dc.contributor.author |
Navaza, Barbara |
dc.contributor.author |
Abarca, Bruno |
dc.contributor.author |
Bisoffi, Federico |
dc.contributor.author |
Pool, Robert |
dc.contributor.author |
Roura, Maria |
dc.date |
2016-05-19T08:23:01Z |
dc.date |
2016-05-19T08:23:01Z |
dc.date |
2016-02-25 |
dc.date |
2016-05-10T15:01:18Z |
dc.identifier.citation |
1932-6203 |
dc.identifier.uri |
http://hdl.handle.net/2445/98665 |
dc.format |
18 p. |
dc.format |
application/pdf |
dc.language.iso |
eng |
dc.publisher |
Public Library of Science (PLoS) |
dc.relation |
Reproducció del document publicat a:
http://dx.doi.org/10.1371/journal.pone.0150223 |
dc.relation |
PLoS One, 2016, vol. 11, num. 2, p. 1-18 |
dc.relation |
http://dx.doi.org/10.1371/journal.pone.0150223 |
dc.rights |
cc by (c) Navaza et al., 2016 |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.rights |
http://creativecommons.org/licenses/by/3.0/es/ |
dc.subject |
VIH (Virus) |
dc.subject |
Infeccions per VIH |
dc.subject |
HIV (Viruses) |
dc.subject |
HIV infections |
dc.title |
Provider-Initiated HIV Testing for Migrants in Spain: A
Qualitative Study with Health Care Workers and Foreign-Born
Sexual Minorities |
dc.type |
info:eu-repo/semantics/article |
dc.type |
info:eu-repo/semantics/publishedVersion |
dc.description.abstract |
INTRODUCTION: Provider-initiated HIV testing (PITC) is
increasingly adopted in Europe. The success of the approach at
identifying new HIV cases relies on its effectiveness at testing
individuals most at risk. However, its suitability to reach
populations facing overlapping vulnerabilities is under
researched. This qualitative study examined HIV testing
experiences and perceptions amongst Latin-American migrant men
who have sex with men and transgender females in Spain, as well
as health professionals' experiences offering HIV tests to
migrants in Barcelona and Madrid. METHODS: We conducted 32
in-depth interviews and 8 discussion groups with 38
Latin-American migrants and 21 health professionals. We imported
verbatim transcripts and detailed field work notes into the
qualitative software package Nvivo-10 and applied to all data a
coding framework to examine systematically different HIV testing
dimensions and modalities. The dimensions analysed were based on
the World Health Organization "5 Cs" principles: Consent,
Counselling, Connection to treatment, Correctness of results and
Confidentiality. RESULTS: Health professionals reported that
PITC was conceptually acceptable for them, although their
perceived inability to adequately communicate HIV+ results and
resulting bottle necks in the flow of care were recurrent
concerns. Endorsement and adherence to the principles
underpinning the rights-based response to HIV varied widely
across health settings. The offer of an HIV test during routine
consultations was generally appreciated by users as a way of
avoiding the embarrassment of asking for it. Several
participants deemed compulsory testing as acceptable on public
health grounds. In spite of-and sometimes because of-partial
endorsement of rights-based approaches, PITC was acceptable in a
population with high levels of internalised stigma. CONCLUSION:
PITC is a promising approach to reach sexual minority migrants
who hold high levels of internalised stigma but explicit extra
efforts are needed to safeguard the rights of the most
vulnerable. |