Top PDF Healthcare providers’ attitudes towards care for men who have sex with men (MSM) in Malawi

Healthcare providers’ attitudes towards care for men who have sex with men (MSM) in Malawi

Healthcare providers’ attitudes towards care for men who have sex with men (MSM) in Malawi

Conclusion Healthcare professionals in practice, health professions students and faculty members were willing to provide MSM focused HIV related health services in Malawi. They recognised and appreciated MSM like others that have equal and legitimate service, health needs and healthcare access rights. Participants proposed strategies for MSM to receive specific health care despite MSM restrictive laws in Malawi. This research make available a basis for plan- ning and implementation of innovative MSM focused in- terventions. Strengthening these findings could facilitate access to quality health services, finding a middle ground for client-provider relationships and may reduce delays or avoidance of HIV services use by MSM. More research is required to capture more views and suggestions from the wider health service provider community and understand extra proposed strategies of providing appropriate and targeted MSM health care in Malawi.
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A qualitative assessment of health seeking practices among and provision practices for men who have sex with men in Malawi

A qualitative assessment of health seeking practices among and provision practices for men who have sex with men in Malawi

The findings reported here should be viewed in light of several limitations with the research methods. The study was conducted only in the urban setting of Blantyre- the ‘financial capital’ of Malawi, and these findings represent a relatively small, though diverse, sample of MSM partici- pants. While the themes reported here were salient among participants, it is important to recognize that these find- ings may not represent all of the perceived barriers to the provision and uptake of care for all service providers and by all MSM in Malawi, respectively. Substantial differ- ences, particularly related to experiences and perceptions of stigma and access/uptake of HIV and sexual health ser- vices, may exist across urban and rural settings. Sample sizes were low due to challenges of recruiting this popula- tion; however, the redundancy of themes heard across in- terviews with healthcare workers and MSM suggest proximity to saturation. A second limitation is related to the use of the Health Belief Model; this model is often used as model for quantitative intervention research. Be- cause this study was qualitative, the Health Belief Model provides a framework for understanding provision and ac- cess to services but quantitative, causal associations can- not be made. These data, however, draw strength from providing novel insight into the factors that are perceived to be salient in suboptimal access and utilization of health and HIV services for MSM in Malawi from the perspective of both the provider and end-user of these health services.
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Men who have sex with men

Men who have sex with men

Data Sources: A PubMed search was completed in Clinical Queries using the key terms MSM, men who have sex with men, gay, homosexual, and LGBT. The search included meta-analyses, randomized controlled trials, clinical trials, and reviews. Also searched were the Agency for Healthcare Research and Quality Clinical Guidelines and Evidence Report, Cochrane Database of Systematic Reviews, Effective Health Care, Institute for Clinical Systems Improvement, National Guideline Clearinghouse, and U.S. Preventive Services Task Force. Search dates: April 2014 to December 2014.
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HIV infected men who have sex with men in Israel: knowledge, attitudes and sexual behavior

HIV infected men who have sex with men in Israel: knowledge, attitudes and sexual behavior

In cases in which HIV-infected MSM in this study per- formed UAI with HIV sero-discordant/unknown part- ner/s, they commonly used strategic positioning, while choosing the receptive role in anal sex. These calculated risk-taking strategies may reduce, yet not eliminate, HIV transmission. However, these efforts are not always fully appreciated by those who provide medical and social services for HIV-infected MSM. Providers should rather understand the difficulty of HIV-disclosure, the pursuit of HIV-infected MSM to reach intimacy with the sex partner, and their fear of being stigmatized or rejected, and also be aware of the psychological context that frames condom-use [18]. Providers should maintain an open environment in their clinics when treating HIV- infected MSM, in which patients can appraise their desires and their actions, and evaluate their sexual behaviors and reasons why they engaged in risk-behaviors [19].
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Decreasing HIV Stigmatization for Care of Young Men of Color Who Have Sex with Men

Decreasing HIV Stigmatization for Care of Young Men of Color Who Have Sex with Men

Because the healthcare setting in which this staff education project is to be piloted takes place in a busy public health clinic a blended-learning environment will be utilized. Once the anonymous pretests are completed, staff will then place their pretests in an envelope to be sealed and then placed in the secured box for safekeeping. Staff will then have access to online vignettes provided through the CDC that address HIV-related stigma and discrimination to include fears, attitudes, and healthcare setting barriers from the perspective of HIV infected individuals. The next step will be the implementation of the training component. Following the online portion of the intervention, a half-day training will be conducted on topics that include HIV-related stigma and discrimination attitudes, fears, and healthcare setting barriers, an HIV101 education, PrEP education related to stigma, facts on infection control measures, a refresher on confidentiality, review of case studies, and national and local HIV statistical data for young MSM of color. When the training component is complete staff will be provided with a 22-question posttest to measure the educational intervention through comparing the pretest to the posttests.
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Unique Barriers in Accessing Healthcare for Rural Gay, Bisexual, and Other Men Who Have Sex with Men

Unique Barriers in Accessing Healthcare for Rural Gay, Bisexual, and Other Men Who Have Sex with Men

37 disparity in health. Men living in Oklahoma who do not feel comfortable disclosing their sexual orientation also do not seek mental or medical care as often as their counterparts who are more open about disclosing their sexual orientation. Gay, bisexual and other MSM who live in the South face a more conservative environment due to controlling images about strict definitions of male sexuality based on social norms and religion (Barton, 2012; Whitlock, 2013). Rural individuals who face discrimination in their communities for their sexual orientation (Fisher et al., 2013; Preston et al., 2004) may be less willing to seek health care for the fear of having to disclose information they are not willing to disclose. This study is one of the first to highlight how lack of disclosing sexual orientation in general, not just to providers, can interfere with them seeking mental and medical health care.
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Access to HIV Prevention and Treatment for Men Who Have Sex with Men

Access to HIV Prevention and Treatment for Men Who Have Sex with Men

Participants explained how maintaining a secondary identity has direct negative implications for physical and mental health. For example, the inability of MSM to reveal their sexual lives with health care providers was related to misdiagnosis, delayed diagnosis, and delayed treatment, leading to poor health prognosis and higher risk of HIV and STI transmission to sexual partners. In addition, being forced to hide their sexuality from family, friends, coworkers, and broader society can lead to internalized shame and poor self-worth, often manifesting in depression and anxiety. Although some men did not name their pain as a form of poor mental health, when other men described feelings of depression, all the men recognized and endorsed an urgent need to address this phenomenon.
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Awareness of and attitudes to sexually transmissible infections among gay men and other men who have sex with men in England: A qualitative study

Awareness of and attitudes to sexually transmissible infections among gay men and other men who have sex with men in England: A qualitative study

for chemsex – the use of recreational drugs during sexual activity – to increase the risk of infection with blood-borne viruses (BBVs), STIs and other diseases. 7 Consequently, MSM are a priority group for STI prevention and health promotion interventions to increase condom use, support regular testing, offer harm-reduction advice and provide, where necessary, treatment and onward referral. 8 Understanding men ’s awareness of and attitudes towards STIs is valuable in informing prevention efforts to reduce incidence and overcome any potential barriers to testing and treatment uptake. While there has been considerable research
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Human Papillomavirus and Anorectal Carcinoma Knowledge in Men Who Have Sex With Men

Human Papillomavirus and Anorectal Carcinoma Knowledge in Men Who Have Sex With Men

There are no evidence-based recommendations regarding who should and should not be screened (Blackwell, 2008), despite recommendations that health care providers assess knowledge about anorec- tal testing in MSM. Reed and colleagues (2010) as- sessed MSM participants’ knowledge about Pap testing and if they had ever been screened, what barriers might prevent them from obtaining Pap testing in the future, and whom they thought should receive regular anal Pap testing. The men in the study who were HIV-infected were more likely to be aware of anorectal testing than uninfected men, and gay men were more willing than bisexual men to have anal Pap testing in the future. Although there is evidence that MSM who are HIV-infected are the most at-risk group for HPV infection and anorectal cancer, few studies have assessed this group’s knowl- edge and awareness about anorectal screening and the benefits of this preventive care (Goldstone &
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Effectiveness of a Training Program for Improving Public Health Nurses’ Attitudes and Confidence in Dealing with Men Who Have Sex with Men

Effectiveness of a Training Program for Improving Public Health Nurses’ Attitudes and Confidence in Dealing with Men Who Have Sex with Men

5.5. Implications for Public Health Nursing and Education As pointed out above, in Japan, the proportion of the total population who are LGBT is 7.6% [24]. It is necessary for nursing professionals to recognize the di- versity of sexuality in order to provide better care to this population. It is strongly recommend that the nursing curriculum cover the diversity of sexuality and give nursing students the opportunity to reflect on their attitudes toward sexuality, which can foster a greater awareness and sensitivity to the diversity of potential clients. In Japan, because public health nurse often provide HIV test counseling, it is strongly recommended that they be provided within-service education such as short training session to improve their capacity to deal with MSM. However, relatively little is known about the homophobic attitudes of public health nurses in Japan, and what specific educational components will ef- fectively reduce stigma and homophobic attitudes. As such, further research will be needed.
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Assessing the Knowledge and Attitudes of Black/African American Men who have Sex with Men on HIV Pre-Exposure Prophylaxis

Assessing the Knowledge and Attitudes of Black/African American Men who have Sex with Men on HIV Pre-Exposure Prophylaxis

5.0 DISCUSSION PrEP has the potential to be a promising HIV prevention strategy among Black MSM. Despite having little knowledge on PrEP, Black MSM are willing to use PrEP to reduce their risk of HIV infection. This has been a consistent finding throughout the literature and further research is needed to ascertain other variables responsible for this relationship. Black MSM also desire to be educated on PrEP. If PrEP is used among Black MSM, the medications will likely have to be provided at little to no cost to the recipient. Currently, the costs of PrEP medications are either paid for in part by private medical insurance providers and or out of pocket. It is highly unlikely that young Black MSM will have the capacity to pay out of pocket costs for PrEP, therefore alternative methods must be explored such as drug subsidies. PrEP education and awareness must be heightened and integrated with existing HIV prevention methods. It is important that MSM have access to health literature, information, and counseling that promotes the use of condoms as an effective primary prevention behavior against the transmission of HIV as well routine HIV testing and awareness of HIV status.
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Motivators and barriers for HIV testing among men who have sex with men in Sweden

Motivators and barriers for HIV testing among men who have sex with men in Sweden

Fear of being recognized by staff or other visitors at the clinic was the fear-related reason given most often. This emphasizes, and confirms results from previous studies that confidentiality must be a cornerstone for testing services (Awad et al. 2004). Some men might prefer drop-in clinics while others are best served if they can make an appointment knowing that they do not have to wait with other visitors in a waiting room. Not all MSM identify themselves as homosexual or bisexual, and some might prefer visiting a general STI clinic rather than MSM-targeted test services. In Sweden, you have the right to anonymous HIV testing within the healthcare system, but MSM2013 study participants comment that they experience that primary health care centres deny anonymous testing and rarely have routines for making appointments without recording the patient’s personal
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Sexual Behavior for HIV Prevention among Men who Have Sex with Men in Surakarta

Sexual Behavior for HIV Prevention among Men who Have Sex with Men in Surakarta

nity. The willingness to be healthy make the informants to implement HIV/AIDS pre- vention behaviors such as condom use and routine VCT checks in every 3 months. In addition, the role of friends was very important in the community to encourage their members to behave well. Assistance and strengthening of healthy behavior was one of the factors that should be taken into account, because the identification results showed that community members tend to be more comfortable in conducting VCT mobile examinations held by the Mahar- dhika Gaya Community. This was in line with the information obtained from the Head of Mahardhika Style which stated that the focus of community activities was on health issues. Mentoring and strengthening related to health issues were the main acti- vities of the community. Because most social cues were studied in peers, health care providers must use MSM partners to disseminate information regarding HIV prevention (Li et al,. 2016).
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Female condom use for men who have sex with men

Female condom use for men who have sex with men

The ORIGAMI Anal Condom In addition to using female condoms for anal intercourse, research is currently underway to develop condoms specifically designed for anal use. The Fenway Institute in Boston, with the support of the Bill and Melinda Gates Foundation and the National Institutes of Health, started enrolling men who have sex with men in a new clinical trial studying condoms for anal sex.(7-9) The new ORIGAMI Anal Condom is the first condom of its kind – designed exclusively for receptive anal intercourse. It is worn internally by a receptive partner and is intended to facilitate a pleasurable and safe experience for both partners, increase its acceptability, improve sensation and comfort, and influence consistent condom compliance for those who engage in anal intercourse. It is also intended to minimize the risk of contracting HIV and sexually transmitted infections and to provide a receptive partner with the initiative to use a condom without
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Are Men Who Have Sex With Men Safe Blood Donors?

Are Men Who Have Sex With Men Safe Blood Donors?

The differential treatment between MSM and non-MSM donors is based on the analogous ground of sexual orientation. Courts have recognized the historic disadvantages endured by homosexuals in cases such as Vriend v. Alberta, 100 Halpern v. Canada 101 and Egan v. Canada. 102 9 Charter, supra note 5, s. 15(1). Note that the Canadian Human Rights Act, R.S. 1985, c. H6 also applies to the screening policies implemented by CBS. The Canadian Human Rights Commission has not yet dealt with the MSM issue however, the Commission des droits de la personne in Quebec, the British Columbia Council of Human Rights, and the Ontario Human Rights Commission have. In 1995, the Quebec Commission held in J.R., M.N. v. Canadian Red Cross Society (21 June 1995), Montreal MTL 782/MTL 783 (Commission des droits de la personne et des droits de la jeunesse), that donating blood was a juridical act under CCQ 1806, that blood drives were a service ordinarily offered to the public, and that the MSM policy discriminated on the basis of sexual orientation. Nevertheless, the fact that the rate of HIV infection in MSM in 199 was 69. per cent, justified their exclusion. Likewise, the British Columbia Council of Human Rights found in Robb Stewart v. Canadian Red Cross Society (10 May 1995), Victoria 9067 (British Columbia Council of Human Rights), that because MSM was a reported risk factor in 77 per cent of adults AIDS cases in Canada in 199, and that there was a forty-five day window period, their exclusion was legitimate. In Cloutier v. Canadian Blood Services (17 December 2003), Toronto GSEA-566SX5 (Ontario Human Rights Commission), the Ontario Human Rights Commission refused to deal with the MSM issue since it deemed it did not have the proper jurisdiction.
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HIV Testing and Black Men who have Sex with Men

HIV Testing and Black Men who have Sex with Men

Abstract HIV incidence among Black men who have sex with men (BMSM) is extremely high in contrast to their estimated population size and compared to other racial groups. Researchers have established that a significant proportion of these new cases annually originate from HIV transmission by BMSM who are unaware of their HIV status. The purpose of the study was to assess the relationship between age, sexual behavior, social support, substance use, internalized homophobia, depression, and HIV test history in BMSM. Guided by the social ecological model (SEM) as the conceptual framework, a quantitative cross-sectional study was designed to analyze secondary data from the HIV Prevention Trials Network Study 061. Bivariate and multivariate logistic regression was used to estimate the association. The research goal was to identify strategies to engage BMSM with infrequent/nonexistent HIV testing history into testing services. While there was very little difference between the bivariate and multivariate models, the results indicated that BMSM who were younger in age, had lower levels of internalized
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Associations of sex work in a sample of black men who have sex with men

Associations of sex work in a sample of black men who have sex with men

workers is small compared to the overall sample of BMSM, which reduces the power in the analysis. In contrast to the limitations mentioned above, the POWER study has a set of strengths that lend credibility and reliability to the results of this investigation. Participants in the study are from a wide variety of regions in the United States and represent many different incomes, levels of education, and backgrounds. It utilizes a thorough survey instrument that addresses a large range of different issues and health outcomes pertinent to the population. TLS ensured that different types of events and times during the Black Pride festivals were represented and the HIV surveillance methods utilized by the study allowed for a sizeable number of participants to give us prevalence data. By the end of the first year of data collection POWER had collected over 1,600 completed surveys by BMSM, an impressive number, and with two more years planned it is very likely that it will end with one of the largest, if not the largest, sample of BMSM ever obtained. With 94 of the first year surveys being completed by participants with a history of sex work, it also is one of the largest samples of black male sex workers ever obtained. The method of data analysis allowed a comprehensive examination of the health of both the sex workers and general sample separately, and also allowed for a detailed comparison of the two groups. Finally, there has been very little research done on the health of black male sex workers and this analysis expands that body of literature.
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[Data on the sexual health of providers and clients of sexual services for men who have sex with men in Germany].

[Data on the sexual health of providers and clients of sexual services for men who have sex with men in Germany].

10 durch ein als gering empfundenes Risiko z.B. wegen häufigerer Kondomverwendung oder nicht- (anal)penetrierender sexueller Praktiken erklärbar sein könnten [22]. Niedrige Testraten können jedoch auch auf andere Gründe als gering empfundene Risiken zurückführbar sein [23]. Obwohl Männer, die sexuelle Dienste anbieten, als Gruppe mit einem erhöhten Risiko für HIV und STI angesehen werden, werden Risiken von Männern, die sexuelle Dienste von Männern in Anspruch nehmen, selten öffentlich diskutiert, und es gibt keine speziellen Präventionsbotschaften, die auf diese Gruppe abzielen. Es gibt aber durchaus begründete Hinweise dafür, dass Männer, die sexuelle Dienste durch andere Männer in Anspruch nehmen, erhöhten Risiken einer HIV- oder anderen sexuell übertragenen Infektion ausgesetzt sein könnten. Daher wäre es wichtig, sie nicht nur zu Safer Sex, sondern auch zu regelmäßigen Untersuchungen auf HIV und STI zu ermuntern. Dies gilt
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Who\u27s on Top? The Mental Health of Men Who Have Sex with Men

Who\u27s on Top? The Mental Health of Men Who Have Sex with Men

Abstract Despite most men who have sex with men (MSM) expressing intercourse position preference (e.g., “top”, “versatile”, or “bottom”), there is little information regarding sexual behavior and mental health sequelae. From the perspective of gender schema theory, the current study examined how position preference related to gender roles, internalized homophobia, and mental health. A total of 70 MSM (U.S. residents, M age = 28.89 years, 68.6% White) were recruited for an online study and grouped according to position preference. Groups were mostly similar across demographic variables, although bottoms had fewer sexual partners and lower condom use than tops and versatiles. In terms of gender roles, tops and versatiles were significantly higher in both masculine and feminine traits than bottoms. Tops were significantly more likely to report internalized homophobia than versatiles and bottoms. After controlling for masculinity, versatiles had the highest mental health. Results suggest further study of different sub-populations of MSM is warranted.
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HIV prevalence among men who have sex with men in Brazil

HIV prevalence among men who have sex with men in Brazil

Our 2016 sample is younger than the 2009 sample. [13] Although HIV prevalence increases with increasing age due to cumulative incidence and improved survival, the much higher prevalence in 2016 is particularly notable. The trend toward rising new infections among youth is not isolated to Brazil. The US Centers for Disease Control report that in the US youth aged 13 to 24 account for 20% of all new HIV diagnoses, 81% of those occurring among self-reporting gay and bisexual males. Youth presents a special problem, reports CDC: they are the least likely to test or to use a condom, are more likely to drink or use drugs during sex, and have 4 or more partners during their incipient sexual careers. [34] Other studies con firm these differences between younger and older MSM. Analyzing from a generational perspective, Méthy et al [35]
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