Le SIDA en Afrique subsaharienne (serveur d'exploration)

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Social vulnerability and HIV testing among South African men who have sex with men (MSM)

Identifieur interne : 001545 ( Ncbi/Merge ); précédent : 001544; suivant : 001546

Social 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 :

RBID : PMC:3243961

Abstract

Summary

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:3243961

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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>
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<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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