Cargando…
Awareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004
Introduction: Research has begun to examine human immunodeficiency virus (HIV) prevention strategies within the Ghanaian context. Still, little is known about specific populations such as gay, bisexual, and other cisgender men who have sex with men (GBMSM) living in slum communities. We studied HIV...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10631318/ https://www.ncbi.nlm.nih.gov/pubmed/37933162 http://dx.doi.org/10.1177/23259582231209649 |
_version_ | 1785132348929474560 |
---|---|
author | Abu-Ba’are, Gamji Rabiu Shamrock, Osman Wumpini Apreku, Amos Agbemedu, George Rudolph Kofi Zigah, Edem Yaw Ezechi, Oliver C. Nelson, LaRon E. Torpey, Kwasi |
author_facet | Abu-Ba’are, Gamji Rabiu Shamrock, Osman Wumpini Apreku, Amos Agbemedu, George Rudolph Kofi Zigah, Edem Yaw Ezechi, Oliver C. Nelson, LaRon E. Torpey, Kwasi |
author_sort | Abu-Ba’are, Gamji Rabiu |
collection | PubMed |
description | Introduction: Research has begun to examine human immunodeficiency virus (HIV) prevention strategies within the Ghanaian context. Still, little is known about specific populations such as gay, bisexual, and other cisgender men who have sex with men (GBMSM) living in slum communities. We studied HIV prevention strategies such as condoms and preexposure prophylaxis (PrEP) in slum communities and the awareness and willingness to use these choices among GBMSM. This qualitative study examines HIV prevention strategies, specifically examining PrEP and condom use behaviors among GBMSM in Ghana. Methods: We conducted in-depth face-to-face interviews among 12 GBMSM from slums in Accra and Kumasi cities in Ghana. Data were analyzed through a summative content analysis with multiple reviewers to develop codes. Data were collected from participants in January 2022. Results: We found the fear and perceived risk of infection were motivators for consistent condom use, especially during anal sex. GBMSM living with HIV receiving antiretroviral therapy were more inclined to use condoms. We found motivations for using PrEP were influenced by the type of sexual activity and a history of negative HIV status. Also, the barriers to PrEP for GBMSM included limited access to healthcare facilities and the distance to these facilities. Conclusions: To improve condom and PrEP access and uptake, we recommend addressing structural barriers by increasing the number of health facilities and implementing targeted interventions to address the lack of information on HIV awareness and prevention. Involving peer educators may also effectively promote HIV prevention strategies, especially in communities with limited access to healthcare such as slums. Overcoming these access constraints could significantly enhance awareness and prevention of HIV, leading to improved health outcomes for GBMSM living in slum communities. |
format | Online Article Text |
id | pubmed-10631318 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-106313182023-11-06 Awareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004 Abu-Ba’are, Gamji Rabiu Shamrock, Osman Wumpini Apreku, Amos Agbemedu, George Rudolph Kofi Zigah, Edem Yaw Ezechi, Oliver C. Nelson, LaRon E. Torpey, Kwasi J Int Assoc Provid AIDS Care Original Research Article Introduction: Research has begun to examine human immunodeficiency virus (HIV) prevention strategies within the Ghanaian context. Still, little is known about specific populations such as gay, bisexual, and other cisgender men who have sex with men (GBMSM) living in slum communities. We studied HIV prevention strategies such as condoms and preexposure prophylaxis (PrEP) in slum communities and the awareness and willingness to use these choices among GBMSM. This qualitative study examines HIV prevention strategies, specifically examining PrEP and condom use behaviors among GBMSM in Ghana. Methods: We conducted in-depth face-to-face interviews among 12 GBMSM from slums in Accra and Kumasi cities in Ghana. Data were analyzed through a summative content analysis with multiple reviewers to develop codes. Data were collected from participants in January 2022. Results: We found the fear and perceived risk of infection were motivators for consistent condom use, especially during anal sex. GBMSM living with HIV receiving antiretroviral therapy were more inclined to use condoms. We found motivations for using PrEP were influenced by the type of sexual activity and a history of negative HIV status. Also, the barriers to PrEP for GBMSM included limited access to healthcare facilities and the distance to these facilities. Conclusions: To improve condom and PrEP access and uptake, we recommend addressing structural barriers by increasing the number of health facilities and implementing targeted interventions to address the lack of information on HIV awareness and prevention. Involving peer educators may also effectively promote HIV prevention strategies, especially in communities with limited access to healthcare such as slums. Overcoming these access constraints could significantly enhance awareness and prevention of HIV, leading to improved health outcomes for GBMSM living in slum communities. SAGE Publications 2023-11-06 /pmc/articles/PMC10631318/ /pubmed/37933162 http://dx.doi.org/10.1177/23259582231209649 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Article Abu-Ba’are, Gamji Rabiu Shamrock, Osman Wumpini Apreku, Amos Agbemedu, George Rudolph Kofi Zigah, Edem Yaw Ezechi, Oliver C. Nelson, LaRon E. Torpey, Kwasi Awareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004 |
title | Awareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004 |
title_full | Awareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004 |
title_fullStr | Awareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004 |
title_full_unstemmed | Awareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004 |
title_short | Awareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004 |
title_sort | awareness and willingness to use condoms and preexposure prophylaxis among gay, bisexual, and other cisgendered men who have sex with men in slum communities in ghana. bsgh-004 |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10631318/ https://www.ncbi.nlm.nih.gov/pubmed/37933162 http://dx.doi.org/10.1177/23259582231209649 |
work_keys_str_mv | AT abubaaregamjirabiu awarenessandwillingnesstousecondomsandpreexposureprophylaxisamonggaybisexualandothercisgenderedmenwhohavesexwithmeninslumcommunitiesinghanabsgh004 AT shamrockosmanwumpini awarenessandwillingnesstousecondomsandpreexposureprophylaxisamonggaybisexualandothercisgenderedmenwhohavesexwithmeninslumcommunitiesinghanabsgh004 AT aprekuamos awarenessandwillingnesstousecondomsandpreexposureprophylaxisamonggaybisexualandothercisgenderedmenwhohavesexwithmeninslumcommunitiesinghanabsgh004 AT agbemedugeorgerudolphkofi awarenessandwillingnesstousecondomsandpreexposureprophylaxisamonggaybisexualandothercisgenderedmenwhohavesexwithmeninslumcommunitiesinghanabsgh004 AT zigahedemyaw awarenessandwillingnesstousecondomsandpreexposureprophylaxisamonggaybisexualandothercisgenderedmenwhohavesexwithmeninslumcommunitiesinghanabsgh004 AT ezechioliverc awarenessandwillingnesstousecondomsandpreexposureprophylaxisamonggaybisexualandothercisgenderedmenwhohavesexwithmeninslumcommunitiesinghanabsgh004 AT nelsonlarone awarenessandwillingnesstousecondomsandpreexposureprophylaxisamonggaybisexualandothercisgenderedmenwhohavesexwithmeninslumcommunitiesinghanabsgh004 AT torpeykwasi awarenessandwillingnesstousecondomsandpreexposureprophylaxisamonggaybisexualandothercisgenderedmenwhohavesexwithmeninslumcommunitiesinghanabsgh004 |