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HIV risk and prevention among men who have sex with men in rural South Africa.

Abstract Rural South African men who have sex with men (MSM) are likely to be underserved in terms of access to relevant healthcare and HIV prevention services. While research in urban and peri-urban MSM populations has identified a range of factors affecting HIV risk in South African MSM, very little research is available that examines HIV risk and prevention in rural MSM populations. This exploratory study begins to address this lack by assessing perceptions of HIV risk among MSM in rural Limpopo province. Using thematic analysis of interview and discussion data, two overarching global themes that encapsulated participants' understandings of HIV risk and the HIV risk environment in their communities were developed. In the first theme, "community experience and the rural social environment", factors affecting HIV risk within the broad risk environment were discussed. These included perceptions of traditional value systems and communities as homophobic; jealousy and competition between MSM; and the role of social media as a means of meeting other MSM. The second global theme, "HIV/AIDS knowledge, risk and experience", focused on factors more immediately affecting HIV transmission risk. These included: high levels of knowledge of heterosexual HIV risk, but limited knowledge of MSM-specific risk; inconsistent condom and lubricant use; difficulties in negotiating condom and lubricant use due to uneven power dynamics in relationships; competition for sexual partners; multiple concurrent sexual partnerships; and transactional sex. These exploratory results suggest that rural South African MSM, like their urban and peri-urban counterparts, are at high risk of contracting HIV, and that there is a need for more in-depth research into the interactions between the rural context and the specific HIV risk knowledge and behaviours that affect HIV risk in this population.
PMID
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Authors

Mayor MeshTerms

Homosexuality, Male

Population Surveillance

Rural Population

Keywords

HIV/AIDS

Southern Africa

men who have sex with men

rural

Journal Title african journal of aids research : ajar
Publication Year Start




PMID- 28367747
OWN - NLM
STAT- MEDLINE
DA  - 20170403
DCOM- 20170418
LR  - 20170418
IS  - 1727-9445 (Electronic)
IS  - 1608-5906 (Linking)
VI  - 16
IP  - 1
DP  - 2017 Mar
TI  - HIV risk and prevention among men who have sex with men in rural South Africa.
PG  - 31-38
LID - 10.2989/16085906.2017.1292925 [doi]
AB  - Rural South African men who have sex with men (MSM) are likely to be underserved 
      in terms of access to relevant healthcare and HIV prevention services. While
      research in urban and peri-urban MSM populations has identified a range of
      factors affecting HIV risk in South African MSM, very little research is
      available that examines HIV risk and prevention in rural MSM populations. This
      exploratory study begins to address this lack by assessing perceptions of HIV
      risk among MSM in rural Limpopo province. Using thematic analysis of interview
      and discussion data, two overarching global themes that encapsulated
      participants' understandings of HIV risk and the HIV risk environment in their
      communities were developed. In the first theme, "community experience and the
      rural social environment", factors affecting HIV risk within the broad risk
      environment were discussed. These included perceptions of traditional value
      systems and communities as homophobic; jealousy and competition between MSM; and 
      the role of social media as a means of meeting other MSM. The second global
      theme, "HIV/AIDS knowledge, risk and experience", focused on factors more
      immediately affecting HIV transmission risk. These included: high levels of
      knowledge of heterosexual HIV risk, but limited knowledge of MSM-specific risk;
      inconsistent condom and lubricant use; difficulties in negotiating condom and
      lubricant use due to uneven power dynamics in relationships; competition for
      sexual partners; multiple concurrent sexual partnerships; and transactional sex. 
      These exploratory results suggest that rural South African MSM, like their urban 
      and peri-urban counterparts, are at high risk of contracting HIV, and that there 
      is a need for more in-depth research into the interactions between the rural
      context and the specific HIV risk knowledge and behaviours that affect HIV risk
      in this population.
FAU - Maleke, Kabelo
AU  - Maleke K
AD  - a Anova Health Institute , Johannesburg , South Africa.
FAU - Makhakhe, Nosipho
AU  - Makhakhe N
AD  - a Anova Health Institute , Johannesburg , South Africa.
FAU - Peters, Remco Ph
AU  - Peters RP
AD  - a Anova Health Institute , Johannesburg , South Africa.
FAU - Jobson, Geoffrey
AU  - Jobson G
AD  - a Anova Health Institute , Johannesburg , South Africa.
FAU - De Swardt, Glenn
AU  - De Swardt G
AD  - a Anova Health Institute , Johannesburg , South Africa.
FAU - Daniels, Joseph
AU  - Daniels J
AD  - e Program in Global Health, Division of Infectious Diseases, David Geffen School 
      of Medicine , University of California , Los Angeles , USA.
FAU - Lane, Timothy
AU  - Lane T
AD  - g Center for AIDS Prevention Studies , University of California San Francisco ,
      USA.
FAU - McIntyre, James A
AU  - McIntyre JA
AD  - a Anova Health Institute , Johannesburg , South Africa.
AD  - f School of Public Health & Family Medicine , University of Cape Town , Cape Town
      , South Africa.
FAU - Imrie, John
AU  - Imrie J
AD  - a Anova Health Institute , Johannesburg , South Africa.
AD  - c Centre for Sexual Health and HIV Research, Faculty of Population Health
      Sciences , University College , London , UK.
AD  - d Africa Centre for Health and Population Studies , University of KwaZulu-Natal ,
      Mtubatuba , KwaZulu-Natal , South Africa.
FAU - Struthers, Helen
AU  - Struthers H
AD  - a Anova Health Institute , Johannesburg , South Africa.
AD  - b Division of infectious Diseases and HIV Medicine, Department of Medicine ,
      University of Cape Town , Cape Town , South Africa.
LA  - eng
PT  - Journal Article
PL  - South Africa
TA  - Afr J AIDS Res
JT  - African journal of AIDS research : AJAR
JID - 101146510
SB  - IM
SB  - X
MH  - Adolescent
MH  - Adult
MH  - Delivery of Health Care
MH  - HIV Infections/*epidemiology/*prevention & control/transmission
MH  - Health Knowledge, Attitudes, Practice
MH  - *Homosexuality, Male
MH  - Humans
MH  - Male
MH  - *Population Surveillance
MH  - Risk
MH  - *Rural Population
MH  - Sex Work
MH  - Sexual Behavior
MH  - Social Environment
MH  - South Africa/epidemiology
MH  - Young Adult
OTO - NOTNLM
OT  - HIV/AIDS
OT  - Southern Africa
OT  - men who have sex with men
OT  - rural
EDAT- 2017/04/04 06:00
MHDA- 2017/04/19 06:00
CRDT- 2017/04/04 06:00
AID - 10.2989/16085906.2017.1292925 [doi]
PST - ppublish
SO  - Afr J AIDS Res. 2017 Mar;16(1):31-38. doi: 10.2989/16085906.2017.1292925.

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