See the published version of this preprint at BMC Public Health.
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Research article
Sergio Bautista-Arredondo
National Institute of Public Health
Corresponding Author
ORCiD: https://orcid.org/0000-0001-8910-3011
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background. Assisted partner notification services (APNS) may increase HIV testing, early diagnosis, and treatment, but they are not formally implemented in Mexico, where the HIV epidemic is concentrated in men who have sex with men (MSM) and transwomen (TW).
Methods. We conducted semi-structured interviews to explore partner notification with MSM, TW and health care providers to identify the essential elements to include in the design and implementation of APNS directed to MSM and TW in Mexico City. Afterwards, brainstorm sessions were carried out to produce strategies for implementing APNS.
Results. Most participants reported experiences with informal partner notification, but not with APNS. Only one health care provider indicated assisting notification systematically. The main barriers for notifying mentioned by both MSM and TW included fear of (violent) reactions, discrimination and lacking contact information of casual partners. Participants thought it was easier notifying a formal partner, conditional of being well informed about HIV. Given current stigma and lack of awareness, it was suggested that APNS should be preceded by HIV awareness efforts, and be provided by counsellors or peers to mitigate potential rejection or violent reactions.
Conclusions. While APNS are not formally implemented in Mexico, all participants supported the service, indicating that APNS can enhance early HIV diagnosis in Mexico. Strategies to implement such services need to be flexible addressing the individual needs of participants, guaranteeing the safety of more vulnerable participants.
Keywords
partner notification, HIV, men who have sex with men, transgender persons, Mexico
This is a list of supplementary files associated with this preprint. Click to download.
- APNinterviewguideaddfile1.docx
The interview guidelines, developed for this study, can be found as additional file (APN interview guide_add file_1). The document contains the interview guidelines for the interview with the MSM and TW, as well as the guidelines with the health care providers.
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CURRENT STATUS: Published
View the published article at BMC Public Health.
Version 1
Posted 30 Nov, 2020
No community comments so far
Editorial decision: Major revision
On 14 Dec, 2020
Review #4 received
Received 13 Dec, 2020
Review #1 received
Received 30 Nov, 2020
Review #3 received
Received 30 Nov, 2020
Review #2 received
Received 30 Nov, 2020
Reviewer #5 agreed
On 19 Nov, 2020
Reviewer #4 agreed
On 18 Nov, 2020
Reviewer #2 agreed
On 17 Nov, 2020
Reviewer #3 agreed
On 17 Nov, 2020
Editor assigned
On 17 Nov, 2020
Reviewers invited
Invitations sent on 17 Nov, 2020
Reviewer #1 agreed
On 17 Nov, 2020
Submission checks complete
On 15 Nov, 2020
Editor invited
On 11 Nov, 2020
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Sergio Bautista-Arredondo
National Institute of Public Health
Corresponding Author
ORCiD: https://orcid.org/0000-0001-8910-3011
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
Version 1
Posted 30 Nov, 2020
No community comments so far
Editorial decision: Major revision
On 14 Dec, 2020
Review #4 received
Received 13 Dec, 2020
Review #1 received
Received 30 Nov, 2020
Review #3 received
Received 30 Nov, 2020
Review #2 received
Received 30 Nov, 2020
Reviewer #5 agreed
On 19 Nov, 2020
Reviewer #4 agreed
On 18 Nov, 2020
Reviewer #2 agreed
On 17 Nov, 2020
Reviewer #3 agreed
On 17 Nov, 2020
Editor assigned
On 17 Nov, 2020
Reviewers invited
Invitations sent on 17 Nov, 2020
Reviewer #1 agreed
On 17 Nov, 2020
Submission checks complete
On 15 Nov, 2020
Editor invited
On 11 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Public Health.
Background. Assisted partner notification services (APNS) may increase HIV testing, early diagnosis, and treatment, but they are not formally implemented in Mexico, where the HIV epidemic is concentrated in men who have sex with men (MSM) and transwomen (TW).
Methods. We conducted semi-structured interviews to explore partner notification with MSM, TW and health care providers to identify the essential elements to include in the design and implementation of APNS directed to MSM and TW in Mexico City. Afterwards, brainstorm sessions were carried out to produce strategies for implementing APNS.
Results. Most participants reported experiences with informal partner notification, but not with APNS. Only one health care provider indicated assisting notification systematically. The main barriers for notifying mentioned by both MSM and TW included fear of (violent) reactions, discrimination and lacking contact information of casual partners. Participants thought it was easier notifying a formal partner, conditional of being well informed about HIV. Given current stigma and lack of awareness, it was suggested that APNS should be preceded by HIV awareness efforts, and be provided by counsellors or peers to mitigate potential rejection or violent reactions.
Conclusions. While APNS are not formally implemented in Mexico, all participants supported the service, indicating that APNS can enhance early HIV diagnosis in Mexico. Strategies to implement such services need to be flexible addressing the individual needs of participants, guaranteeing the safety of more vulnerable participants.
This is a list of supplementary files associated with this preprint. Click to download.
- APNinterviewguideaddfile1.docx
The interview guidelines, developed for this study, can be found as additional file (APN interview guide_add file_1). The document contains the interview guidelines for the interview with the MSM and TW, as well as the guidelines with the health care providers.
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