Social vulnerability and HIV testing among South African men who have sex with men (MSM)
Identifieur interne : 001545 ( Ncbi/Merge ); précédent : 001544; suivant : 001546Social vulnerability and HIV testing among South African men who have sex with men (MSM)
Auteurs : Justin Knox [États-Unis] ; Theo Sandfort [États-Unis] ; Huso Yi [République populaire de Chine] ; Vasu Reddy [Afrique du Sud] ; Senkhu Maimane [Afrique du Sud]Source :
- International journal of STD & AIDS [ 0956-4624 ] ; 2011.
Abstract
This study examined whether social vulnerability is associated with HIV testing among South African MSM. A community-based survey was conducted with 300 MSM in Pretoria in 2008. The sample was stratified by age, race, and residential status. Social vulnerability was assessed using measures of demographic characteristics, psychosocial determinants, and indicators of sexual minority stress. Being Black, living in a township and lacking HIV knowledge reduced MSM’s likelihood of ever having tested for HIV. Among those who had tested, lower income and not self-identifying as gay reduced men’s likelihood of having tested more than once. Lower income and internalized homophobia reduced men’s likelihood of having tested recently. Overall, MSM in socially vulnerable positions were less likely to get tested for HIV. Efforts to mitigate the effects of social vulnerability on HIV testing practices are needed in order to encourage regular HIV testing among South African MSM.
Url:
DOI: 10.1258/ijsa.2011.010350
PubMed: 22174050
PubMed Central: 3243961
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PMC:3243961Le document en format XML
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<front><div type="abstract" xml:lang="en"><title>Summary</title>
<p id="P1">This study examined whether social vulnerability is associated with HIV testing among South African MSM. A community-based survey was conducted with 300 MSM in Pretoria in 2008. The sample was stratified by age, race, and residential status. Social vulnerability was assessed using measures of demographic characteristics, psychosocial determinants, and indicators of sexual minority stress. Being Black, living in a township and lacking HIV knowledge reduced MSM’s likelihood of ever having tested for HIV. Among those who had tested, lower income and not self-identifying as gay reduced men’s likelihood of having tested more than once. Lower income and internalized homophobia reduced men’s likelihood of having tested recently. Overall, MSM in socially vulnerable positions were less likely to get tested for HIV. Efforts to mitigate the effects of social vulnerability on HIV testing practices are needed in order to encourage regular HIV testing among South African MSM.</p>
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Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, USA</aff>
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HIV Center for Clinical and Behavioral Studies, Department of Psychiatry, Columbia University and New York State Psychiatric Institute, New York, USA</aff>
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School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SAR, China</aff>
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Policy Analysis and Capacity Enhancement Unit, Human Sciences Research Council, and the University of KwaZulu-Natal, South Africa</aff>
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OUT LGBT Well-Being, Pretoria, South Africa</aff>
<author-notes><corresp id="FN1">Correspondence should be sent to: Justin Knox, Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, USA. <email>jrk2115@columbia.edu</email>
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<abstract><title>Summary</title>
<p id="P1">This study examined whether social vulnerability is associated with HIV testing among South African MSM. A community-based survey was conducted with 300 MSM in Pretoria in 2008. The sample was stratified by age, race, and residential status. Social vulnerability was assessed using measures of demographic characteristics, psychosocial determinants, and indicators of sexual minority stress. Being Black, living in a township and lacking HIV knowledge reduced MSM’s likelihood of ever having tested for HIV. Among those who had tested, lower income and not self-identifying as gay reduced men’s likelihood of having tested more than once. Lower income and internalized homophobia reduced men’s likelihood of having tested recently. Overall, MSM in socially vulnerable positions were less likely to get tested for HIV. Efforts to mitigate the effects of social vulnerability on HIV testing practices are needed in order to encourage regular HIV testing among South African MSM.</p>
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