A qualitative evaluation of the acceptability of shigellosis prevention recommendations among gay, bisexual, and other men who have sex with men

Details

• Alternative Title:
  Sex Transm Dis
• Personal Author:
  Burns-Lynch, Claire ; Garcia-Williams, Amanda G. ; Besrat, Bethlehem ; Kachur, Rachel ; Rosenberger, Joshua G. ; Rutt, Candace ; Vanden Esschert, Kayla L.
• Description:
  Background:
  
  Shigellosis is diarrheal disease caused by highly infectious Shigella bacteria. Shigella can spread in multiple ways, including sexual contact. Gay, bisexual, and other men who have sex with men are particularly at risk for shigellosis.
  
  Methods:
  
  To evaluate the acceptability of three CDC-developed behavioral recommendations for the prevention of sexually transmitted shigellosis, virtual in-depth interviews were conducted among twenty-six gay or bisexual men in March–May 2021.
  
  Results:
  
  Participants had a median age of 25; 65% were Non-Hispanic White, 12% were Hispanic White, 12% Asian, 4% Hispanic Black, and 8% multiracial/other. Respondents indicated willingness to engage in certain prevention behaviors (e.g., washing hands, genitals, and anus before and after sex), but were less willing to engage in behaviors that were viewed as outside social norms or difficult to practice (e.g., dental dams for oral-anal contact; latex gloves for fingering or fisting). Respondents thought recommendations may be more feasible if knowledge of shigellosis was greater; however, some perceived that the severity of shigellosis is low and did not warrant the effort of engaging in prevention behaviors.
  
  Conclusions:
  
  Educational efforts to increase awareness of shigellosis and other enteric diseases spread through sexual contact are needed and public health practitioners should consider the acceptability of how realistic it is for individuals to engage in certain prevention behaviors. Rather than recommending behaviors that do not have buy-in, it may be more efficacious to focus recommendations on adopting behaviors reported as acceptable to the target audience.
  
  
• Subjects:
  Adult Centers For Disease Control And Prevention, U.S. Dysentery, Bacillary Health Knowledge, Attitudes, Practice Homosexuality, Male Humans Male Patient Acceptance Of Health Care Qualitative Research Sexual And Gender Minorities Sexual Behavior United States Young Adult

  More +
• Keywords:
  Infectious Disease MSM Sexual Behavior Shigella
• Source:
  Sex Transm Dis. 51(8):534-539
• Pubmed ID:
  38860671
• Pubmed Central ID:
  PMC11239307
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  51
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:d76fdc3b3dfd5af2a31a07e2fd6c4943d2b4f1629ac2755397934a7e35a8c9eceb9573c6f7294553af56b744c42193b72464f327b4cdaa69afaef7af274d7ad8
• Download URL:
  https://stacks.cdc.gov/view/cdc/158692/cdc_158692_DS1.pdf
• File Type:
  [PDF - 99.74 KB ]