with men · Qualitative research · Referral · Sexual identity · Sexual orientation · Snowball sampling · Clinical Psychology · Gender Studies · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology

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Obras citantes distintas7
Citações por ano1
Intervalo de citações2019 - 2025 (7)
Velocidade de citaçãorecent
Altamente citadoNão
Tipos de citaçãoNeutras: 7
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