HIV Care for Men on the Move: A Qualitative Study to Inform Status-Neutral HIV Service Delivery for Mobile Men in Johannesburg, South Africa

IF 2.4 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH AIDS and Behavior Pub Date : 2025-03-03 DOI:10.1007/s10461-025-04664-4
Maria Francesca Nardell, Caroline Govathson, Amanda Fata, Sophia Fend, Sithabile Mngadi, Eliana DaCunha, Salomé Garnier, Lawrence Long, Mark Lurie, Lisa Butler, Sophie Pascoe, Ingrid Theresa Katz
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Abstract

Johannesburg, South Africa is a major destination for men moving from within and outside the country. Mobile men face challenges across the HIV care continuum. From March to May 2023, we conducted in-depth interviews with 29 mobile men and focus groups with 12 healthcare providers to explore factors influencing HIV prevention and care for mobile men. We used semi-structured guides, recorded and transcribed interviews, and analyzed data using inductive and deductive thematic analysis. Participants had a median age of 34. They described how relocating to Johannesburg created stress that deprioritized healthcare. They reported barriers at five key stages of status-neutral HIV care: awareness, decision to access care, experience of care, uptake of PrEP/ART, and adherence. Socio-economic needs, mobility, and masculine norms influenced men’s engagement, and providers highlighted language barriers. Interventions to improve service uptake should address poverty, offer peer support, facilitate clinic transferability, and accommodate multiple languages to strengthen HIV services.

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流动男性的艾滋病毒护理:一项定性研究,为南非约翰内斯堡流动男性提供中立的艾滋病毒服务。
南非的约翰内斯堡是国内外男性移民的主要目的地。流动男性在艾滋病毒护理连续体中面临挑战。从2023年3月至5月,我们对29名流动男性进行了深度访谈,并对12家医疗机构进行了焦点小组访谈,探讨影响流动男性艾滋病预防和护理的因素。我们使用半结构化指南,记录和转录采访,并使用归纳和演绎主题分析来分析数据。参与者的平均年龄为34岁。他们描述了搬迁到约翰内斯堡如何造成了压力,使医疗保健失去了优先地位。他们报告了中性艾滋病毒护理的五个关键阶段的障碍:意识、获得护理的决定、护理经验、接受PrEP/ART和坚持。社会经济需求、流动性和男性化规范影响了男性的参与,提供者强调了语言障碍。改善服务接受的干预措施应解决贫困问题,提供同伴支持,促进诊所可转移性,并适应多种语言以加强艾滋病毒服务。
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来源期刊
AIDS and Behavior
AIDS and Behavior Multiple-
CiteScore
6.60
自引率
13.60%
发文量
382
期刊介绍: AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76
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