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
Datos Bibliográficos
| ID | 15335403 |
|---|---|
| Autores | Kate Coursey (0000-0001-9970-8647, University of California, Los Angeles, autor de correspondencia), 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) |
| Año | 2022 |
| Volumen | 27 |
| Número | 6 |
| Páginas | 1766-1775 |
| Fecha de publicación | 2022-11-18 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | AIDS and Behavior (JOURNAL) |
| Identificadores de la revista | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Editorial | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-022-03909-w |
| PMID | 36401144 |
| OpenAlex | W4309413034 |
| Idioma | EN |
| Citas recibidas | 8 |
| Referencias citadas | 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
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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
| Obras citantes distintas | 8 |
|---|---|
| Citas por año | 2,67 |
| Intervalo de citas | 2023 - 2026 (4) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 7 |