Understanding structural barriers to accessing HIV testing and prevention services among black men who have sex with men (BMSM) in the United States.
AIDS Behav
; 18(5): 972-96, 2014 May.
Article
em En
| MEDLINE
| ID: mdl-24531769
ABSTRACT
Structural-level factors have contributed to the substantial disproportionate rates of HIV among Black men who have sex with men (BMSM) in the United States. Despite insufficient HIV testing patterns, however, there is a void in research investigating the relationship between structural factors and access to HIV testing and prevention services among BMSM. Building on previous scholarly work and incorporating a dynamic social systems conceptual framework, we conducted a comprehensive review of the literature on structural barriers to HIV testing and prevention services among BMSM across four domains healthcare, stigma and discrimination, incarceration, and poverty. We found that BMSM experience inadequate access to culturally competent services, stigma and discrimination that impede access to services, a deficiency of services in correctional institutions, and limited services in areas where BMSM live. Structural interventions that eliminate barriers to HIV testing and prevention services and provide BMSM with core skills to navigate complex systems are needed.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Negro ou Afro-Americano
/
Aceitação pelo Paciente de Cuidados de Saúde
/
Infecções por HIV
/
Homossexualidade Masculina
/
Acessibilidade aos Serviços de Saúde
Tipo de estudo:
Prognostic_studies
/
Screening_studies
/
Systematic_reviews
Limite:
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article