Preparing for rectal microbicides: Sociocultural factors affecting product uptake among potential South American users

J.T. Galea, J.J. Kinsler, J. Imrie, C.R. Nureña, L. Ruiz, L.F. Galarza, J. Sánchez and W.E. Cunningham

American Journal of Public Health, 2014, vol. 104, issue 6, e113-e120

Abstract: Objectives. We examined views on rectal microbicides (RMs), a potential HIV prevention option, among men who have sex with men and transgender women in 3 South American cities. Methods. During September 2009 to September 2010, we conducted 10 focus groups and 36 in-depth interviews (n = 140) in Lima and Iquitos, Peru, and Guayaquil, Ecuador, to examine 5 RM domains: knowledge, thoughts and opinions about RM as an HIV prevention tool, use, condoms, and social concerns. We coded emergent themes in recorded and transcribed data sets and extracted representative quotes. We collected sociodemographic information with a self-administered questionnaire. Results. RM issues identified included limited knowledge; concerns regarding plausibility, side effects, and efficacy; impact on condomuse; target users (insertive vs receptive partners); and access concerns. Conclusions. Understanding the sociocultural issues affecting RMs is critical to their uptake and should be addressed prior to product launch.

Keywords: antiinfective agent, adolescent; adult; article; attitude to health; condom; Ecuador; female; human; Human immunodeficiency virus infection; information processing; interview; male; male homosexuality; Peru; psychological aspect; rectal drug administration; sexual behavior; transsexuality; utilization review; young adult, Administration, Rectal; Adolescent; Adult; Anti-Infective Agents; Attitude to Health; Condoms; Ecuador; Female; Focus Groups; HIV Infections; Homosexuality, Male; Humans; Interviews as Topic; Male; Peru; Sexual Behavior; Transgendered Persons; Young Adult (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301731_3

DOI: 10.2105/AJPH.2013.301731

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