{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:08:23Z","timestamp":1777853303658,"version":"3.51.4"},"reference-count":50,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100018427","name":"Arnold School of Public Health, University of South Carolina","doi-asserted-by":"publisher","award":["115400-21-56809"],"award-info":[{"award-number":["115400-21-56809"]}],"id":[{"id":"10.13039\/100018427","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>HIV continues to be an important public health concern in South Carolina (SC). However, an examination of providers\u2019 willingness to use mHealth technologies to address ongoing barriers to HIV care and prevention strategies, particularly among men who have sex with men (MSM) is currently lacking in SC. We therefore explored HIV care providers\u2019 perceptions of HIV testing and treatment uptake among MSM, and providers\u2019 willingness to use mHealth technology to address barriers to HIV testing and treatment in SC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Between August and December 2021, we conducted semistructured virtual interviews with 10 HIV care providers recruited purposively based on their experience (2-11 years of service) providing HIV-related services to MSM in peri-urban (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20097) and rural (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20093) SC. The interviews were audio recorded, lasted 40\u201370\u2005min, and were transcribed verbatim. The interview transcripts were analyzed inductively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five themes emerged from the analysis: (a) challenges to HIV testing services; (b) concerns about HIV knowledge and status in the MSM community; (c) mixed feelings about HIV self-testing; (d) providers\u2019 perception of HIV treatment uptake and retention; and (e) potential of mHealth technology for the delivery of HIV care. Overall, participants reported limited resources, homophobia, medical mistrust, distance, medical costs, and HIV-related stigma as major barriers to HIV testing and treatment uptake in their localities (especially in rural areas). Particularly, they reported that MSM experience significant stigma associated with their sexual orientation and HIV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Given barriers to care such as stigma and lack of access to care still impede MSM from receiving appropriate HIV services, mHealth-connected approaches could potentially address the barriers to HIV testing and care among MSM and improve their health outcomes. This is key to ending the HIV epidemic in SC and the United States by 2030.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582251343669","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T03:02:21Z","timestamp":1748314941000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Healthcare Providers\u2019 Perspective on HIV Testing and Hypothetical mHealth-connected Linkage to Care Among Men who have Sex with Men (MSM) in South Carolina"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3481-7905","authenticated-orcid":false,"given":"Tony","family":"Brown","sequence":"first","affiliation":[{"name":"University of South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5859-2983","authenticated-orcid":false,"given":"Prince Nii Ossah","family":"Addo","sequence":"additional","affiliation":[{"name":"University of South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique J.","family":"Brown","sequence":"additional","affiliation":[{"name":"University of South Carolina"},{"name":"University of South Carolina"},{"name":"University of South Carolina"},{"name":"University of South Carolina"},{"name":"Centre for Health Systems Research &amp; Development, University of the Free State, Bloemfontein, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5555-9034","authenticated-orcid":false,"given":"Xiaoming","family":"Li","sequence":"additional","affiliation":[{"name":"University of South Carolina"},{"name":"University of South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1462-9275","authenticated-orcid":false,"given":"Oluwafemi","family":"Adeagbo","sequence":"additional","affiliation":[{"name":"College of Public Health, University of Iowa"},{"name":"University of Johannesburg"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,27]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2013.824535"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-017-0325-8"},{"key":"e_1_3_3_4_2","unstructured":"Control CfD Prevention. HIV in the United States by Region: HIV Incidence. CDC website. Published May. 2022. August 11 2022;3. https:\/\/www.cdc.gov\/hiv\/statistics\/overview\/incidence.html. Accessed October 9 2023."},{"key":"e_1_3_3_5_2","unstructured":"CDC. Fast Facts: HIV in the United States. May. 2024;14. https:\/\/www.cdc.gov\/hiv\/data-research\/facts-stats\/index.html. Accessed June 28 2024."},{"key":"e_1_3_3_6_2","unstructured":"Control SCDoHaE. HIV AIDS STD Data and Reports. 2024. Accessed June 28 2024. https:\/\/scdhec.gov\/hiv-aids-std-data-reports"},{"key":"e_1_3_3_7_2","unstructured":"AIDSVu. South Carolina. 2024. Accessed October 12 2024. https:\/\/aidsvu.org\/local-data\/united-states\/south\/south-carolina\/"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.1343"},{"key":"e_1_3_3_9_2","unstructured":"HIV.gov. Priority Jurisdictions: Phase I. 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