Loading…

"I am not promiscuous enough!": Exploring the low uptake of HIV testing by gay men and other men who have sex with men in Metro Manila, Philippines

The Philippines faces a severe HIV epidemic among gay and other men who have sex with men (MSM). HIV testing uptake remains low. A case series of 12 men from Metro Manila were interviewed to explore barriers to uptake of HIV testing services. Most did not see the need to get tested for HIV despite s...

Full description

Saved in:
Bibliographic Details
Published in:PloS one 2018-07, Vol.13 (7), p.e0200256-e0200256
Main Authors: de Lind van Wijngaarden, Jan W, Ching, Andrew D, Settle, Edmund, van Griensven, Frits, Cruz, Rolando C, Newman, Peter A
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c692t-240632ce907b503de3b1af3a254e1be9c0ef1eabd90cd6dab6e788c4fa923e423
cites cdi_FETCH-LOGICAL-c692t-240632ce907b503de3b1af3a254e1be9c0ef1eabd90cd6dab6e788c4fa923e423
container_end_page e0200256
container_issue 7
container_start_page e0200256
container_title PloS one
container_volume 13
creator de Lind van Wijngaarden, Jan W
Ching, Andrew D
Settle, Edmund
van Griensven, Frits
Cruz, Rolando C
Newman, Peter A
description The Philippines faces a severe HIV epidemic among gay and other men who have sex with men (MSM). HIV testing uptake remains low. A case series of 12 men from Metro Manila were interviewed to explore barriers to uptake of HIV testing services. Most did not see the need to get tested for HIV despite significant risk, based on the misconception they were feeling well or showed no symptoms. Being of a higher socioeconomic class, feeling morally superior to other gay men, distance of the testing facility, fear of what will happen once infected, fear of HIV- and sexual stigma, fear of side effects of antiretroviral drugs and fear of high health care expenses after testing positive for HIV were key reasons why MSM kept postponing their test. Misconceptions about HIV risk, disease, and treatment and care need to be addressed in order to increase uptake of HIV services in this population.
doi_str_mv 10.1371/journal.pone.0200256
format article
fullrecord <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2065383796</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A545634676</galeid><doaj_id>oai_doaj_org_article_3e0014a994fc425d9c7951e4973b4c53</doaj_id><sourcerecordid>A545634676</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-240632ce907b503de3b1af3a254e1be9c0ef1eabd90cd6dab6e788c4fa923e423</originalsourceid><addsrcrecordid>eNqNk91u1DAQhSMEoqXwBghMkRBI7OLEjrPmAqmqCl2pVRE_vbUcZ5K4ZO1gO932OXhhnN1t1UW9QLlIPP7m2HMmkyTPUzxNSZF-uLCDM7Kb9tbAFGcYZzl7kOymnGQTlmHy8M73TvLE-wuMczJj7HGyk3Fe8IKx3eTP_hzJBTI2oN7ZhfZqsINHYOzQtK_2P6Kjq76zTpsGhRZQZ5do6IP8BcjW6Hh-jgL4MO6W16iR12gBBklTIRtpt1otW4taeQnIwxVa6tCuotqgUwjOolNpdCffo6-t7nTfawP-afKolp2HZ5v3XvLz89GPw-PJydmX-eHByUQxnoVJRjEjmQKOizLHpAJSprImMssppCVwhaFOQZYVx6pilSwZFLOZorXkGQGakb3k5Vo3VujFxk8vMsyiT6TgLBLzNVFZeSF6pxfSXQsrtVgFrGuEdEGrDgQBjFMqOae1ollecVXwPAXKC1JSlZOo9Wlz2lAuoFJggpPdluj2jtGtaOylYJjQGRuv-3Yj4OzvIdouxnZB10kDsWfjvRmd0Vn0Yi95_Q96f3UbqpGxAG1qG89Vo6g4yGnOCGXFSE3voeJTwUKr-PPVOsa3Et5tJUQmwFVo5OC9mH__9v_s2fk2--YO24LsQuttNwRtjd8G6RpUznrvoL41OcVinJ0bN8Q4O2IzOzHtxd0G3SbdDAv5C7VeFBE</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2065383796</pqid></control><display><type>article</type><title>"I am not promiscuous enough!": Exploring the low uptake of HIV testing by gay men and other men who have sex with men in Metro Manila, Philippines</title><source>Publicly Available Content (ProQuest)</source><source>PubMed Central</source><creator>de Lind van Wijngaarden, Jan W ; Ching, Andrew D ; Settle, Edmund ; van Griensven, Frits ; Cruz, Rolando C ; Newman, Peter A</creator><contributor>Melendez-Torres, G.J.</contributor><creatorcontrib>de Lind van Wijngaarden, Jan W ; Ching, Andrew D ; Settle, Edmund ; van Griensven, Frits ; Cruz, Rolando C ; Newman, Peter A ; Melendez-Torres, G.J.</creatorcontrib><description>The Philippines faces a severe HIV epidemic among gay and other men who have sex with men (MSM). HIV testing uptake remains low. A case series of 12 men from Metro Manila were interviewed to explore barriers to uptake of HIV testing services. Most did not see the need to get tested for HIV despite significant risk, based on the misconception they were feeling well or showed no symptoms. Being of a higher socioeconomic class, feeling morally superior to other gay men, distance of the testing facility, fear of what will happen once infected, fear of HIV- and sexual stigma, fear of side effects of antiretroviral drugs and fear of high health care expenses after testing positive for HIV were key reasons why MSM kept postponing their test. Misconceptions about HIV risk, disease, and treatment and care need to be addressed in order to increase uptake of HIV services in this population.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0200256</identifier><identifier>PMID: 29979766</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Adult ; Age ; AIDS ; Antiretroviral agents ; Attitude ; Biology and Life Sciences ; Cities ; Confidentiality ; Consent ; Costs ; Counseling ; Disease prevention ; Emotions ; Epidemics ; Evaluation ; Fear ; Fear - psychology ; Forecasts and trends ; Gays &amp; lesbians ; Health aspects ; Health behavior ; Health care ; Health risks ; HIV ; HIV Infections - diagnosis ; HIV tests ; Homosexuality, Male ; Human immunodeficiency virus ; Humans ; Interviews ; Male ; Mass Screening ; Medical care utilization ; Medical diagnosis ; Medical tests ; Medical treatment ; Medicine and Health Sciences ; Men ; Mens health ; MSM (Men who have sex with men) ; People and Places ; Philippines ; Public health ; R&amp;D ; Research &amp; development ; Risk-Taking ; Sex ; Sexual and Gender Minorities - psychology ; Sexual Behavior - psychology ; Sexually transmitted diseases ; Side effects ; Social aspects ; Social Stigma ; Socioeconomic Factors ; STD ; Studies ; Supervision ; Systematic review ; Young Adult</subject><ispartof>PloS one, 2018-07, Vol.13 (7), p.e0200256-e0200256</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 de Lind van Wijngaarden et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 de Lind van Wijngaarden et al 2018 de Lind van Wijngaarden et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-240632ce907b503de3b1af3a254e1be9c0ef1eabd90cd6dab6e788c4fa923e423</citedby><cites>FETCH-LOGICAL-c692t-240632ce907b503de3b1af3a254e1be9c0ef1eabd90cd6dab6e788c4fa923e423</cites><orcidid>0000-0003-2611-8739</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2065383796/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2065383796?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25752,27923,27924,37011,37012,44589,53790,53792,74997</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29979766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Melendez-Torres, G.J.</contributor><creatorcontrib>de Lind van Wijngaarden, Jan W</creatorcontrib><creatorcontrib>Ching, Andrew D</creatorcontrib><creatorcontrib>Settle, Edmund</creatorcontrib><creatorcontrib>van Griensven, Frits</creatorcontrib><creatorcontrib>Cruz, Rolando C</creatorcontrib><creatorcontrib>Newman, Peter A</creatorcontrib><title>"I am not promiscuous enough!": Exploring the low uptake of HIV testing by gay men and other men who have sex with men in Metro Manila, Philippines</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The Philippines faces a severe HIV epidemic among gay and other men who have sex with men (MSM). HIV testing uptake remains low. A case series of 12 men from Metro Manila were interviewed to explore barriers to uptake of HIV testing services. Most did not see the need to get tested for HIV despite significant risk, based on the misconception they were feeling well or showed no symptoms. Being of a higher socioeconomic class, feeling morally superior to other gay men, distance of the testing facility, fear of what will happen once infected, fear of HIV- and sexual stigma, fear of side effects of antiretroviral drugs and fear of high health care expenses after testing positive for HIV were key reasons why MSM kept postponing their test. Misconceptions about HIV risk, disease, and treatment and care need to be addressed in order to increase uptake of HIV services in this population.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>Age</subject><subject>AIDS</subject><subject>Antiretroviral agents</subject><subject>Attitude</subject><subject>Biology and Life Sciences</subject><subject>Cities</subject><subject>Confidentiality</subject><subject>Consent</subject><subject>Costs</subject><subject>Counseling</subject><subject>Disease prevention</subject><subject>Emotions</subject><subject>Epidemics</subject><subject>Evaluation</subject><subject>Fear</subject><subject>Fear - psychology</subject><subject>Forecasts and trends</subject><subject>Gays &amp; lesbians</subject><subject>Health aspects</subject><subject>Health behavior</subject><subject>Health care</subject><subject>Health risks</subject><subject>HIV</subject><subject>HIV Infections - diagnosis</subject><subject>HIV tests</subject><subject>Homosexuality, Male</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Interviews</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Medical care utilization</subject><subject>Medical diagnosis</subject><subject>Medical tests</subject><subject>Medical treatment</subject><subject>Medicine and Health Sciences</subject><subject>Men</subject><subject>Mens health</subject><subject>MSM (Men who have sex with men)</subject><subject>People and Places</subject><subject>Philippines</subject><subject>Public health</subject><subject>R&amp;D</subject><subject>Research &amp; development</subject><subject>Risk-Taking</subject><subject>Sex</subject><subject>Sexual and Gender Minorities - psychology</subject><subject>Sexual Behavior - psychology</subject><subject>Sexually transmitted diseases</subject><subject>Side effects</subject><subject>Social aspects</subject><subject>Social Stigma</subject><subject>Socioeconomic Factors</subject><subject>STD</subject><subject>Studies</subject><subject>Supervision</subject><subject>Systematic review</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNk91u1DAQhSMEoqXwBghMkRBI7OLEjrPmAqmqCl2pVRE_vbUcZ5K4ZO1gO932OXhhnN1t1UW9QLlIPP7m2HMmkyTPUzxNSZF-uLCDM7Kb9tbAFGcYZzl7kOymnGQTlmHy8M73TvLE-wuMczJj7HGyk3Fe8IKx3eTP_hzJBTI2oN7ZhfZqsINHYOzQtK_2P6Kjq76zTpsGhRZQZ5do6IP8BcjW6Hh-jgL4MO6W16iR12gBBklTIRtpt1otW4taeQnIwxVa6tCuotqgUwjOolNpdCffo6-t7nTfawP-afKolp2HZ5v3XvLz89GPw-PJydmX-eHByUQxnoVJRjEjmQKOizLHpAJSprImMssppCVwhaFOQZYVx6pilSwZFLOZorXkGQGakb3k5Vo3VujFxk8vMsyiT6TgLBLzNVFZeSF6pxfSXQsrtVgFrGuEdEGrDgQBjFMqOae1ollecVXwPAXKC1JSlZOo9Wlz2lAuoFJggpPdluj2jtGtaOylYJjQGRuv-3Yj4OzvIdouxnZB10kDsWfjvRmd0Vn0Yi95_Q96f3UbqpGxAG1qG89Vo6g4yGnOCGXFSE3voeJTwUKr-PPVOsa3Et5tJUQmwFVo5OC9mH__9v_s2fk2--YO24LsQuttNwRtjd8G6RpUznrvoL41OcVinJ0bN8Q4O2IzOzHtxd0G3SbdDAv5C7VeFBE</recordid><startdate>20180706</startdate><enddate>20180706</enddate><creator>de Lind van Wijngaarden, Jan W</creator><creator>Ching, Andrew D</creator><creator>Settle, Edmund</creator><creator>van Griensven, Frits</creator><creator>Cruz, Rolando C</creator><creator>Newman, Peter A</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-2611-8739</orcidid></search><sort><creationdate>20180706</creationdate><title>"I am not promiscuous enough!": Exploring the low uptake of HIV testing by gay men and other men who have sex with men in Metro Manila, Philippines</title><author>de Lind van Wijngaarden, Jan W ; Ching, Andrew D ; Settle, Edmund ; van Griensven, Frits ; Cruz, Rolando C ; Newman, Peter A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-240632ce907b503de3b1af3a254e1be9c0ef1eabd90cd6dab6e788c4fa923e423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adult</topic><topic>Age</topic><topic>AIDS</topic><topic>Antiretroviral agents</topic><topic>Attitude</topic><topic>Biology and Life Sciences</topic><topic>Cities</topic><topic>Confidentiality</topic><topic>Consent</topic><topic>Costs</topic><topic>Counseling</topic><topic>Disease prevention</topic><topic>Emotions</topic><topic>Epidemics</topic><topic>Evaluation</topic><topic>Fear</topic><topic>Fear - psychology</topic><topic>Forecasts and trends</topic><topic>Gays &amp; lesbians</topic><topic>Health aspects</topic><topic>Health behavior</topic><topic>Health care</topic><topic>Health risks</topic><topic>HIV</topic><topic>HIV Infections - diagnosis</topic><topic>HIV tests</topic><topic>Homosexuality, Male</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Interviews</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Medical care utilization</topic><topic>Medical diagnosis</topic><topic>Medical tests</topic><topic>Medical treatment</topic><topic>Medicine and Health Sciences</topic><topic>Men</topic><topic>Mens health</topic><topic>MSM (Men who have sex with men)</topic><topic>People and Places</topic><topic>Philippines</topic><topic>Public health</topic><topic>R&amp;D</topic><topic>Research &amp; development</topic><topic>Risk-Taking</topic><topic>Sex</topic><topic>Sexual and Gender Minorities - psychology</topic><topic>Sexual Behavior - psychology</topic><topic>Sexually transmitted diseases</topic><topic>Side effects</topic><topic>Social aspects</topic><topic>Social Stigma</topic><topic>Socioeconomic Factors</topic><topic>STD</topic><topic>Studies</topic><topic>Supervision</topic><topic>Systematic review</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Lind van Wijngaarden, Jan W</creatorcontrib><creatorcontrib>Ching, Andrew D</creatorcontrib><creatorcontrib>Settle, Edmund</creatorcontrib><creatorcontrib>van Griensven, Frits</creatorcontrib><creatorcontrib>Cruz, Rolando C</creatorcontrib><creatorcontrib>Newman, Peter A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Opposing Viewpoints In Context</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing &amp; Allied Health Source</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>Biological Sciences</collection><collection>Agriculture Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Lind van Wijngaarden, Jan W</au><au>Ching, Andrew D</au><au>Settle, Edmund</au><au>van Griensven, Frits</au><au>Cruz, Rolando C</au><au>Newman, Peter A</au><au>Melendez-Torres, G.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>"I am not promiscuous enough!": Exploring the low uptake of HIV testing by gay men and other men who have sex with men in Metro Manila, Philippines</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-07-06</date><risdate>2018</risdate><volume>13</volume><issue>7</issue><spage>e0200256</spage><epage>e0200256</epage><pages>e0200256-e0200256</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The Philippines faces a severe HIV epidemic among gay and other men who have sex with men (MSM). HIV testing uptake remains low. A case series of 12 men from Metro Manila were interviewed to explore barriers to uptake of HIV testing services. Most did not see the need to get tested for HIV despite significant risk, based on the misconception they were feeling well or showed no symptoms. Being of a higher socioeconomic class, feeling morally superior to other gay men, distance of the testing facility, fear of what will happen once infected, fear of HIV- and sexual stigma, fear of side effects of antiretroviral drugs and fear of high health care expenses after testing positive for HIV were key reasons why MSM kept postponing their test. Misconceptions about HIV risk, disease, and treatment and care need to be addressed in order to increase uptake of HIV services in this population.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29979766</pmid><doi>10.1371/journal.pone.0200256</doi><orcidid>https://orcid.org/0000-0003-2611-8739</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1932-6203
ispartof PloS one, 2018-07, Vol.13 (7), p.e0200256-e0200256
issn 1932-6203
1932-6203
language eng
recordid cdi_plos_journals_2065383796
source Publicly Available Content (ProQuest); PubMed Central
subjects Acquired immune deficiency syndrome
Adult
Age
AIDS
Antiretroviral agents
Attitude
Biology and Life Sciences
Cities
Confidentiality
Consent
Costs
Counseling
Disease prevention
Emotions
Epidemics
Evaluation
Fear
Fear - psychology
Forecasts and trends
Gays & lesbians
Health aspects
Health behavior
Health care
Health risks
HIV
HIV Infections - diagnosis
HIV tests
Homosexuality, Male
Human immunodeficiency virus
Humans
Interviews
Male
Mass Screening
Medical care utilization
Medical diagnosis
Medical tests
Medical treatment
Medicine and Health Sciences
Men
Mens health
MSM (Men who have sex with men)
People and Places
Philippines
Public health
R&D
Research & development
Risk-Taking
Sex
Sexual and Gender Minorities - psychology
Sexual Behavior - psychology
Sexually transmitted diseases
Side effects
Social aspects
Social Stigma
Socioeconomic Factors
STD
Studies
Supervision
Systematic review
Young Adult
title "I am not promiscuous enough!": Exploring the low uptake of HIV testing by gay men and other men who have sex with men in Metro Manila, Philippines
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T17%3A23%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=%22I%20am%20not%20promiscuous%20enough!%22:%20Exploring%20the%20low%20uptake%20of%20HIV%20testing%20by%20gay%20men%20and%20other%20men%20who%20have%20sex%20with%20men%20in%20Metro%20Manila,%20Philippines&rft.jtitle=PloS%20one&rft.au=de%20Lind%20van%20Wijngaarden,%20Jan%20W&rft.date=2018-07-06&rft.volume=13&rft.issue=7&rft.spage=e0200256&rft.epage=e0200256&rft.pages=e0200256-e0200256&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0200256&rft_dat=%3Cgale_plos_%3EA545634676%3C/gale_plos_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c692t-240632ce907b503de3b1af3a254e1be9c0ef1eabd90cd6dab6e788c4fa923e423%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2065383796&rft_id=info:pmid/29979766&rft_galeid=A545634676&rfr_iscdi=true