Scholarlink

<p>The disproportionate burden of syphilis and HIV among gay, bisexual, and other men who have sex with men (GBMSM) is a global health challenge. We explored peer GBMSM perspectives on assisted partner notification (APN) for HIV and syphilis testing in Uganda. We conducted in-depth interviews with 20 purposively selected GBMSM peers, guided by the socio-ecological framework. Data were analysed using both inductive and deductive content analysis. The median age of the 20 GBMSM peers was 27 years (interquartile range [IQR], 22–35 years). Peer views on APN services included (1) individual-level perspectives: APN services prompted willingness or reluctance to undergo testing, with privacy, autonomy, and cultural norms considered essential for delivering these services; (2) community-level perspectives: trusted peers were instrumental in reaching GBMSM in safe environments that health workers could not access. Peers navigated deep-seated mistrust of government health services while promoting APN services and addressing concerns about new self-testing methods; and (3) health system-level perspectives: Using digital platforms to connect with GBMSM expanded the reach of APN services, and printed educational materials were perceived as more effective than video content in communicating information related to APN. While financial incentives initially increased testing rates, their removal was accompanied by reported barriers to continued engagement in testing. Overall, APN services were perceived to increase HIV and syphilis testing, and success relied on addressing privacy and cultural concerns, building community trust, peer engagement, and utilising health system strategies like digital outreach.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Peer perspectives on assisted partner notification for HIV and syphilis testing among gay, bisexual, and other men who have sex with men in Uganda: a qualitative study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月17日

查看全文
  • Stephen Okoboi,
  • Rachel King,
  • Deborah Ekusai-Sebatta,
  • Adeline Twimukye,
  • Peninah Tumuhimbise,
  • Brian Aliganyira,
  • Barbara Castelnuovo,
  • Andrew Mujugira

摘要

The disproportionate burden of syphilis and HIV among gay, bisexual, and other men who have sex with men (GBMSM) is a global health challenge. We explored peer GBMSM perspectives on assisted partner notification (APN) for HIV and syphilis testing in Uganda. We conducted in-depth interviews with 20 purposively selected GBMSM peers, guided by the socio-ecological framework. Data were analysed using both inductive and deductive content analysis. The median age of the 20 GBMSM peers was 27 years (interquartile range [IQR], 22–35 years). Peer views on APN services included (1) individual-level perspectives: APN services prompted willingness or reluctance to undergo testing, with privacy, autonomy, and cultural norms considered essential for delivering these services; (2) community-level perspectives: trusted peers were instrumental in reaching GBMSM in safe environments that health workers could not access. Peers navigated deep-seated mistrust of government health services while promoting APN services and addressing concerns about new self-testing methods; and (3) health system-level perspectives: Using digital platforms to connect with GBMSM expanded the reach of APN services, and printed educational materials were perceived as more effective than video content in communicating information related to APN. While financial incentives initially increased testing rates, their removal was accompanied by reported barriers to continued engagement in testing. Overall, APN services were perceived to increase HIV and syphilis testing, and success relied on addressing privacy and cultural concerns, building community trust, peer engagement, and utilising health system strategies like digital outreach.