How intersectional constructions of sexuality, culture, and masculinity shape identities and sexual decision-making among men who have sex with men in coastal Kenya
Identifieur interne : 001603 ( Main/Exploration ); précédent : 001602; suivant : 001604How intersectional constructions of sexuality, culture, and masculinity shape identities and sexual decision-making among men who have sex with men in coastal Kenya
Auteurs : Miriam Midoun [États-Unis] ; Sylvia Shangani [États-Unis, Kenya] ; Bibi Mbete [Kenya] ; Shadrack Babu [Kenya] ; Melissa Hackman [États-Unis] ; Elise Van Der Elst [Kenya] ; Eduard J. Sanders [Kenya, Royaume-Uni] ; Adrian Smith [Royaume-Uni] ; Don Operario [États-Unis]Source :
- Culture, health & sexuality [ 1369-1058 ] ; 2015.
Abstract
Men who have sex with men are increasingly recognised as one of the most vulnerable HIV risk groups in Kenya. Se between men is highly stigmatised in Kenya, and efforts to provide sexual health services to men who have sex with men require a deeper understanding of their lived experiences; this includes how suchmen in Kenya construct their sexual identities, and how these constructions affect sexual decision-making. Adult self-identified men who have sex with men (n=26) in Malindi, Kenya participated in individual interviews to examine sociocultural processes influencing sexual identity construction and decision-making. Four key themes were identified: (i) tensions between perceptions of ‘homosexuality’ versus being ‘African’; (ii) gender-stereotyped beliefs about sexual positioning; (iii) socioeconomic status and limitations to personal agency; (iv) objectification and commodification of non-normative sexualities. Findings from this analysis emphasise the need to conceive of same-sex sexuality and HIV risk as context-dependent social phenomena. Multiple sociocultural axes were found to converge and shape sexual identity and sexual decision-making among this population. These axes and their interactive effects should be considered in the design of future interventions and other public health programmes for men who have sex with men in this region.
Url:
DOI: 10.1080/13691058.2015.1102326
PubMed: 26551761
PubMed Central: 4837057
Affiliations:
- Kenya, Royaume-Uni, États-Unis
- Angleterre, Oxfordshire, Rhode Island
- Oxford, Providence (Rhode Island)
- Université Brown, Université d'Oxford
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type="university">Université Brown</orgName></affiliation></author><author><name sortKey="Shangani, Sylvia" sort="Shangani, Sylvia" uniqKey="Shangani S" first="Sylvia" last="Shangani">Sylvia Shangani</name><affiliation wicri:level="4"><nlm:aff id="A1">School of Public Health, Brown University, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Public Health, Brown University</wicri:regionArea><placeName><settlement type="city">Providence (Rhode Island)</settlement><region type="state">Rhode Island</region></placeName><orgName type="university">Université Brown</orgName></affiliation><affiliation wicri:level="1"><nlm:aff id="A3"> School of Public Health, Moi University, College of Health Sciences, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea> School of Public Health, Moi University, College of Health Sciences</wicri:regionArea><wicri:noRegion>College of Health Sciences</wicri:noRegion></affiliation></author><author><name 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(KEMRI)</wicri:noRegion></affiliation></author><author><name sortKey="Hackman, Melissa" sort="Hackman, Melissa" uniqKey="Hackman M" first="Melissa" last="Hackman">Melissa Hackman</name><affiliation wicri:level="4"><nlm:aff id="A1">School of Public Health, Brown University, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Public Health, Brown University</wicri:regionArea><placeName><settlement type="city">Providence (Rhode Island)</settlement><region type="state">Rhode Island</region></placeName><orgName type="university">Université Brown</orgName></affiliation><affiliation wicri:level="1"><nlm:aff id="A5"> Department of Women's, Gender, and Sexuality Studies, Emory University, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea> Department of Women's, Gender, and Sexuality Studies, Emory University</wicri:regionArea><wicri:noRegion>Emory University</wicri:noRegion></affiliation></author><author><name sortKey="Van Der Elst, Elise" sort="Van Der Elst, Elise" uniqKey="Van Der Elst E" first="Elise" last="Van Der Elst">Elise Van Der Elst</name><affiliation wicri:level="1"><nlm:aff id="A2">Centre for Geographic Medicine Research-Coast, Kenya Medical Research Institute (KEMRI), Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Centre for Geographic Medicine Research-Coast, Kenya Medical Research Institute (KEMRI)</wicri:regionArea><wicri:noRegion>Kenya Medical Research Institute (KEMRI)</wicri:noRegion></affiliation></author><author><name sortKey="Sanders, Eduard J" sort="Sanders, Eduard J" uniqKey="Sanders E" first="Eduard J." last="Sanders">Eduard J. Sanders</name><affiliation wicri:level="1"><nlm:aff id="A2">Centre for Geographic Medicine Research-Coast, Kenya Medical Research Institute (KEMRI), Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Centre for Geographic Medicine Research-Coast, Kenya Medical Research Institute (KEMRI)</wicri:regionArea><wicri:noRegion>Kenya Medical Research Institute (KEMRI)</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="A4"> Department of Public Health, University of Oxford, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea> Department of Public Health, University of Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="nation">Angleterre</region><region type="région" nuts="1">Oxfordshire</region></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author><author><name sortKey="Smith, Adrian" sort="Smith, Adrian" uniqKey="Smith A" first="Adrian" last="Smith">Adrian Smith</name><affiliation wicri:level="4"><nlm:aff id="A4"> Department of Public Health, University of Oxford, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea> Department of Public Health, University of Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="nation">Angleterre</region><region type="région" nuts="1">Oxfordshire</region></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author><author><name sortKey="Operario, Don" sort="Operario, Don" uniqKey="Operario D" first="Don" last="Operario">Don Operario</name><affiliation wicri:level="4"><nlm:aff id="A1">School of Public Health, Brown University, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Public Health, Brown University</wicri:regionArea><placeName><settlement type="city">Providence (Rhode Island)</settlement><region type="state">Rhode Island</region></placeName><orgName type="university">Université Brown</orgName></affiliation></author></analytic><series><title level="j">Culture, health & sexuality</title><idno type="ISSN">1369-1058</idno><idno type="eISSN">1464-5351</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Men who have sex with men are increasingly recognised as one of the most vulnerable HIV risk groups in Kenya. Se between men is highly stigmatised in Kenya, and efforts to provide sexual health services to men who have sex with men require a deeper understanding of their lived experiences; this includes how suchmen in Kenya construct their sexual identities, and how these constructions affect sexual decision-making. Adult self-identified men who have sex with men (n=26) in Malindi, Kenya participated in individual interviews to examine sociocultural processes influencing sexual identity construction and decision-making. Four key themes were identified: (i) tensions between perceptions of ‘homosexuality’ versus being ‘African’; (ii) gender-stereotyped beliefs about sexual positioning; (iii) socioeconomic status and limitations to personal agency; (iv) objectification and commodification of non-normative sexualities. Findings from this analysis emphasise the need to conceive of same-sex sexuality and HIV risk as context-dependent social phenomena. Multiple sociocultural axes were found to converge and shape sexual identity and sexual decision-making among this population. These axes and their interactive effects should be considered in the design of future interventions and other public health programmes for men who have sex with men in this region.</p></div></front></TEI><affiliations><list><country><li>Kenya</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Oxfordshire</li><li>Rhode Island</li></region><settlement><li>Oxford</li><li>Providence (Rhode Island)</li></settlement><orgName><li>Université Brown</li><li>Université d'Oxford</li></orgName></list><tree><country name="États-Unis"><region name="Rhode Island"><name sortKey="Midoun, Miriam" sort="Midoun, Miriam" uniqKey="Midoun M" first="Miriam" last="Midoun">Miriam Midoun</name></region><name sortKey="Hackman, Melissa" sort="Hackman, Melissa" uniqKey="Hackman M" first="Melissa" last="Hackman">Melissa Hackman</name><name sortKey="Hackman, Melissa" sort="Hackman, Melissa" uniqKey="Hackman M" first="Melissa" last="Hackman">Melissa Hackman</name><name sortKey="Operario, Don" sort="Operario, Don" uniqKey="Operario D" first="Don" last="Operario">Don Operario</name><name sortKey="Shangani, Sylvia" sort="Shangani, Sylvia" uniqKey="Shangani S" first="Sylvia" last="Shangani">Sylvia Shangani</name></country><country name="Kenya"><noRegion><name sortKey="Shangani, Sylvia" sort="Shangani, Sylvia" uniqKey="Shangani S" first="Sylvia" last="Shangani">Sylvia Shangani</name></noRegion><name sortKey="Babu, Shadrack" sort="Babu, Shadrack" uniqKey="Babu S" first="Shadrack" last="Babu">Shadrack Babu</name><name sortKey="Mbete, Bibi" sort="Mbete, Bibi" uniqKey="Mbete B" first="Bibi" last="Mbete">Bibi Mbete</name><name sortKey="Sanders, Eduard J" sort="Sanders, Eduard J" uniqKey="Sanders E" first="Eduard J." last="Sanders">Eduard J. Sanders</name><name sortKey="Van Der Elst, Elise" sort="Van Der Elst, Elise" uniqKey="Van Der Elst E" first="Elise" last="Van Der Elst">Elise Van Der Elst</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Sanders, Eduard J" sort="Sanders, Eduard J" uniqKey="Sanders E" first="Eduard J." last="Sanders">Eduard J. Sanders</name></region><name sortKey="Smith, Adrian" sort="Smith, Adrian" uniqKey="Smith A" first="Adrian" last="Smith">Adrian Smith</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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