Facilitating access to sexual health services for men who have sex with men and male-to-female transgender persons in Guatemala City. 2012

Sabrina Boyce, and Clare Barrington, and Herbert Bolaños, and Cesar Galindo Arandi, and Gabriela Paz-Bailey
Tephinet Inc., Atlanta, Georgia, USA. boyce.sabrina@gmail.com

The purpose of this study was to identify barriers to accessing sexual health services among gay, bisexual and heterosexual-identifying men who have sex with men and male-to-female transgender persons in Guatemala City, to inform the development of high quality and population-friendly services. In-depth, semi-structured interviews were conducted with 29 purposively sampled individuals, including 8 transgender, 16 gay/bisexual and 5 heterosexual-identifying participants. Topical codes were applied to the data using software Atlas.ti™ to compare data between sub-groups. Analysis revealed that public clinics were most commonly used due to their lower cost and greater accessibility, but many participants experienced discrimination, violation of confidentiality and distrust of these services. Transgender and gay/bisexual-identifying participants preferred clinics where they felt a sense of belonging, while heterosexual-identifying participants preferred clinics unassociated with the men who have sex with men community. The most prominent barriers to sexual health services included fear of discrimination, fear of having HIV, cost and lack of social support. Findings highlight the need to strengthen existing public sexually transmitted infection clinics so that they address the multiple layers of stigma and discrimination that men who have sex with men and transgender persons experience.

UI MeSH Term Description Entries
D007398 Interpersonal Relations The reciprocal interaction of two or more persons. Social Relationships,Husband-Wife Communication,Partner Communication,Communication, Husband-Wife,Communication, Partner,Husband Wife Communication,Husband-Wife Communications,Interpersonal Relation,Partner Communications,Relation, Interpersonal,Relationship, Social,Social Relationship
D008297 Male Males
D010342 Patient Acceptance of Health Care Patients' willingness to receive health care. Acceptability of Health Care,Health Care Seeking Behavior,Acceptability of Healthcare,Acceptors of Health Care,Health Care Utilization,Nonacceptors of Health Care,Patient Acceptance of Healthcare,Care Acceptor, Health,Care Acceptors, Health,Care Nonacceptor, Health,Care Nonacceptors, Health,Health Care Acceptability,Health Care Acceptor,Health Care Acceptors,Health Care Nonacceptor,Health Care Nonacceptors,Healthcare Acceptabilities,Healthcare Acceptability,Healthcare Patient Acceptance,Healthcare Patient Acceptances,Utilization, Health Care
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D005260 Female Females
D006166 Guatemala A country in CENTRAL AMERICA bordering the North Pacific Ocean, between EL SALVADOR and MEXICO, and bordering the Gulf of Honduras (Caribbean Sea) between HONDURAS and BELIZE.
D006297 Health Services Accessibility The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others. Access To Care, Health,Access to Care,Access to Contraception,Access to Health Care,Access to Health Services,Access to Medications,Access to Medicines,Access to Therapy,Access to Treatment,Accessibility of Health Services,Availability of Health Services,Contraception Access,Contraceptive Access,Medication Access,Accessibility, Health Services,Contraceptive Availability,Health Services Geographic Accessibility,Program Accessibility,Access to Cares,Access to Contraceptions,Access to Medication,Access to Medicine,Access to Therapies,Access to Treatments,Access, Contraception,Access, Contraceptive,Access, Medication,Accessibilities, Health Services,Accessibility, Program,Availability, Contraceptive,Care, Access to,Cares, Access to,Contraception, Access to,Contraceptive Accesses,Health Services Availability,Medication Accesses,Medication, Access to,Medicine, Access to,Medicines, Access to,Therapy, Access to,Treatment, Access to
D006301 Health Services Needs and Demand Health services required by a population or community as well as the health services that the population or community is able and willing to pay for. Health Services Needs,Needs,Needs and Demand, Health Services,Target Population,Health Services Need,Need, Health Services,Needs, Health Services,Population, Target,Populations, Target,Target Populations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

Sabrina Boyce, and Clare Barrington, and Herbert Bolaños, and Cesar Galindo Arandi, and Gabriela Paz-Bailey
April 2012, Archives of sexual behavior,
Sabrina Boyce, and Clare Barrington, and Herbert Bolaños, and Cesar Galindo Arandi, and Gabriela Paz-Bailey
July 2013, Archives of sexual behavior,
Sabrina Boyce, and Clare Barrington, and Herbert Bolaños, and Cesar Galindo Arandi, and Gabriela Paz-Bailey
January 2020, PloS one,
Sabrina Boyce, and Clare Barrington, and Herbert Bolaños, and Cesar Galindo Arandi, and Gabriela Paz-Bailey
January 2016, Journal of health care for the poor and underserved,
Sabrina Boyce, and Clare Barrington, and Herbert Bolaños, and Cesar Galindo Arandi, and Gabriela Paz-Bailey
January 2024, PloS one,
Sabrina Boyce, and Clare Barrington, and Herbert Bolaños, and Cesar Galindo Arandi, and Gabriela Paz-Bailey
December 2017, AIDS and behavior,
Sabrina Boyce, and Clare Barrington, and Herbert Bolaños, and Cesar Galindo Arandi, and Gabriela Paz-Bailey
January 2022, SAGE open medicine,
Sabrina Boyce, and Clare Barrington, and Herbert Bolaños, and Cesar Galindo Arandi, and Gabriela Paz-Bailey
February 2017, Medical care,
Sabrina Boyce, and Clare Barrington, and Herbert Bolaños, and Cesar Galindo Arandi, and Gabriela Paz-Bailey
February 2015, AIDS and behavior,
Sabrina Boyce, and Clare Barrington, and Herbert Bolaños, and Cesar Galindo Arandi, and Gabriela Paz-Bailey
October 2010, Praxis,
Copied contents to your clipboard!