Preferences and access to community-based HIV testing sites among men who have sex with men (MSM) in Côte d’Ivoire
Objective Measuring access and preferences to Men who have Sex with Men focused community-based HIV testing sites (MSM-CBTS) in Côte d’Ivoire.Design A respondent-driven sampling telephone survey.Setting National survey conducted in 2018 in Côte d’Ivoire.Participants 518 MSM aged over 18 years old.Pr...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e052536.full |
| _version_ | 1826856578705260544 |
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| author | Christine Danel Joseph Larmarange Lazare Sika Maxime Inghels Arsène Kra Kouassi Serge Niangoran Anne Bekelynck Séverine Carilon Mariatou Koné Annabel Degrées du Loû |
| author_facet | Christine Danel Joseph Larmarange Lazare Sika Maxime Inghels Arsène Kra Kouassi Serge Niangoran Anne Bekelynck Séverine Carilon Mariatou Koné Annabel Degrées du Loû |
| author_sort | Christine Danel |
| collection | DOAJ |
| description | Objective Measuring access and preferences to Men who have Sex with Men focused community-based HIV testing sites (MSM-CBTS) in Côte d’Ivoire.Design A respondent-driven sampling telephone survey.Setting National survey conducted in 2018 in Côte d’Ivoire.Participants 518 MSM aged over 18 years old.Primary and secondary outcome measures Knowledge, practices, satisfaction and preferences regarding MSM-CBTS. Factors associated with MSM-CTBS access or knowledge and with HIV testing venue preferences were examined.Results Only half of the respondents (47%) reported knowing of an MSM-CBTS. Of these, 79% had already attended one. Both knowing of and ever visiting an MSM-CBTS were significantly associated with a higher number of HIV tests performed in the past 12 months and having disclosed sexual orientation to one family member.In terms of preferences, 37% of respondents said they preferred undifferentiated HIV testing sites (ie, ‘all patients’ HIV testing sites), 34% preferred MSM-CBTS and 29% had no preference.Those who reported being sexually attracted to women, being bisexual and those who did not know an MSM non-governmental organisation were less likely to prefer MSM-CBTS. MSM who preferred undifferentiated HIV testing sites mentioned the lack of discretion and anonymity of community-based sites and the desire to avoid the gaze of others.Conclusion Community-based HIV testing is well suited for MSM who identify as homosexual and those close to the MSM community, while maintaining undifferentiated HIV testing is essential for others. Both types of activities need to be maintained and developed. Healthcare professionals in undifferentiated HIV testing sites need to be properly trained in the non-judgemental reception of MSM. |
| first_indexed | 2024-12-12T14:15:23Z |
| format | Article |
| id | doaj.art-75494d04bb354fa88c305ca259dde6b9 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-02-16T18:23:54Z |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-75494d04bb354fa88c305ca259dde6b92025-01-24T15:55:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-052536Preferences and access to community-based HIV testing sites among men who have sex with men (MSM) in Côte d’IvoireChristine Danel0Joseph Larmarange1Lazare Sika2Maxime Inghels3Arsène Kra Kouassi4Serge Niangoran5Anne Bekelynck6Séverine Carilon7Mariatou Koné8Annabel Degrées du Loû9Programme PAC-CI, Abidjan, Côte d`IvoireCentre Population et Développement (UMR 196 Université Paris Cité, IRD), SageSud (ERL INSERM 1244), Institut de Recherche pour le Développement, Paris, FranceEcole Nationale Supérieure de Statistique et d’Economie Appliquée d’Abidjan, Abidjan, Côte d`IvoireCentre Population et Développement, Université Paris Cité, Institut de Recherche pour le Développement, Inserm, Paris, FranceCentre Population et Développement, Université Paris Cité, Institut de Recherche pour le Développement, Inserm, Paris, FranceProgramme PAC-CI, Abidjan, Côte d`IvoireCentre Population et Développement, Université Paris Cité, Institut de Recherche pour le Développement, Inserm, Paris, FranceCentre Population et Développement, Université Paris Cité, Institut de Recherche pour le Développement, Inserm, Paris, FranceInstitut d’Ethno-Sociologie, Université Félix-Houphouët-Boigny, Abidjan, Côte d`IvoireCentre Population et Développement, Université Paris Cité, Institut de Recherche pour le Développement, Inserm, Paris, FranceObjective Measuring access and preferences to Men who have Sex with Men focused community-based HIV testing sites (MSM-CBTS) in Côte d’Ivoire.Design A respondent-driven sampling telephone survey.Setting National survey conducted in 2018 in Côte d’Ivoire.Participants 518 MSM aged over 18 years old.Primary and secondary outcome measures Knowledge, practices, satisfaction and preferences regarding MSM-CBTS. Factors associated with MSM-CTBS access or knowledge and with HIV testing venue preferences were examined.Results Only half of the respondents (47%) reported knowing of an MSM-CBTS. Of these, 79% had already attended one. Both knowing of and ever visiting an MSM-CBTS were significantly associated with a higher number of HIV tests performed in the past 12 months and having disclosed sexual orientation to one family member.In terms of preferences, 37% of respondents said they preferred undifferentiated HIV testing sites (ie, ‘all patients’ HIV testing sites), 34% preferred MSM-CBTS and 29% had no preference.Those who reported being sexually attracted to women, being bisexual and those who did not know an MSM non-governmental organisation were less likely to prefer MSM-CBTS. MSM who preferred undifferentiated HIV testing sites mentioned the lack of discretion and anonymity of community-based sites and the desire to avoid the gaze of others.Conclusion Community-based HIV testing is well suited for MSM who identify as homosexual and those close to the MSM community, while maintaining undifferentiated HIV testing is essential for others. Both types of activities need to be maintained and developed. Healthcare professionals in undifferentiated HIV testing sites need to be properly trained in the non-judgemental reception of MSM.https://bmjopen.bmj.com/content/12/6/e052536.full |
| spellingShingle | Christine Danel Joseph Larmarange Lazare Sika Maxime Inghels Arsène Kra Kouassi Serge Niangoran Anne Bekelynck Séverine Carilon Mariatou Koné Annabel Degrées du Loû Preferences and access to community-based HIV testing sites among men who have sex with men (MSM) in Côte d’Ivoire BMJ Open |
| title | Preferences and access to community-based HIV testing sites among men who have sex with men (MSM) in Côte d’Ivoire |
| title_full | Preferences and access to community-based HIV testing sites among men who have sex with men (MSM) in Côte d’Ivoire |
| title_fullStr | Preferences and access to community-based HIV testing sites among men who have sex with men (MSM) in Côte d’Ivoire |
| title_full_unstemmed | Preferences and access to community-based HIV testing sites among men who have sex with men (MSM) in Côte d’Ivoire |
| title_short | Preferences and access to community-based HIV testing sites among men who have sex with men (MSM) in Côte d’Ivoire |
| title_sort | preferences and access to community based hiv testing sites among men who have sex with men msm in cote d ivoire |
| url | https://bmjopen.bmj.com/content/12/6/e052536.full |
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