Experiences of care-seeking behaviour for sexually transmitted infections among gay and bisexual men: A phenomenological study

Abstract

Introduction Gay and bisexual men (GBM) are stigmatized in the Ghanaian society and that negatively affect their care-seeking behaviour. We sought to understand the experiences of care-seeking behaviour (CSB) for STIs among gay and bisexual men in Bono region, Ghana.

Methods A respondent-driven sampling was used to collect data from 17 gay and bisexual men in Bono region based on phenomenological qualitative approach. The data were thematically analysed using the Atlas.ti software.

Results Results were presented under various themes with appropriate accompanying excerpts. Two broad themes emerged from the data; personal and health system experiences of treating STIs. Personal experiences such as economic conditions, knowledge on STI, marital experiences and bisexual’s partner awareness of sexual orientation had influences on CSB. Experience with the cost of treatment, stigmatisation by health care workers (HCW) and perceived quality healthcare were the health system factors found to influence CSB.

Conclusion To help improve STIs care-seeking behaviour, government need to encourage and economically empower GBM, while at the same time, improving their knowledge on STI prevention and control. The National Health Authority should intensify and monitor the implementation of the national health insurance at the private healthcare sectors without favour and discrimination for gay and bisexual men.

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

This study did not receive any funding

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

Ghana Health Service, Ghana Ethics Review Committee

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Yes

Footnotes

POA = poadomauew.edu.gh

CAY = adomahyeboahgmail.com

BN = bismark.nantomahuds.edu.gh

EM = emanuuhas.edu.gh

KM = mkushitoruhas.edu.gh

Data Availability

All data produced in the present study are available upon reasonable request to the authors

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