“You Take Medications, You Live Normally”: The Role of Antiretroviral Therapy in Mitigating Men’s Perceived Threats of HIV in Côte d’Ivoire

Hendrickson, Zoé Mistrale; Naugle, Danielle; Tibbels, Natalie; Dosso, Abdul; Lith, Lynn M Van; Mallalieu, Elizabeth C.; Kamara, Diarra; Dailly-Ajavon, Patricia; Cissé, Adama; Ahanda, Kim Seifert; Thaddeus, Sereen; Babalola, Stella; Hoffmann, Christopher J.

doi:10.1007/s10461-019-02614-5

Cited by 11 publications

(11 citation statements)

References 29 publications

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“…A social and behavior change program based on the Masculine Values Framework might frame HIV testing and ART as a way for MLHIV to continue to aspire to their goals [51]. For example, early detection of HIV and prompt and sustained ART (now available to all people living with HIV for free in Côte d’Ivoire through the universal application of the Test and Treat policy) can help men maintain their physical strength and continue working.…”

Section: Discussionmentioning

confidence: 99%

Bringing fear into focus: The intersections of HIV and masculine gender norms in Côte d’Ivoire

et al. 2019

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This qualitative research study explored the role of masculinity in men’s engagement in the HIV care continuum in Côte d’Ivoire. The researchers conducted 73 in-depth interviews and 28 focus group discussions with 227 Ivoirian men between November and December 2016 across three urban sites. Participants in the study expressed that fear was the primary barrier to HIV testing and treatment. These men described five value domains–health, sexuality, work and financial success, family, and social status. Men saw HIV as a direct threat to their agency and strength with respect to each of these value domains, thus shedding light on their reluctance to discover their HIV status through HIV testing. With this data, the researchers created the Masculine Values Framework, a descriptive framework of masculine values that can be applied to better understand the behavior men exhibit in Côte d’Ivoire in the face of HIV. The Masculine Values Framework offers practical guidance for developing gender-sensitive HIV-focused social and behavior change programming in Côte d’Ivoire and similar contexts to reach the UNAIDS 90-90-90 targets.

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Section: Discussionmentioning

confidence: 99%

Bringing fear into focus: The intersections of HIV and masculine gender norms in Côte d’Ivoire

et al. 2019

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“…In response to the way in which ARVs have transformed perceptions of HIV from a life-threatening condition to a manageable, long term, chronic condition, concerns have been raised about the potential for resulting disinhibition or risk compensation behaviour (Legemate et al, 2017; Walker, 2020). Our findings suggest that there needs to be a re-framing of discourse around ARVs to enable a more informed costbenefit assessment of HIV testing for AGYW (Hendrickson et al, 2019). While efforts to de-stigmatise HIV are important, there also needs to be a balanced discussion of the realities of the onerous daily regimen of taking medications (Hendrickson et al, 2019).…”

Section: Discussionmentioning

confidence: 94%

“…Our findings suggest that there needs to be a re-framing of discourse around ARVs to enable a more informed costbenefit assessment of HIV testing for AGYW (Hendrickson et al, 2019). While efforts to de-stigmatise HIV are important, there also needs to be a balanced discussion of the realities of the onerous daily regimen of taking medications (Hendrickson et al, 2019).…”

Section: Discussionmentioning

confidence: 94%

“There is no fear in me … well, that little fear is there”: dualistic views towards HIV testing among South African adolescent girls and young women

Duby

Jonas

Appollis

et al. 2020

African Journal of AIDS Research

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Adolescents and young people in South Africa As of 2017, the HIV prevalence rate amongst young people aged 15-24 years in South Africa was 8% (Simbayi et al., 2019). Efforts to curb the HIV epidemic continue to be thwarted by low rates of HIV diagnosis and treatment initiation among adolescents in South Africa (Armstrong et al., 2013; Asaolu et al., 2016; Wong et al., 2017). Testing rates among those in the age group 15-19 are the lowest for any age group in South Africa (Maskew et al., 2019; Simbayi et al., 2019). In order to achieve the UNAIDS fast-track 90-90-90 and 95-95-95 targets, there is a need to target adolescents and young people for testing and treatment (Abuelezam et al., 2019). Adolescent girls and young women in South Africa The disproportionate burden of HIV amongst adolescent girls and young women (AGYW) in South Africa is evident, both in the 15-19 age group (4.7% in males vs 5.8% in females), and even more pronounced in the 20-24 age group (4.8% in males vs 15.6% in females) (George et al., 2020). Rates of HIV-incidence in South Africa are highest amongst AGYW aged 15-24 years (1.5% compared to 0.5% in young males of the same age (George et al., 2020). In spite of the high HIV burden and high prevalence and incidence of HIV infection among AGYW, uptake of HIV testing in this population falls short of the 90-90-90 targets (Maskew et al., 2019). A nationally representative survey conducted in South Africa in 2017 reported that 32% of females aged 15-24 years had never tested for HIV (50%

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“…Updated findings . New studies provided further examples confirming how PLHIV adapt to the ‘new normal’ and enriching our understanding of how they deal with this [ 12 , 14 , 15 , 19 , 29 , 33 , 34 , 42 , 47 , 49 , 62 , 63 , 65 , 69 , 70 , 75 ]. PLHIV who have not accepted their diagnosis, generally find it difficult to adhere to ART and engage in care.…”

Section: Resultsmentioning

confidence: 99%

Testing for saturation in qualitative evidence syntheses: An update of HIV adherence in Africa

et al. 2021

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Background A systematic review of randomised trials may be conclusive signalling no further research is needed; or identify gaps requiring further research that may then be included in review updates. In qualitative evidence synthesis (QES), the rationale, triggers, and methods for updating are less clear cut. We updated a QES on adherence to anti-retroviral treatment to examine if thematic saturation renders additional research redundant. Methods We adopted the original review search strategy and eligibility criteria to identify studies in the subsequent three years. We assessed studies for conceptual detail, categorised as ‘rich’ or ‘sparse’, coding the rich studies. We sought new codes, and appraised whether findings confirmed, extended, enriched, or refuted existing themes. Finally, we examined if the analysis impacted on the original conceptual model. Results After screening 3895 articles, 301 studies met the inclusion criteria. Rich findings from Africa were available in 82 studies; 146 studies were sparse, contained no additional information on specific populations, and did not contribute to the analysis. New studies enriched our understanding on the relationship between external and internal factors influencing adherence, confirming, extending and enriching the existing themes. Despite careful evaluation of the new literature, we did not identify any new themes, and found no studies that refuted our theory. Conclusions Updating an existing QES using the original question confirmed and sometimes enriched evidence within themes but made little or no substantive difference to the theory and overall findings of the original review. We propose this illustrates thematic saturation. We propose a thoughtful approach before embarking on a QES update, and our work underlines the importance of QES priority areas where further primary research may help, and areas where further studies may be redundant.

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“You Take Medications, You Live Normally”: The Role of Antiretroviral Therapy in Mitigating Men’s Perceived Threats of HIV in Côte d’Ivoire

Cited by 11 publications

References 29 publications

Bringing fear into focus: The intersections of HIV and masculine gender norms in Côte d’Ivoire

Bringing fear into focus: The intersections of HIV and masculine gender norms in Côte d’Ivoire

“There is no fear in me … well, that little fear is there”: dualistic views towards HIV testing among South African adolescent girls and young women

Testing for saturation in qualitative evidence syntheses: An update of HIV adherence in Africa

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