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Challenges for Accessing and Maintaining Good Quality of HIV Care among Men Who Have Sex with Men Living with HIV in China: A Qualitative Study with Key Stakeholders

Citation

Li, Chunyan; Barrington, Clare; Jiang, Hua; Lei, Gang; Golin, Carol Elaine; Fisher, Edwin B.; & Muessig, Kathryn E. (2020). Challenges for Accessing and Maintaining Good Quality of HIV Care among Men Who Have Sex with Men Living with HIV in China: A Qualitative Study with Key Stakeholders. AIDS Care, 32(Suppl. 2), S119-26. PMCID: PMC7165036

Abstract

HIV care in China is shifting toward a community-based model involving a wide range of stakeholders. We aimed to understand key stakeholders' perceived challenges of providing high-quality care for men who have sex with men (MSM) living with HIV. In-depth interviews were conducted with a diverse sample of stakeholders (Nā€‰=ā€‰17) in two Chinese cities, including providers, policymakers, and community workers. Interviews focused on stakeholders' challenges in HIV-related work and perceived barriers for MSM in accessing and maintaining HIV care. Thematic analysis strategies were used. Three cross-cutting themes related to accessibility and quality of care (QoC) emerged. First, MSM- and HIV-related stigma were perceived to increase the risk of MSM dropping out of care. While acknowledging stigma, some providers also expressed discriminatory views such as stereotypes of the MSM community. Second, stakeholders expressed concerns about QoC including healthcare workforce shortages, limited training opportunities, and high work stress while facing increasingly unmet needs from clients. Third, stakeholders shared challenges in mobilizing community resources to expand HIV care including unclear division of responsibility and strict auditing. Supportive policies and resources may be needed to bolster China's primary care workforce and MSM-competent care and, more broadly, high QoC for sexual and gender minority patients.

URL

http://dx.doi.org/10.1080/09540121.2020.1739210

Reference Type

Journal Article

Journal Title

AIDS Care

Author(s)

Li, Chunyan
Barrington, Clare
Jiang, Hua
Lei, Gang
Golin, Carol Elaine
Fisher, Edwin B.
Muessig, Kathryn E.

Year Published

2020

Volume Number

32

Issue Number

Suppl. 2

Pages

S119-26

PMCID

PMC7165036

NIHMSID

NIHMS1574363

Reference ID

12670