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

Jasmine Tattsbridge1, Connie Wiskin2, Gilles de Wildt2

  • 1College of Medical and Dental Sciences, University of Birmingham, Birmingham, B15 2TT, UK. jasminetattsbridge@hotmail.com.

BMC Public Health
|May 21, 2020
PubMed
Abstract

Insights

Stigma and discrimination hinder HIV treatment adherence among men who have sex with men in Peru. Addressing these issues through community education and workplace support is crucial for improving health outcomes.

Area of Science:

  • Public Health
  • Epidemiology
  • Social Sciences

Background:

  • Rising HIV incidence and mortality in Peru, particularly in the Loreto region.
  • HIV epidemic concentrated among men who have sex with men (MSM).
  • Low HIV treatment adherence (14%) in MSM despite free national healthcare.

Purpose of the Study:

  • Investigate barriers and facilitators to healthcare advice adherence.
  • Explore experiences and perceptions of HIV-positive MSM and healthcare professionals in Loreto.

Main Methods:

  • Conducted 20 qualitative interviews with HIV-positive MSM.
  • Held one focus group with HIV-specialist healthcare professionals.
  • Employed thematic content analysis and deviant case analysis.

Main Results:

  • Identified a culture of isolation and discrimination due to poor public knowledge of HIV.
  • Reported hampered employment potential and suicidal thoughts in 7/20 patients post-diagnosis.
  • Barriers included shame, depression, travel costs, preference for traditional medicine, and ART side-effects; facilitators included education, support systems, and lifestyle changes.

Conclusions:

  • Recommended focused community education to combat stigma.
  • Advocated for workplace discrimination investigations to improve treatment adherence.
  • Highlighted the need for interventions addressing psychosocial and practical barriers to care.
Keywords:
Antiretroviral therapyHIVMen who have sex with menPeruQualitative

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