From macro- to microfactors in health : Social science approaches in research on sexually transmitted infections (Volume 15, Number 1)

Perceptions of the body and sexuality are socially and culturally constructed. They are deeply influenced by historical realities, ethnic affiliation, power relations, gender roles, and concepts of morality. In the highly sensitive context of sexually transmitted infections (STIs), social science research that employs qualitative approaches is therefore especially important. It provides critical perspectives on multiple levels and takes into account biological, social, and political issues of STI coinfection or “syndemics” [1]. It also uses participatory approaches that empower patients and communities and enable culturally sensitive responses to infectious disease threats.In a Research Article published last month in PLOS Medicine’s Collection on prevention, diagnosis, and treatment of STIs, Kipruto Chesang and colleagues [2] report on their qualitative study of healthcare providers (HCPs) working in HIV clinics in Kenya. Their study investigates HCP knowledge of STIs, day-to-day STI-related screening and treatment practices, HCP attitudes about STIs, health-seeking behavior of people living with HIV (PLWHIV), and structural factors affecting the management of STIs in this setting. The results are anticipated to provide input to Kenya’s updated national STI guidelines in 2018.