Let’s talk about sex: A qualitative study exploring the experiences of HIV nurses when discussing sexual risk behaviours with HIV-positive men who have sex with men

Munnik, Suzanne de; Daas, Chantal den; Ammerlaan, Heidi S. M.; Kok, Gerjo; Raethke, M; Vervoort, Sigrid C. J. M.

doi:10.1016/j.ijnurstu.2017.09.002

Cited by 9 publications

(6 citation statements)

References 20 publications

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“…Al integrar como equipo de trabajo al personal de enfermería, obstetricia, medicina, psicología y trabajo social, se podría contribuir a un abordaje desde las distintas perspectivas, evitando la estigmatización y favoreciendo el acceso a los servicios de salud. Además, de este modo, se podría enfrentar ciertas barreras al discutir la conducta sexual de riesgo con pacientes HSH seropositivos (De Munnik et al, 2017).…”

Section: Discussionunclassified

Eficacia de un programa para disminuir conductas sexuales de riesgo en hombres que tienen sexo con hombres

Elías-Risco

Chávez-Ventura²

2022

LRPP

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Antecedentes: las infecciones de transmisión sexual son un problema de salud pública y los programas para reducir su contagio se abordan mayoritariamente por el enfoque de riesgos y no desde una intervención integral. Objetivo: evaluar la eficacia del programa de intervención biográfico profesional con técnicas cognitivas conductuales para disminuir las conductas sexuales de riesgo en hombres que tienen sexo con hombres (HSH). Método: se aplicó un diseño cuasi experimental con pretest y postest de dos bloques. El primer bloque se conformó por HSH con alguna infección de transmisión sexual (ITS), 9 en el grupo experimental y 8 en el de control; mientras que, en el segundo bloque, los HSH no presentaron ITS y hubo 11 en ambos grupos. Los participantes respondieron a una escala ad-hoc, cuya validez y confiabilidad fueron evaluadas previamente. Resultados: existen diferencias entre el pretest y postest del grupo experimental y de control, con un tamaño de efecto grande, a favor del grupo experimental. Conclusiones: el programa reduce las conductas sexuales de riesgo en HSH; sin embargo, en quienes padecen alguna ITS, las conductas disminuyeron, sin extinguirse. Contribución de autoría AER: diseño y concepción del estudio, aplicación del programa, redacción de borrador del artículo, aprobación de la versión final del artículo. GCV: aporte al diseño y aplicación metodológica del estudio, contribución en el procesamiento de datos, revisión crítica del manuscrito y edición del artículo.

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Section: Discussionunclassified

Eficacia de un programa para disminuir conductas sexuales de riesgo en hombres que tienen sexo con hombres

Elías-Risco

Chávez-Ventura²

2022

LRPP

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“…This difficulty is accentuated when people are old, with professionals believing that discussing this topic goes beyond the scope of their professional role (Haesler, Bauer, & Fetherstonhaugh, ). A study conducted in the Netherlands with HIV specialized nurses shows that the main barriers to discussing risky sexual practices with MSM among professionals were embarrassment, time restrictions, the structure of the visit, and variations in the understanding of the professional role (de Munnik et al, ). Besides, a study conducted in Spain in 2013 with 1,308 primary care physicians shows that when requesting diagnostic tests for HIV and other STIs, 21.2% of participants felt uncomfortable when dealing with issues related to people's sexuality, especially among professionals older than 40 years (OR: 2.36, 95% CI: 1.45–3.86) (Agustí, Fernández, Mascort, Carrillo, & Casabona, ).…”

Section: Discussionmentioning

confidence: 99%

Exploration of clients living with HIV needs for reporting on experiences with sex

Leyva‐Moral

Feijoo-Cid

Domingo

et al. 2020

Nursing & Health Sciences

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Talking about sex with people living with HIV receives insufficient attention in health care. A cross‐sectional and exploratory study describes the preferences of people living with HIV to talk about sex with specialized HIV physicians and nurses in a clinic in Barcelona (Spain). A 27‐item self‐administered questionnaire was used between June 2017 and May 2018. One hundred fourteen people agreed to participate. Data were analyzed using multivariate logistic regression. Most of the participants reported “never or almost never” having been asked about sex practices in visits with the HIV specialist physician (n = 65 [57.0%]) or nurse (n = 74 [64.9%]). Older participants stated that neither physicians nor nurses talked about sex during visits. Women felt that physicians hardly ever asked about their sexual practices. Men who had sex with other men indicated that their physicians always asked about their sex practices compared with heterosexuals living with HIV. Health professionals should reformulate how to talk about sex with people living with HIV to facilitate communication and provide adequate care.

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“…The referral of sexual partners is a delicate and private matter, and is difficult to compare against social network referral relating to nonsexual relationships [ 11 , 12 ]. There is a need for guiding frameworks for motivational interviewing on sensitive matters, including for sexual partners [ 13 ], and limited research has been conducted in this regard.…”

Section: Introductionmentioning

confidence: 99%

Sexual Partner Referral for HIV Testing Through Social Networking Platforms: Cross-sectional Study

Chiou¹,

Hung²,

Chen³

2022

JMIR Public Health Surveill

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Background Men who have sex with men (MSM) who undergo voluntary HIV counseling and testing (VCT) often report condomless anal sexual intercourse, having many sexual partners, and being exposed to risky sexual networks. Limited research has discussed the application of motivational interviewing and convenience referral platforms to facilitate the referral of sexual partners for HIV testing among MSM. Objective This study aimed to evaluate the effects of VCT referral by sexual partners through social networking platforms and the test results after elicited interviews with MSM; compare the characteristics and risk behaviors among MSM tested without referral, index subjects, and referred sexual partners; and explore unknown sexual affiliations through visualizing and quantifying the social network graph. Methods This was a cross-sectional study. Purposeful sampling was used to recruit index subjects from a community HIV screening station frequented by MSM in Taipei City on Friday and Saturday nights. Respondent-driven sampling was used to recruit sexual partners. Partner-elicited interviews were conducted by trained staff before VCT to motivate MSM to become index subjects and refer sexual partners via the Line app, or to disclose the accounts and profiles of sexual partners on relevant social networking platforms. Referred sexual partners received rapid HIV testing, and the recruitment process was repeated until leads were exhausted. Results After the interviews, 28.2% (75/266) of MSM were successfully persuaded to become index subjects in the first wave, referring 127 sexual partners via the Line app for rapid HIV testing and disclosing 40 sexual partners. The index subjects and tested sexual partners had more sexual partners (F2=3.83, P=.02), more frequent anal intercourse (F2=10.10, P<.001), and higher percentages of those who had not previously received HIV testing (χ21=6.1, P=.047) compared with MSM tested without referrals. The new HIV-seropositivity rate among tested sexual partners was 2.4%, which was higher than the rate in the other 2 groups. The social network analysis revealed the following 4 types of sexual affiliation: chain, Y, star, and complicated. Among the HIV-negative sexual partners, 26.9% (43/160) had sexual affiliations with HIV-positive nodes, and 40% (10/25) were untested sexual partners with a direct sexual affiliation with an HIV-positive node. Four transmission bridges were found in the network graph. Conclusions Partner-elicited interviews can effectively promote referral for HIV testing and case identification via Line, and can clarify unknown sexual affiliations of MSM to facilitate the development of a tailored prevention program. Social network analysis is needed for an insightful understanding of the different network structures.

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Let’s talk about sex: A qualitative study exploring the experiences of HIV nurses when discussing sexual risk behaviours with HIV-positive men who have sex with men

Cited by 9 publications

References 20 publications

Eficacia de un programa para disminuir conductas sexuales de riesgo en hombres que tienen sexo con hombres

Eficacia de un programa para disminuir conductas sexuales de riesgo en hombres que tienen sexo con hombres

Exploration of clients living with HIV needs for reporting on experiences with sex

Sexual Partner Referral for HIV Testing Through Social Networking Platforms: Cross-sectional Study

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