PMID- 33743651
OWN - NLM
STAT- MEDLINE
DCOM- 20210521
LR  - 20210521
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 21
IP  - 1
DP  - 2021 Mar 20
TI  - Developing HIV assisted partner notification services tailored to Mexican key 
      populations: a qualitative approach.
PG  - 555
LID - 10.1186/s12889-021-10612-3 [doi]
LID - 555
AB  - 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). This study aimed to explore the awareness of and need for 
      HIV partner notification, as well as to outline potential strategies for APNS 
      based on identified barriers and facilitators. METHODS: We conducted 
      semi-structured interviews to explore partner notification with MSM, TW, and 
      counselors. Afterwards, brainstorm sessions were carried out to produce 
      strategies for implementing APNS. RESULTS: Most participants reported experiences 
      with informal partner notification and serostatus disclosure, but not with APNS. 
      Only one counselor indicated assisting notification systematically. The main 
      barriers for notifying or disclosing mentioned by both MSM and TW included fear 
      of (violent) reactions, discrimination and lacking contact information of casual 
      partners. Participants thought it was easier to inform 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 counselors 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 could 
      potentially 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.
FAU - Vermandere, Heleen
AU  - Vermandere H
AD  - Division of Health Economics and Health Systems Innovations, National Institute 
      of Public Health, Avenida Universidad 655, Colonia Santa Maria Ahuacatitlan, 
      62100, Cuernavaca, Morelos, Mexico.
FAU - Aguilera-Mijares, Santiago
AU  - Aguilera-Mijares S
AD  - Division of Health Economics and Health Systems Innovations, National Institute 
      of Public Health, Avenida Universidad 655, Colonia Santa Maria Ahuacatitlan, 
      62100, Cuernavaca, Morelos, Mexico.
FAU - Martinez-Vargas, Liliane
AU  - Martinez-Vargas L
AD  - Division of Health Economics and Health Systems Innovations, National Institute 
      of Public Health, Avenida Universidad 655, Colonia Santa Maria Ahuacatitlan, 
      62100, Cuernavaca, Morelos, Mexico.
FAU - Colchero, M Arantxa
AU  - Colchero MA
AD  - Division of Health Economics and Health Systems Innovations, National Institute 
      of Public Health, Avenida Universidad 655, Colonia Santa Maria Ahuacatitlan, 
      62100, Cuernavaca, Morelos, Mexico.
FAU - Bautista-Arredondo, Sergio
AU  - Bautista-Arredondo S
AUID- ORCID: 0000-0001-8910-3011
AD  - Division of Health Economics and Health Systems Innovations, National Institute 
      of Public Health, Avenida Universidad 655, Colonia Santa Maria Ahuacatitlan, 
      62100, Cuernavaca, Morelos, Mexico. sbautista@insp.mx.
LA  - eng
GR  - CONTRATO-CENSIDA-DAI-INSP-37-2018/censida/
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210320
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Contact Tracing
MH  - *HIV Infections/diagnosis/epidemiology/prevention & control
MH  - Homosexuality, Male
MH  - Humans
MH  - Male
MH  - Mexico
MH  - Sexual Partners
MH  - *Sexual and Gender Minorities
PMC - PMC7981994
OTO - NOTNLM
OT  - HIV
OT  - Men who have sex with men
OT  - Mexico
OT  - Partner notification
OT  - Transgender persons
COIS- The authors declare that they have no competing interests.
EDAT- 2021/03/22 06:00
MHDA- 2021/05/22 06:00
PMCR- 2021/03/20
CRDT- 2021/03/21 20:28
PHST- 2020/09/22 00:00 [received]
PHST- 2021/03/11 00:00 [accepted]
PHST- 2021/03/21 20:28 [entrez]
PHST- 2021/03/22 06:00 [pubmed]
PHST- 2021/05/22 06:00 [medline]
PHST- 2021/03/20 00:00 [pmc-release]
AID - 10.1186/s12889-021-10612-3 [pii]
AID - 10612 [pii]
AID - 10.1186/s12889-021-10612-3 [doi]
PST - epublish
SO  - BMC Public Health. 2021 Mar 20;21(1):555. doi: 10.1186/s12889-021-10612-3.