A qualitative analysis of multi-level barriers to HIV testing among women in Lebanon
A qualitative analysis of multi-level barriers to HIV testing among women in Lebanon
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DOI：
10.1080/13691058.2017.1282045
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发表时间：
2017-01-01
影响因子：
2.2
通讯作者：
Khoshnood, Kaveh
中科院分区：
文献类型：
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作者：
Clark, Kirsty A.;Keene, Danya E.;Khoshnood, Kaveh
尽管与其他地区相比，中东和北非地区的艾滋病毒病例数较低，但最近的研究表明，发病率正在上升，尤其是在高危人群中；特别是，人们对该地区的妇女和艾滋病毒知之甚少。通过对性保健提供者和非政府组织工作人员的半结构化访谈，我们试图了解黎巴嫩妇女进行艾滋病毒检测的障碍。通过滚雪球抽样，从大贝鲁特地区招募了关键信息提供者（12 名医生、9 名非政府组织工作人员）。使用扎根理论框架对数据进行分析。研究结果发现，在适应的社会生态模型的各个层面上，女性进行艾滋病毒检测的障碍（即社会文化障碍、政策障碍、人际医疗保健提供者障碍和个人障碍）。主要发现包括将性视为禁忌的文化；妇女缺乏性健康教育；害怕披露艾滋病毒检测和诊断；与污名化保险单相关的财务障碍；以及提供者对女性的态度。研究结果可用于为黎巴嫩和更大地区的妇女提供多层次的与艾滋病毒相关的性健康干预措施。
While the number of HIV cases in the Middle East and North Africa region is low compared to other regions, recent studies show that incidence isincreasing especially among high-risk populations; in particular, little is known about women and HIV in the region. Through semi-structured interviews with sexual healthcare providers and staff at non-governmental organisations, we sought to understand barriers to HIV testing among women in Lebanon. Using snowball sampling, key informants were recruited from greater Beirut (12 physicians, 9 non-governmental organisation staff). Data were analysed using a grounded theory framework. Findings identified barriers to HIV testing among women at each level of an adapted social-ecological model (i.e. social-cultural barriers, policy barriers, interpersonal healthcare provider barriers and intrapersonal barriers). Primary findings include the culture of sex as taboo; lack of sexual health education among women; fear of disclosing HIV testing and diagnosis; financial barriers linked to stigmatising insurance policies; and provider attitudes towards women. Findings can be used to inform HIV-related sexual health interventions at multiple levels for women in Lebanon and the greater region.