SidaGhanaV1, PubMed, Curation, bibRecord, 000106

Predictors of condom use among peer social networks of men who have sex with men in Ghana, West Africa.

Identifieur interne : 000106 ( PubMed/Curation ); précédent : 000105; suivant : 000107

Predictors of condom use among peer social networks of men who have sex with men in Ghana, West Africa.

Auteurs : Laron E. Nelson [Canada] ; Leo Wilton [Afrique du Sud] ; Thomas Agyarko-Poku [Ghana] ; Nanhua Zhang [États-Unis] ; Yuanshu Zou [États-Unis] ; Marilyn Aluoch [États-Unis] ; Vanessa Apea [Royaume-Uni] ; Samuel Owiredu Hanson [Ghana] ; Yaw Adu-Sarkodie [Ghana]

Source :

PloS one [ 1932-6203 ] ; 2015.

RBID : pubmed:25635774

Descripteurs français

KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Afrique de l'Ouest, Comportement sexuel, Ghana, Homosexualité masculine, Humains, Infections à VIH (physiopathologie), Infections à VIH (transmission), Infections à VIH (virologie), Mâle, Préservatifs masculins, Réseautage social, VIH (Virus de l'Immunodéficience Humaine) (pathogénicité).
MESH :
- pathogénicité : VIH (Virus de l'Immunodéficience Humaine).
- physiopathologie : Infections à VIH.
- virologie : Infections à VIH.
- Adolescent, Adulte, Adulte d'âge moyen, Afrique de l'Ouest, Comportement sexuel, Ghana, Homosexualité masculine, Humains, Infections à VIH, Mâle, Préservatifs masculins, Réseautage social.
Wicri :
- geographic : Ghana.

English descriptors

KwdEn :
- Adolescent, Adult, Africa, Western, Condoms, Ghana, HIV (pathogenicity), HIV Infections (physiopathology), HIV Infections (transmission), HIV Infections (virology), Homosexuality, Male, Humans, Male, Middle Aged, Sexual Behavior, Social Networking.
MESH :
- geographic : Africa, Western, Ghana.
- pathogenicity : HIV.
- physiopathology : HIV Infections.
- transmission : HIV Infections.
- virology : HIV Infections.
- Adolescent, Adult, Condoms, Homosexuality, Male, Humans, Male, Middle Aged, Sexual Behavior, Social Networking.

Abstract

Ghanaian men who have sex with men (MSM) have high rates of HIV infection. A first step in designing culturally relevant prevention interventions for MSM in Ghana is to understand the influence that peer social networks have on their attitudes and behaviors. We aimed to examine whether, in a sample of Ghanaian MSM, mean scores on psychosocial variables theorized to influence HIV/STI risk differed between peer social networks and to examine whether these variables were associated with condom use. We conducted a formative, cross-sectional survey with 22 peer social networks of MSM (n = 137) in Ghana. We assessed basic psychological-needs satisfaction, HIV/STI knowledge, sense of community, HIV and gender non-conformity stigmas, gender equitable norms, sexual behavior and condom use. Data were analyzed using analysis of variance, generalized estimating equations, and Wilcoxon two sample tests. All models were adjusted for age and income, ethnicity, education, housing and community of residence. Mean scores for all psychosocial variables differed significantly by social network. Men who reported experiencing more autonomy support by their healthcare providers had higher odds of condom use for anal (AOR = 3.29, p<0.01), oral (AOR = 5.06, p<0.01) and vaginal (AOR = 1.8, p<0.05) sex. Those with a stronger sense of community also had higher odds of condom use for anal sex (AOR = 1.26, p<0.001). Compared to networks with low prevalence of consistent condom users, networks with higher prevalence of consistent condom users had higher STD and HIV knowledge, had norms that were more supportive of gender equity, and experienced more autonomy support in their healthcare encounters. Healthcare providers and peer social networks can have an important influence on safer-sex behaviors in Ghanaian MSM. More research with Ghanaian MSM is needed that considers knowledge, attitudes, and norms of their social networks in the development and implementation of culturally relevant HIV/STI prevention intervention strategies.

DOI: 10.1371/journal.pone.0115504
PubMed: 25635774

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<term>HIV (pathogenicity)</term>
<term>HIV Infections (physiopathology)</term>
<term>HIV Infections (transmission)</term>
<term>HIV Infections (virology)</term>
<term>Homosexuality, Male</term>
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<term>Comportement sexuel</term>
<term>Ghana</term>
<term>Homosexualité masculine</term>
<term>Humains</term>
<term>Infections à VIH (physiopathologie)</term>
<term>Infections à VIH (transmission)</term>
<term>Infections à VIH (virologie)</term>
<term>Mâle</term>
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<term>Ghana</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Infections à VIH</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>HIV Infections</term>
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<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections à VIH</term>
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<term>Adult</term>
<term>Condoms</term>
<term>Homosexuality, Male</term>
<term>Humans</term>
<term>Male</term>
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<term>Social Networking</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Afrique de l'Ouest</term>
<term>Comportement sexuel</term>
<term>Ghana</term>
<term>Homosexualité masculine</term>
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<front><div type="abstract" xml:lang="en">Ghanaian men who have sex with men (MSM) have high rates of HIV infection. A first step in designing culturally relevant prevention interventions for MSM in Ghana is to understand the influence that peer social networks have on their attitudes and behaviors. We aimed to examine whether, in a sample of Ghanaian MSM, mean scores on psychosocial variables theorized to influence HIV/STI risk differed between peer social networks and to examine whether these variables were associated with condom use. We conducted a formative, cross-sectional survey with 22 peer social networks of MSM (n = 137) in Ghana. We assessed basic psychological-needs satisfaction, HIV/STI knowledge, sense of community, HIV and gender non-conformity stigmas, gender equitable norms, sexual behavior and condom use. Data were analyzed using analysis of variance, generalized estimating equations, and Wilcoxon two sample tests. All models were adjusted for age and income, ethnicity, education, housing and community of residence. Mean scores for all psychosocial variables differed significantly by social network. Men who reported experiencing more autonomy support by their healthcare providers had higher odds of condom use for anal (AOR = 3.29, p<0.01), oral (AOR = 5.06, p<0.01) and vaginal (AOR = 1.8, p<0.05) sex. Those with a stronger sense of community also had higher odds of condom use for anal sex (AOR = 1.26, p<0.001). Compared to networks with low prevalence of consistent condom users, networks with higher prevalence of consistent condom users had higher STD and HIV knowledge, had norms that were more supportive of gender equity, and experienced more autonomy support in their healthcare encounters. Healthcare providers and peer social networks can have an important influence on safer-sex behaviors in Ghanaian MSM. More research with Ghanaian MSM is needed that considers knowledge, attitudes, and norms of their social networks in the development and implementation of culturally relevant HIV/STI prevention intervention strategies.</div>
</front>
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<Abstract><AbstractText>Ghanaian men who have sex with men (MSM) have high rates of HIV infection. A first step in designing culturally relevant prevention interventions for MSM in Ghana is to understand the influence that peer social networks have on their attitudes and behaviors. We aimed to examine whether, in a sample of Ghanaian MSM, mean scores on psychosocial variables theorized to influence HIV/STI risk differed between peer social networks and to examine whether these variables were associated with condom use. We conducted a formative, cross-sectional survey with 22 peer social networks of MSM (n = 137) in Ghana. We assessed basic psychological-needs satisfaction, HIV/STI knowledge, sense of community, HIV and gender non-conformity stigmas, gender equitable norms, sexual behavior and condom use. Data were analyzed using analysis of variance, generalized estimating equations, and Wilcoxon two sample tests. All models were adjusted for age and income, ethnicity, education, housing and community of residence. Mean scores for all psychosocial variables differed significantly by social network. Men who reported experiencing more autonomy support by their healthcare providers had higher odds of condom use for anal (AOR = 3.29, p<0.01), oral (AOR = 5.06, p<0.01) and vaginal (AOR = 1.8, p<0.05) sex. Those with a stronger sense of community also had higher odds of condom use for anal sex (AOR = 1.26, p<0.001). Compared to networks with low prevalence of consistent condom users, networks with higher prevalence of consistent condom users had higher STD and HIV knowledge, had norms that were more supportive of gender equity, and experienced more autonomy support in their healthcare encounters. Healthcare providers and peer social networks can have an important influence on safer-sex behaviors in Ghanaian MSM. More research with Ghanaian MSM is needed that considers knowledge, attitudes, and norms of their social networks in the development and implementation of culturally relevant HIV/STI prevention intervention strategies.</AbstractText>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nelson</LastName>
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<AffiliationInfo><Affiliation>State University of New York at Binghamton, College of Community and Public Affairs, Department of Human Development, Binghamton, NY, United States of America; Faculty of Humanities, University of Johannesburg, Johannesburg, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Agyarko-Poku</LastName>
<ForeName>Thomas</ForeName>
<Initials>T</Initials>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Zhang</LastName>
<ForeName>Nanhua</ForeName>
<Initials>N</Initials>
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<Author ValidYN="Y"><LastName>Zou</LastName>
<ForeName>Yuanshu</ForeName>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Aluoch</LastName>
<ForeName>Marilyn</ForeName>
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<AffiliationInfo><Affiliation>University of South Florida, College of Nursing, Tampa, FL, United States of America.</Affiliation>
</AffiliationInfo>
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<ForeName>Vanessa</ForeName>
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<AffiliationInfo><Affiliation>Department of Genitourinary Medicine, Barts & the Royal London Hospital, London, United Kingdom.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Hanson</LastName>
<ForeName>Samuel Owiredu</ForeName>
<Initials>SO</Initials>
<AffiliationInfo><Affiliation>Centre for Popular Education & Human Rights Ghana, Accra, Ghana.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Adu-Sarkodie</LastName>
<ForeName>Yaw</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Kwame Nkrumah University of Science & Technology, School of Medical Sciences, Kumasi, Ghana.</Affiliation>
</AffiliationInfo>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J LGBT Health Res. 2007;3(3):55-71</RefSource>
<PMID Version="1">19042905</PMID>
</CommentsCorrections>
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	Le SIDA au Ghana (serveur d'exploration)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Le SIDA au Ghana (serveur d'exploration)

Predictors of condom use among peer social networks of men who have sex with men in Ghana, West Africa.

Predictors of condom use among peer social networks of men who have sex with men in Ghana, West Africa.

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