title: 'Clinics aren't meant for men': sexual health care access and seeking behaviours among men in Gauteng province, South Africa.
abstract: Men may be key players in the transmission of sexually transmitted infections (STI), and it is important that STI/HIV health services reach men. The objective of this study was to explore sexual health care access and seeking behaviours in men. This study used focus groups to examine sexual health care access and seeking behaviours in men 5 years after implementation of free antiretroviral therapy (ART) in the South African public sector. Six focus groups (N=58) were conducted with men ≫18 years in an urban area of Gauteng province. Men were recruited from various locations throughout the community. Men reported several barriers and facilitators to the use of public and private clinics for sexual health services including HIV testing, and many men reported seeking care from traditional healers. Men often viewed public clinics as a place for women and reported experiences with some female nurses who were rude or judgmental of the men. Additionally, some men reported that they sought sexual health care services at public clinics; however, they were not given physical examinations by health care providers to diagnose their STI syndrome. Most men lacked knowledge about ART and avoided HIV testing because of fear of death or being abandoned by their families or friends. Study findings suggest that men still require better access to high-quality, non-judgmental sexual health care services. Future research is needed to determine the most effective method to increase men's access to sexual health care services.
authors.affiliation: Division of STD Prevention, US Centers for Disease Control & Prevention, Atlanta, GA, USA. jleichliter@cdc.gov
authors.forename: Jami S
authors.initials: JS
authors.lastname: Leichliter
authors.forename: Gabriela
authors.initials: G
authors.lastname: Paz-Bailey
authors.forename: Allison L
authors.initials: AL
authors.lastname: Friedman
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Habel
authors.forename: Alex
authors.initials: A
authors.lastname: Vezi
authors.forename: Martha
authors.initials: M
authors.lastname: Sello
authors.forename: Thato
authors.initials: T
authors.lastname: Farirai
authors.forename: David A
authors.initials: DA
authors.lastname: Lewis
mesh_terms: D000293:Adolescent; D000328:Adult; D003695:Delivery of Health Care / Q000379:methods*; D017144:Focus Groups / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D054526:Men's Health; D008875:Middle Aged; D060728:Reproductive Health; D012749:Sexually Transmitted Diseases / Q000523:psychology* / Q000628:therapy*; D013019:South Africa; D055815:Young Adult