AI Article Synopsis
- - Men with HIV in Côte d'Ivoire face challenges in starting and sticking to antiretroviral therapy (ART) due to gender-related barriers, as revealed through interviews and focus groups conducted in 2016.
- - Participants believed that adhering to ART could help them reduce the risk of transmitting HIV, maintain their jobs and family roles, and combat stigma, even though there were concerns about unintentional disclosure of their status.
- - While ART was seen as beneficial for health, it posed challenges like time constraints and side effects, indicating a need for social and behavior change strategies to enhance male participation in HIV care.
Article Abstract
Men diagnosed with HIV face gender-related barriers to initiating and adhering to antiretroviral therapy (ART). This qualitative study (73 in-depth interviews; 28 focus group discussions), conducted with men in three urban sites in Côte d'Ivoire in 2016, examined perceptions of ART, including benefits and challenges, to explore how ART mitigates HIV's threats to men's sexuality, economic success, family roles, social status, and health. Participants perceived that adhering to ART would reduce risk of transmitting HIV to others, minimize job loss and lost productivity, and help maintain men's roles as decision makers and providers. ART adherence was thought to help reduce the threat of HIV-related stigma, despite concerns about unintentional disclosure. While ART was perceived to improve health directly, it restricted men's schedules. Side effects were also a major challenge. Social and behavior change approaches building on these insights may improve male engagement across the HIV care continuum.
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| http://dx.doi.org/10.1007/s10461-019-02614-5 | DOI Listing |
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