{"doi":"10.1371/journal.pone.0195000","title":"Structural barriers to HIV prevention among men who have sex with men (MSM) in Vietnam: Diversity, stigma, and healthcare access","abstract":null,"journal":"PLOS ONE","year":2018,"id":617929,"datarank":0.6573039952010823,"base_score":4.382026634673881,"endowment":4.382026634673881,"self_citation_contribution":0.6573039952010823,"citation_network_contribution":0.0,"self_endowment_contribution":0.6573039952010823,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":79,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":610794,"name":"Jennifer S. Hirsch","orcid":"0000-0001-9038-7832","position":1,"is_corresponding":false},{"id":597379,"name":"Patrick A. Wilson","orcid":"0000-0003-2027-7587","position":2,"is_corresponding":false},{"id":735106,"name":"An Thanh Ly","orcid":"0000-0002-2093-1086","position":3,"is_corresponding":false},{"id":732719,"name":"Le Minh Giang","orcid":"0000-0003-2385-5362","position":4,"is_corresponding":false},{"id":1402589,"name":"Richard G. Parker","orcid":null,"position":5,"is_corresponding":false},{"id":340336,"name":"Morgan M. Philbin","orcid":"0000-0001-7608-7921","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Structural barriers to HIV prevention among men who have sex with men (MSM) in Vietnam: Diversity, stigma, and healthcare access","abstract":"Men who have sex with men (MSM) in Vietnam experience disproportionate rates of HIV infection. To advance understanding of how structural barriers may shape their engagement with HIV prevention services, we draw on 32 in-depth interviews and four focus groups (n = 31) conducted with MSM in Hanoi between October 2015- March 2016. Three primary factors emerged: (1) Diversity, both in relation to identity and income; Vietnamese MSM described themselves as segregated into Bóng kín (hidden, often heterosexually-identified MSM) and Bóng lộ ('out,' transgender, or effeminate MSM). Lower-income, 'hidden' MSM from rural areas were reluctant to access MSM-targeted services; (2) Stigma: MSM reported being stigmatized by the healthcare system, family, and other MSM; and (3) Healthcare access: this was limited due to economic barriers and lack of MSM-friendly services. Our research suggests the need for multiple strategies to reach diverse types of MSM as well as to address barriers in access to health services such as stigma and costs. While a great deal has been written about the diversity of MSM in relation to gender performance and sexual identities, our research points to the substantial structural-level barriers that must be addressed in order to achieve meaningful and effective HIV prevention for MSM worldwide.","is_dataset_classified":null,"base_score":4.382026634673881,"endowment":4.382026634673881,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"29614104","pmcid":"PMC5882136","openalex_id":"https://openalex.org/W2795894102","authors":[],"funders":[{"funder_name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","grant_id":"5R24HD056691","title":null},{"funder_name":"National Institute on Drug Abuse","grant_id":"K01DA039804A","title":null},{"funder_name":"Foundation for the National Institutes of Health","grant_id":"P2-CHD058486","title":null},{"funder_name":"NIDA NIH HHS","grant_id":"K01 DA039804","title":null},{"funder_name":"NIH HHS","grant_id":"R24 HD056691 ","title":null},{"funder_name":"NICHD NIH HHS","grant_id":"P2C HD058486","title":null},{"funder_name":"NICHD NIH HHS","grant_id":"R24 HD058486","title":null},{"funder_name":"National Institutes of Health","grant_id":"5R24HD056691-03","title":"Social Science Training and Research SMS-HMU Partnership"},{"funder_name":"National Institutes of Health","grant_id":"2P2CHD058486-06","title":"Columbia Population Research Center"}],"total_grants":9,"fwci":3.8184,"citation_percentile":0.94611819,"influential_citations":0,"citation_trend":[{"year":2018,"count":1},{"year":2019,"count":4},{"year":2020,"count":12},{"year":2021,"count":11},{"year":2022,"count":17},{"year":2023,"count":8},{"year":2024,"count":8},{"year":2025,"count":14},{"year":2026,"count":4}],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0195000&type=printable","host_type":"journal"},{"url":"https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0195000&type=printable","host_type":"publisher"},{"url":"http://dx.plos.org/10.1371/journal.pone.0195000","host_type":"publisher"},{"url":"https://doi.org/10.1371/journal.pone.0195000","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/29614104","host_type":"repository"},{"url":"https://doi.org/10.7916/D8V99RBW","host_type":"repository"},{"url":"https://doaj.org/article/f6c01156237c45839bc9cc6b01433ea1","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5882136","host_type":"repository"},{"url":"https://doi.org/10.7916/d8v99rbw","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC5882136","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC5882136?pdf=render","host_type":"Europe_PMC"},{"url":"https://dx.doi.org/10.7916/d8v99rbw","host_type":""},{"url":"https://dx.doi.org/10.60692/2n5sg-wa793","host_type":""},{"url":"https://dx.doi.org/10.60692/7k7ry-n9553","host_type":""},{"url":"http://dx.doi.org/10.1371/journal.pone.0195000","host_type":""},{"url":"https://dx.doi.org/10.1371/journal.pone.0195000","host_type":""},{"url":"https://doi.org/https://doi.org/10.7916/D8V99RBW","host_type":""}],"fields_of_study":["HIV/AIDS Research and Interventions","HIV, Drug Use, Sexual Risk","Sex work and related issues","0302 clinical medicine","03 medical and health sciences"],"mesh_terms":["Adolescent","Adult","Health Services Accessibility","Humans","Male","Middle Aged","Sex Factors","Socioeconomic Factors","Vietnam","HIV Infections","Homosexuality, Male","Sexuality","Young Adult","Social Stigma"],"keywords":["Men who have sex with men","Stigma (botany)","Human immunodeficiency virus (HIV)","Diversity (politics)","Male Homosexuality","Health care","Social stigma","Homosexuality","Medicine","Gerontology","Demography","Family medicine","Gender studies","Political science","Sociology","Psychiatry","Syphilis","Male","Sociology and Political Science","Epidemiology","Social Sciences","HIV Infections","FOS: Health sciences","Social psychology","Health Services Accessibility","Gay men--Diseases","Psychology","Q","R","Middle Aged","FOS: Sociology","FOS: Philosophy, ethics and religion","FOS: Psychology","Infectious Diseases","Vietnam","Sexual orientation","Sexuality","Research Article","Adult","Adolescent","Science","610","Vietnamese","Social medicine","Gay men--Sexual behavior","Young Adult","Sex Factors","Stigma (Social psychology)","Health Sciences","Humans","Global Epidemiology of HIV and Drug Use","Homosexuality, Male","Prevention and Treatment of HIV/AIDS Infection","HIV","Linguistics","Global Impact of Sex Work and Trafficking","Philosophy","Socioeconomic Factors","HIV infections—Prevention","Transgender","FOS: Languages and literature"],"sdg_mappings":[{"sdg_number":3,"sdg_label":"3. 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