Experiences and challenges in sexual health service access among men who have sex with men in Kenya

被引：5

作者：

Bourne, Adam ^{[1
,2
]}

Carman, Marina ^{[1
]}

Kabuti, Rhoda ^{[3
]}

Nutland, Will ^{[4
]}

Fearon, Elizabeth ^{[5
]}

Liku, Jennifer ^{[3
]}

Tukai, Anthony ^{[3
]}

Weatherburn, Peter ^{[4
]}

Kimani, Joshua ^{[3
,6
]}

Smith, Adrian D. ^{[7
]}

机构：

[1] La Trobe Univ, Australian Res Ctr Sex Hlth & Soc, Bldg NR6, Bundoora, Vic 3083, Australia

[2] UNSW, Kirby Inst, Sydney, NSW, Australia

[3] Partners Hlth & Dev Africa, Nairobi, Kenya

[4] London Sch Hyg & Trop Med, Dept Publ Hlth Environm & Soc, London, England

[5] London Sch Hyg & Trop Med, Dept Global Hlth & Dev, London, England

[6] Univ Manitoba, Dept Community Hlth Sci, Winnipeg, MB, Canada

[7] Univ Oxford, Nuffield Dept Populat Hlth, Oxford, England

来源：

GLOBAL PUBLIC HEALTH | 2022年 / 17卷 / 08期

基金：

英国医学研究理事会;

关键词：

MSM; Kenya; sexual health services; stigma; discrimination; WESTERN KENYA; HIV SERVICES; HIGH-RISK; WORKERS; PREVALENCE; INFECTION; NAIROBI; STIGMA; MSM;

D O I：

10.1080/17441692.2021.1987501

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Men who have sex with men (MSM) in Kenya bear a heavy burden of HIV/STIs and are a priority population in the national HIV/AIDS response, yet remain criminalised and stigmatised within society. HIV pre-exposure prophylaxis (PrEP) offers an opportunity to significantly impact the HIV epidemic, as does the concept of U = U, whereby those who are living with HIV and on treatment are uninfectious when their viral load has been suppressed so as to be undetectable. However, the value of such innovations will not be realised without sufficient understanding of, and respect for, the sexual health service provision needs of MSM. This paper describes findings from 30 in-depth interviews with MSM living in Nairobi that explored engagement with sexual health service providers, barriers to access and perceived opportunities to improve service design and delivery. Findings indicate concern relating to the professionalism of some staff working within public hospitals as well as feelings that many sexual health services were not considered safe spaces for the discussion of MSM-specific sexual behaviour. Diverse views were expressed relating to comfort in public, community and private sexual health services as well as how these are and should be organised.

引用

页码：1626 / 1637

页数：12

共 36 条

[1]

[Anonymous], 2014, KEN AIDS IND SURV 20

[2]

[Anonymous], 2014, March 2014 supplement to the 2013 consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infections: Recommendations for a public health approach

[3] Sexual Stigma, Criminalization, Investment, and Access to HIV Services Among Men Who Have Sex with Men Worldwide [J].