Economic barriers, evidentiary gaps, and ethical conundrums: a qualitative study of physicians' challenges recommending HPV vaccination to older gay, bisexual, and other men who have sex with men.
Daniel GraceMark GasparRon RosenesRamandip GrewalAnn N BurchellTroy GrennanIrving E SalitPublished in: International journal for equity in health (2019)
Economic barriers coupled with evidentiary and guideline gaps have created clinical practice challenges for physicians and has resulted in different messages being communicated to some older GBM patients about how important HPV vaccination is for their health.
Keyphrases
- men who have sex with men
- hiv testing
- hiv positive
- primary care
- end stage renal disease
- clinical practice
- high grade
- physical activity
- ejection fraction
- chronic kidney disease
- healthcare
- newly diagnosed
- middle aged
- community dwelling
- public health
- peritoneal dialysis
- mental health
- prognostic factors
- south africa
- antiretroviral therapy
- health information
- climate change
- human immunodeficiency virus
- cervical cancer screening
- decision making
- patient reported outcomes
- health promotion