Sexual risk and HIV prevention choices among men who are mobile for work
Results from a rapid ethnographic assessment for the Mobile Men trial in South Africa and Uganda
Dados Bibliográficos
| ID | 19590916 |
|---|---|
| Autores | Thabang Manyaapelo (0000-0002-5664-6295, Africa Health Research Institute, autor correspondente), Martin Mbonye (0000-0001-5126-2439, Uganda Virus Research Institute, autor correspondente), Seluleko Eric Ngcobo (0000-0002-3971-3791, Desmond Tutu HIV Foundation, autor correspondente), Dumile Gumede (0000-0001-8739-6033, Africa Health Research Institute, autor correspondente), Dumsani Gumede, Julie Fox (0000-0002-0583-8019, King's College London, autor correspondente), Janet Seeley (0000-0002-0583-5272, London School of Hygiene & Tropical Medicine, autor correspondente), the Mobile Men Study Team |
| Editores | Tsitsi B Masvawure (0000-0001-7949-4864) |
| Ano | 2025 |
| Volume | 5 |
| Fascículo | 9 |
| Páginas | e0005213 |
| Data de publicação | 2025-09-18 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | PLOS Global Public Health (JOURNAL) |
| Identificadores do periódico | ISSN: 2767-3375 • E-ISSN: 2767-3375 |
| Editora | Public Library of Science (PLoS) (PUBLISHER) |
| DOI | 10.1371/journal.pgph.0005213 |
| PMID | 40966224 |
| OpenAlex | W4414323712 |
| Idioma | EN |
| Citações recebidas | 1 |
| Referências citadas | 49 |
In preparation for a trial implementing oral and long-acting Pre-Exposure Prophylaxis [LA-PrEP] for mobile men in South Africa and Uganda, we conducted a rapid ethnographic assessment at each trial site between November 2023 and July 2024. We present findings from that assessment on men’s views on sexual risk and HIV prevention options which informed the trial. Each rapid ethnographic assessment took 15 days of continuous work in each community using a set of participatory methods: transect/spiral walks, ethnographic observations, conversations, in-depth interviews (IDIs) and focus/natural group discussions (GDs) with community members, health service providers and mobile men. We conducted 50 GDs, 61 IDIs and 297 informal conversations with men and women from four sites in Uganda and five in South Africa. Mobile men at the study sites were engaged in the transport industry (as taxi and truck drivers), construction and fishing. Many of these men were reported to be engaged in multiple sexual relationships. Being away from home, boredom and consumption of alcohol were reasons given for having many partners. Sex without a condom was widespread and was the preferred choice of the men because, they said, of increased sexual pleasure. None of the men was using PrEP. Men often said that PrEP was just for women. When given information on injectable and oral PrEP many men said that they would prefer injectable PrEP to avoid having to carry pills whilst travelling and, in addition, they would not have to remember to take pills. PrEP offers a convenient HIV prevention option for men who are mobile for work. The desire for condomless sex and the availability of oral and injectable PrEP may increase uptake. However, the associated risk of other sexually transmitted infections and blood borne viruses linked to not using a condom requires preventive interventions
Condom · Ethnography · Men who have sex with men · Pill · Pre-exposure prophylaxis · Psychological intervention · Reproductive health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Sex work and related issues
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Using the framework method for the analysis of qualitative data in multi-disciplinary health research
The Influence of Social Desirability on Sexual Behavior Surveys
“Condoms Are Boring”
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The potential effect of pre-exposure prophylaxis (PrEP) roll-out on sexual-risk behaviour among adolescents and young people in East and southern Africa
Determinants of heterosexual men's demand for long-acting injectable pre-exposure prophylaxis (PrEP) for HIV in urban South Africa
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I Didn’t Reveal My ART Status Because I Didn’t Have Money to Fetch the Transfer Letter”– Understanding Lack of Treatment Disclosure at Presentation to Care in South Africa
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Multi-level Determinants of Clinic Attendance and Antiretroviral Treatment Adherence Among Fishermen Living with HIV/Aids in Communities on Lake Victoria, Uganda
Why do men often not use condoms in their relationships with casual sexual partners in Uganda
Constructions of masculinity among a group of South African men living with HIV/Aids
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How Has HIV Pre-Exposure Prophylaxis (PrEP) Changed Sex? A Review of Research in a New Era of Bio-behavioral HIV Prevention
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Dividuality, masculine respectability and reputation
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Marginal men, respectable masculinity and access to HIV services through intimate relationships with female sex workers in Kampala, Uganda
The knife's edge
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| Obras citantes distintas | 1 |
|---|---|
| Citações por ano | 1 |
| Intervalo de citações | 2026 - 2026 (1) |
| Velocidade de citação | current |
| Altamente citado | Não |
| Tipos de citação | Neutras: 1 |