The Association of HIV Stigma and HIV/STD Knowledge With Sexual Risk Behaviors Among Adolescent and Adult Men Who Have Sex With Men in Ghana, West Africa.
Identifieur interne : 000265 ( Main/Exploration ); précédent : 000264; suivant : 000266The Association of HIV Stigma and HIV/STD Knowledge With Sexual Risk Behaviors Among Adolescent and Adult Men Who Have Sex With Men in Ghana, West Africa.
Auteurs : Laron E. Nelson ; Leo Wilton [États-Unis] ; Thomas Agyarko-Poku [Ghana] ; Nanhua Zhang [États-Unis] ; Marilyn Aluoch [États-Unis] ; Chia T. Thach [États-Unis] ; Samuel Owiredu Hanson [Ghana] ; Yaw Adu-Sarkodie [Ghana]Source :
- Research in nursing & health [ 1098-240X ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Comportement sexuel à risque (), Comportement sexuel à risque (psychologie), Connaissances, attitudes et pratiques en santé, Facteurs de l'âge, Femelle, Ghana (épidémiologie), Homosexualité masculine (), Homosexualité masculine (psychologie), Humains, Infections à VIH (psychologie), Jeune adulte, Mâle, Partenaire sexuel, Préservatifs masculins (utilisation), Stéréotypage, Études transversales.
- MESH :
- psychologie : Comportement sexuel à risque, Homosexualité masculine, Infections à VIH.
- utilisation : Préservatifs masculins.
- épidémiologie : Ghana.
- Adolescent, Adulte, Adulte d'âge moyen, Comportement sexuel à risque, Connaissances, attitudes et pratiques en santé, Facteurs de l'âge, Femelle, Homosexualité masculine, Humains, Jeune adulte, Mâle, Partenaire sexuel, Stéréotypage, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Factors, Condoms (utilization), Cross-Sectional Studies, Female, Ghana (epidemiology), HIV Infections (psychology), Health Knowledge, Attitudes, Practice, Homosexuality, Male (psychology), Homosexuality, Male (statistics & numerical data), Humans, Male, Middle Aged, Sexual Partners, Stereotyping, Unsafe Sex (psychology), Unsafe Sex (statistics & numerical data), Young Adult.
- MESH :
- geographic , epidemiology : Ghana.
- psychology : HIV Infections, Homosexuality, Male, Unsafe Sex.
- statistics & numerical data : Homosexuality, Male, Unsafe Sex.
- utilization : Condoms.
- Adolescent, Adult, Age Factors, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Sexual Partners, Stereotyping, Young Adult.
Abstract
Ghanaian men who have sex with men (MSM) have a high HIV seroprevalence, but despite a critical need to address this public health concern, research evidence has been extremely limited on influences on sexual risk behavior among MSM in Ghana. To investigate associations between HIV/STD knowledge, HIV stigma, and sexual behaviors in a sample of MSM in Ghana, we conducted a secondary data analysis of cross-sectional survey data from a non-probability sample of Ghanaian MSM (N = 137). Nearly all the men (93%) had more than one current sex partner (M = 5.11, SD = 7.4). Of those reported partners, the average number of current female sexual partners was 1.1 (SD = 2.6). Overall, knowledge levels about HIV and STDs were low, and HIV stigma was high. There was no age-related difference in HIV stigma. Younger MSM (≤25 years) used condoms less often for anal and vaginal sex than did those over 25. Relative frequency of condom use for oral sex was lower in younger men who had higher STD knowledge and also was lower in older men who reported high HIV stigma. Knowledge and stigma were not associated with condom use for anal or vaginal sex in either age group. These descriptive data highlight the need for the development of intervention programs that address HIV/STD prevention knowledge gaps and reduce HIV stigma in Ghanaian communities. Intervention research in Ghana should address age-group-specific HIV prevention needs of MSM youth.
DOI: 10.1002/nur.21650
PubMed: 25809638
Affiliations:
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type="abstract" xml:lang="en">Ghanaian men who have sex with men (MSM) have a high HIV seroprevalence, but despite a critical need to address this public health concern, research evidence has been extremely limited on influences on sexual risk behavior among MSM in Ghana. To investigate associations between HIV/STD knowledge, HIV stigma, and sexual behaviors in a sample of MSM in Ghana, we conducted a secondary data analysis of cross-sectional survey data from a non-probability sample of Ghanaian MSM (N = 137). Nearly all the men (93%) had more than one current sex partner (M = 5.11, SD = 7.4). Of those reported partners, the average number of current female sexual partners was 1.1 (SD = 2.6). Overall, knowledge levels about HIV and STDs were low, and HIV stigma was high. There was no age-related difference in HIV stigma. Younger MSM (≤25 years) used condoms less often for anal and vaginal sex than did those over 25. Relative frequency of condom use for oral sex was lower in younger men who had higher STD knowledge and also was lower in older men who reported high HIV stigma. Knowledge and stigma were not associated with condom use for anal or vaginal sex in either age group. These descriptive data highlight the need for the development of intervention programs that address HIV/STD prevention knowledge gaps and reduce HIV stigma in Ghanaian communities. Intervention research in Ghana should address age-group-specific HIV prevention needs of MSM youth.</div></front></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><li>Floride</li><li>Ohio</li><li>État de New York</li></region></list><tree><noCountry><name sortKey="Nelson, Laron E" sort="Nelson, Laron E" uniqKey="Nelson L" first="Laron E" last="Nelson">Laron E. Nelson</name></noCountry><country name="États-Unis"><region name="État de New York"><name sortKey="Wilton, Leo" sort="Wilton, Leo" uniqKey="Wilton L" first="Leo" last="Wilton">Leo Wilton</name></region><name sortKey="Aluoch, Marilyn" sort="Aluoch, Marilyn" uniqKey="Aluoch M" first="Marilyn" last="Aluoch">Marilyn Aluoch</name><name sortKey="Thach, Chia T" sort="Thach, Chia T" uniqKey="Thach C" first="Chia T" last="Thach">Chia T. Thach</name><name sortKey="Zhang, Nanhua" sort="Zhang, Nanhua" uniqKey="Zhang N" first="Nanhua" last="Zhang">Nanhua Zhang</name></country><country name="Ghana"><noRegion><name sortKey="Agyarko Poku, Thomas" sort="Agyarko Poku, Thomas" uniqKey="Agyarko Poku T" first="Thomas" last="Agyarko-Poku">Thomas Agyarko-Poku</name></noRegion><name sortKey="Adu Sarkodie, Yaw" sort="Adu Sarkodie, Yaw" uniqKey="Adu Sarkodie Y" first="Yaw" last="Adu-Sarkodie">Yaw Adu-Sarkodie</name><name sortKey="Owiredu Hanson, Samuel" sort="Owiredu Hanson, Samuel" uniqKey="Owiredu Hanson S" first="Samuel" last="Owiredu Hanson">Samuel Owiredu Hanson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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