Idioma:

Disclosure of same-sex practices and experiences of healthcare stigma among cisgender men who have sex with men in five sub-Saharan African countries

Wiginton, John Mark ; Murray, Sarah M ; Poku, Ohemaa ; Augustinavicius, Jura ; Jackman, Kevon-Mark Phillip ; Kane, Jeremy ; Billong, Serge C ; Diouf, Daouda ; Ba, Ibrahima ; Mothopeng, Tampose ; Njindam, Iliassou Mfochive ; Turpin, Gnilane ; Tamoufe, Ubald ; Sithole, Bhekie ; Zlotorzynska, Maria ; Sanchez, Travis H ; Baral, Stefan D

BMC public health, 2021-12, Vol.21 (1), p.2206-2206, Article 2206 [Periódico revisado por pares]

England: BioMed Central Ltd

Texto completo disponível

Citações Citado por

Enviar para

Título:
Disclosure of same-sex practices and experiences of healthcare stigma among cisgender men who have sex with men in five sub-Saharan African countries
Autor: Wiginton, John Mark ; Murray, Sarah M ; Poku, Ohemaa ; Augustinavicius, Jura ; Jackman, Kevon-Mark Phillip ; Kane, Jeremy ; Billong, Serge C ; Diouf, Daouda ; Ba, Ibrahima ; Mothopeng, Tampose ; Njindam, Iliassou Mfochive ; Turpin, Gnilane ; Tamoufe, Ubald ; Sithole, Bhekie ; Zlotorzynska, Maria ; Sanchez, Travis H ; Baral, Stefan D
Assuntos: Cisgender ; Data analysis ; Delivery of Health Care ; Disclosure ; Discrimination in medical care ; Disease prevention ; Forecasts and trends ; Gays & lesbians ; Health aspects ; Health care ; Health care facilities ; Health risks ; Health services ; Healthcare stigma ; HIV ; HIV Infections - prevention & control ; Homosexuality, Male ; Human immunodeficiency virus ; Humans ; Male ; Medical personnel ; Men ; Men who have sex with men ; Mens health ; MSM (Men who have sex with men) ; Non-binary gender ; Prevention ; Public health ; Questionnaires ; Sex ; Sexual and Gender Minorities ; Sexual Behavior ; Sexual health ; Sexually transmitted diseases ; Social aspects ; Social Stigma ; Sociodemographics ; STD ; Stigma ; Stigma (Social psychology) ; Sub-Saharan Africa ; Variables
É parte de: BMC public health, 2021-12, Vol.21 (1), p.2206-2206, Article 2206
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: For men who have sex with men (MSM) across sub-Saharan Africa (SSA), disclosure of same-sex practices to family and healthcare workers (HCWs) can facilitate access to HIV prevention services and support, but can also lead to experiences of stigma. We performed mixed-effects regressions on pooled data from MSM in Cameroon, Senegal, Côte d'Ivoire, Lesotho, and eSwatini to assess associations between disclosure and sexual behavior stigma in healthcare contexts; we used logistic regressions to analyze country-specific data. Compared to participants who had not disclosed to either family or HCWs, those who had disclosed only to family were more likely to have been gossiped about by HCWs (aOR = 1.70, CI = 1.18, 2.45); the association between having disclosed to family and having felt mistreated in a health center approached, but did not achieve, statistical significance (aOR = 1.56, CI = 0.94, 2.59). Those who had disclosed only to HCWs were more likely to have feared to seek health services (aOR = 1.60, CI = 1.14, 2.25), avoided health services (aOR = 1.74, CI = 1.22, 2.50), and felt mistreated in a health center (aOR = 2.62, CI = 1.43, 4.81). Those who had disclosed to both were more likely to have feared to seek health services (aOR = 1.71, CI = 1.16, 2.52), avoided health services (aOR = 1.59, CI = 1.04, 2.42), been gossiped about by HCWs (aOR = 3.78, CI = 2.38, 5.99), and felt mistreated in a health center (aOR = 3.39, CI = 1.86, 6.20). Country-specific analyses suggested that data from Cameroon drove several of these associations. Research to determine the factors driving disclosure's differential effect on healthcare stigma across contexts is needed. Ultimately, supportive environments enabling safe disclosure is critical to understanding HIV-acquisition risks and informing differentiated HIV-prevention, treatment, and testing services for MSM across SSA.
Editor: England: BioMed Central Ltd
Idioma: Inglês

Links

View this record in MEDLINE/PubMed

Voltar para lista de resultados

Anterior Resultado 6 Avançar Ir para próxima página

Realização: Logos de Redes Sociais:

Disclosure of same-sex practices and experiences of healthcare stigma among cisgender men who have sex with men in five sub-Saharan African countries

England: BioMed Central Ltd

Buscando em bases de dados remotas. Favor aguardar.