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HIV testing, care, and treatment experiences among the steady male partners of female sex workers living with HIV in the Dominican Republic
| Content Provider | Scilit |
|---|---|
| Author | Fleming, Paul J. Barrington, Clare Perez, Martha Donastorg, Yeycy Kerrigan, Deanna |
| Copyright Year | 2016 |
| Description | Male steady partners of female sex workers (FSW) living with human immunodeficiency virus (HIV) represent a key population for treatment as prevention and/or pre-exposure prophylaxis interventions. This study uses data collected from male steady partners who were referred by FSW living with HIV participating in a multi-level HIV prevention and care intervention in Santo Domingo, Dominican Republic. We conducted a socio-behavioral survey and HIV testing with all men (n = 64) and 16 in-depth interviews with a sub-sample to obtain more depth. Thirty-five of the 64 participants were living with HIV; 27 were previously diagnosed and 8 were diagnosed during our study. As a result, 45% of men were members of sero-discordant sexual partnerships. Of men with no previous HIV diagnosis (n = 37), 15 had never been tested for HIV and nine had not been tested in the past two years. Ninety-three percent of men previously diagnosed with HIV reported receiving HIV care in the past 6 months and 78% were taking anti-retrovirals. Low HIV testing was partly due to men not feeling at risk for HIV, despite having an HIV-infected partner. Additionally, a lack of tailored care inhibited engagement in anti-retroviral treatment for those infected. HIV testing was low, highlighting a need for test-and-treat strategies. Men not living with HIV would benefit from regular testing and would be good candidates for pre-exposure prophylaxis. While almost all men who had been diagnosed with HIV were engaged in care and adherent to anti-retroviral therapy, future research should assess whether they are achieving optimal HIV outcomes for their health and prevention of ongoing transmission. |
| Related Links | http://europepmc.org/articles/pmc4888973?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888973/pdf |
| Ending Page | 704 |
| Page Count | 6 |
| Starting Page | 699 |
| ISSN | 09540121 |
| e-ISSN | 13600451 |
| DOI | 10.1080/09540121.2016.1160027 |
| Journal | AIDS Care |
| Issue Number | 6 |
| Volume Number | 28 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2016-03-24 |
| Access Restriction | Open |
| Subject Keyword | Public, Environmental and Occupational Health Non-commercial Partners Hiv-positive Pre-exposure Prophylaxis Anti-retroviral Treatment |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health Health (social science) Social Psychology |
