Mapping evidence on health promotion in HIV testing among men who have sex with men and transgender women using the social-ecological model and the vulnerability theoretical framework: a scoping review

BMC Public Health

Research

Thais Aranha Rossi¹  Inês Dourado²  Marcelo Eduardo Pfeiffer Castellanos²  Camila Amaral Moreno Freitas²  Laio Magno³  Nathalia Sernizon Guimarães³ 

[1] Departamento de Ciências da Vida, Universidade do Estado da Bahia (UNEB), 2555 Silveira Martins Street, 41150000, Salvador, BA, Brazil;Instituto de Saúde Coletiva, Universidade Federal da Bahia (UFBA), Basílio da Gama Street, 40110-040, Salvador, BA, Brazil;Instituto de Saúde Coletiva, Universidade Federal da Bahia (UFBA), Basílio da Gama Street, 40110-040, Salvador, BA, Brazil;Departamento de Ciências da Vida, Universidade do Estado da Bahia (UNEB), 2555 Silveira Martins Street, 41150000, Salvador, BA, Brazil;

关键词: Testing barriers;    Testing facilitators;    Health promotion;    HIV testing;    Community approaches;    Social vulnerability;    Socio-ecological model;   

DOI  :  10.1186/s12889-023-16860-9

 received in 2023-02-02, accepted in 2023-09-29,  发布年份 2023

来源: Springer

【 摘 要 】

This study aimed to map the scientific evidence on health promotion in human immunodeficiency virus) HIV testing among men who have sex with men (MSM) and transgender women (TGW) based on the social-ecological model (i.e., individual, organizational and social levels) and the theoretical framework of vulnerability (i.e., individual, social, and programmatic levels). The reviewed studies indicated several barriers to accessing HIV testing (e.g., economic, structural, and bureaucratic) and demonstrated the potential for community approaches to promote greater access to HIV testing and minimize the stigma and discrimination associated with HIV testing, primarily through community leadership and social support networks. The socio-ecological model of health promotion and the vulnerability approach have the potential to contribute to improving HIV testing services by balancing the technical and political power of health services and providers with community participation while considering the social contexts. Therefore, there is a need for reflection on health promotion policies and programs aimed at expanding access to HIV testing among MSM and TGW through interventions that consider the social contexts and cultural perspectives. Moreover, inter-sectoral strategies aimed at improving living conditions and access to fundamental resources for maintaining health and well-being should be considered.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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