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Navigating between rules and reality: a qualitative study of HIV positive MSM's experiences of communication at HIV clinics in Sweden about the rules of conduct and infectiousness.

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  • المؤلفون: Herder T;Herder T; Agardh A; Agardh A
  • المصدر:
    AIDS care [AIDS Care] 2019 Oct; Vol. 31 (10), pp. 1304-1310. Date of Electronic Publication: 2019 Jan 11.
  • نوع النشر :
    Journal Article; Research Support, Non-U.S. Gov't
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 8915313 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0451 (Electronic) Linking ISSN: 09540121 NLM ISO Abbreviation: AIDS Care Subsets: MEDLINE
    • بيانات النشر:
      Publication: London : Informa Healthcare
      Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co., c1989-
    • الموضوع:
      Attitude of Health Personnel* ; Communication* ; Truth Disclosure*; HIV Infections/*prevention & control ; Health Personnel/*psychology ; Homosexuality, Male/*psychology; Adult ; HIV Infections/transmission ; Homosexuality, Male/statistics & numerical data ; Humans ; Information Seeking Behavior ; Male ; Physician-Patient Relations ; Qualitative Research ; Safe Sex ; Sexual Partners ; Sweden ; Viral Load
    • نبذة مختصرة :
      The rules of conduct given to people living with HIV in Sweden in accordance with the Swedish Communicable Diseases Act stipulate disclosure obligation to sexual partners and mandatory condom use. Since 2013, treating physicians have the possibility to exempt patients from this disclosure obligation when no considerable risk of transmission is present. This study explored experiences of communication with clinical staff at HIV clinics regarding rules of conduct and infectiousness among men who have sex with men (MSM) living with HIV in Sweden. In-depth interviews were carried out with 10 MSM living with HIV in Sweden. Study participants all reported unmeasurable viral loads. Data were analyzed using qualitative content analysis. Five categories and one theme, "Navigating between rules and reality", were identified. We found that MSM living with HIV had good relationships with clinical staff at HIV clinics. Inconsistencies emerged regarding how they experienced receiving information about the rules of conduct and infectiousness. The findings indicate that lack of sound routines regarding how information and rules of conduct are communicated negatively affects MSM living with HIV and poses potential risks for the individual. The participants' expressed trust in staff at HIV clinics can provide a good basis for improved communication.
    • Contributed Indexing:
      Keywords: HIV; MSM; communication; disclosure; law; qualitative content analysis
    • الموضوع:
      Date Created: 20190112 Date Completed: 20200310 Latest Revision: 20200310
    • الموضوع:
      20250114
    • الرقم المعرف:
      10.1080/09540121.2019.1566590
    • الرقم المعرف:
      30632772