Some Black/African American and Hispanic/Latino men who have sex with men (MSM) living with HIV do not take antiretroviral therapy (ART). We conducted semistructured interviews with 84 adult, Black/African American and Hispanic/Latino MSM with HIV to understand ART barriers and facilitators. We used chi-square statistics to identify factors associated with ART use (p ≤ .05), and selected illustrative quotes. Over half (51.2%) said they followed their doctor's instructions; however, only 27.4% reported consistently taking ART. Some men delayed ART until overcoming diagnosis denial or becoming very sick. ART use was facilitated by encouragement from others, treatment plans, side effect management, lab test improvements, pill-taking reminders, and convenient care facilities that provide "one-stop shop" services. Men were more likely to take ART when having providers who communicated effectively and were perceived to treat them with respect. Healthcare personnel can use our findings to strengthen services for MSM of color.

中文翻译：

---

与男性发生性关系的艾滋病毒阳性的非洲裔美国人和拉丁美洲人中抗逆转录病毒治疗依从性的障碍和促进者

一些与艾滋病毒感染者有性行为的黑人/非洲裔美国人和西班牙裔/拉丁美洲人不接受抗逆转录病毒疗法（ART）。我们对84位艾滋病毒感染者，成年黑人/非裔美国人和西班牙裔/拉丁美洲人MSM进行了半结构化访谈，以了解ART的障碍和促进因素。我们使用卡方统计量来确定与抗逆转录病毒药物使用相关的因素（p≤.05），并选择说明性引语。超过半数（51.2％）的人说，他们遵循了医生的指示；然而，只有27.4％的人坚持服用抗逆转录病毒药物。一些男人推迟了抗逆转录病毒治疗直到克服了诊断否认或变得非常重病。其他人的鼓励，治疗计划，副作用管理，实验室检查改进，服药提醒和便利的护理设施（提供“一站式”服务）促进了ART的使用。当提供者进行有效沟通并被尊重时，男性更容易接受抗逆转录病毒疗法。医护人员可以利用我们的发现来加强针对彩色MSM的服务。