Depression and Social Stigma among MSM in Lesotho: Implications for HIV and Sexually Transmitted Infection Prevention
Identifieur interne : 001787 ( Main/Exploration ); précédent : 001786; suivant : 001788Depression and Social Stigma among MSM in Lesotho: Implications for HIV and Sexually Transmitted Infection Prevention
Auteurs : Shauna Stahlman [États-Unis] ; Ashley Grosso [États-Unis] ; Sosthenes Ketende [États-Unis] ; Stephanie Sweitzer [États-Unis] ; Tampose Mothopeng [Lesotho] ; Noah Taruberekera [Afrique du Sud] ; John Nkonyana [Lesotho] ; Stefan Baral [États-Unis]Source :
- AIDS and behavior [ 1090-7165 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Discrimination sociale, Dépression (diagnostic), Dépression (ethnologie), Dépression (psychologie), Facteurs de risque, Facteurs socioéconomiques, Homosexualité masculine (ethnologie), Homosexualité masculine (psychologie), Humains, Infections à VIH (), Lesotho (épidémiologie), Maladies sexuellement transmissibles (), Mâle, Partenaire sexuel (psychologie), Prise de risque, Préservatifs masculins (utilisation), Soutien social, Stigmate social, Stress psychologique, Échelles d'évaluation en psychiatrie, Études transversales.
- MESH :
- diagnostic : Dépression.
- ethnologie : Dépression, Homosexualité masculine.
- psychologie : Dépression, Homosexualité masculine, Partenaire sexuel.
- utilisation : Préservatifs masculins.
- épidémiologie : Lesotho.
- Adulte, Discrimination sociale, Facteurs de risque, Facteurs socioéconomiques, Humains, Infections à VIH, Maladies sexuellement transmissibles, Mâle, Prise de risque, Soutien social, Stigmate social, Stress psychologique, Échelles d'évaluation en psychiatrie, Études transversales.
- Wicri :
- geographic : Lesotho.
English descriptors
- KwdEn :
- Adult, Condoms (utilization), Cross-Sectional Studies, Depression (diagnosis), Depression (ethnology), Depression (psychology), HIV Infections (prevention & control), Homosexuality, Male (ethnology), Homosexuality, Male (psychology), Humans, Lesotho (epidemiology), Male, Psychiatric Status Rating Scales, Risk Factors, Risk-Taking, Sexual Partners (psychology), Sexually Transmitted Diseases (prevention & control), Social Discrimination, Social Stigma, Social Support, Socioeconomic Factors, Stress, Psychological.
- MESH :
- geographic , epidemiology : Lesotho.
- diagnosis : Depression.
- ethnology : Depression, Homosexuality, Male.
- prevention & control : HIV Infections, Sexually Transmitted Diseases.
- psychology : Depression, Homosexuality, Male, Sexual Partners.
- utilization : Condoms.
- Adult, Cross-Sectional Studies, Humans, Male, Psychiatric Status Rating Scales, Risk Factors, Risk-Taking, Social Discrimination, Social Stigma, Social Support, Socioeconomic Factors, Stress, Psychological.
Abstract
Social stigma is common among men who have sex with men (MSM) across Sub-Saharan Africa, and may influence risks for HIV and sexually transmitted infections (STIs) via its association with depression. We conducted a cross-sectional study of 530 MSM in Lesotho accrued via respondent-driven sampling. Using generalized structural equation models we examined associations between stigma, social capital, and depression with condom use and testing positive for HIV/STIs. Depression was positively associated with social stigma experienced or perceived as a result of being MSM. In contrast, increasing levels of social cohesion were negatively associated with depression. Social stigma was associated with testing positive for HIV; however, this association did not appear to be mediated by depression or condom use. These data suggest a need for integrated HIV and mental health care that addresses stigma and discrimination and facilitates positive social support for MSM.
Url:
DOI: 10.1007/s10461-015-1094-y
PubMed: 25969182
PubMed Central: 4858167
Affiliations:
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sexuel (psychologie)</term><term>Prise de risque</term><term>Préservatifs masculins (utilisation)</term><term>Soutien social</term><term>Stigmate social</term><term>Stress psychologique</term><term>Échelles d'évaluation en psychiatrie</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Lesotho</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Depression</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Dépression</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Dépression</term><term>Homosexualité masculine</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Depression</term><term>Homosexuality, Male</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term><term>Sexually Transmitted Diseases</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Dépression</term><term>Homosexualité masculine</term><term>Partenaire sexuel</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Depression</term><term>Homosexuality, Male</term><term>Sexual Partners</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Préservatifs masculins</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Condoms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lesotho</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>Humans</term><term>Male</term><term>Psychiatric Status Rating Scales</term><term>Risk Factors</term><term>Risk-Taking</term><term>Social Discrimination</term><term>Social Stigma</term><term>Social Support</term><term>Socioeconomic Factors</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Discrimination sociale</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Humains</term><term>Infections à VIH</term><term>Maladies sexuellement transmissibles</term><term>Mâle</term><term>Prise de risque</term><term>Soutien social</term><term>Stigmate social</term><term>Stress psychologique</term><term>Échelles d'évaluation en psychiatrie</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Lesotho</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Social stigma is common among men who have sex with men (MSM) across Sub-Saharan Africa, and may influence risks for HIV and sexually transmitted infections (STIs) via its association with depression. We conducted a cross-sectional study of 530 MSM in Lesotho accrued via respondent-driven sampling. Using generalized structural equation models we examined associations between stigma, social capital, and depression with condom use and testing positive for HIV/STIs. Depression was positively associated with social stigma experienced or perceived as a result of being MSM. In contrast, increasing levels of social cohesion were negatively associated with depression. Social stigma was associated with testing positive for HIV; however, this association did not appear to be mediated by depression or condom use. These data suggest a need for integrated HIV and mental health care that addresses stigma and discrimination and facilitates positive social support for MSM.</p></div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Lesotho</li><li>États-Unis</li></country><region><li>Maryland</li></region><settlement><li>Baltimore</li></settlement></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Stahlman, Shauna" sort="Stahlman, Shauna" uniqKey="Stahlman S" first="Shauna" last="Stahlman">Shauna Stahlman</name></region><name sortKey="Baral, Stefan" sort="Baral, Stefan" uniqKey="Baral S" first="Stefan" last="Baral">Stefan Baral</name><name sortKey="Grosso, Ashley" sort="Grosso, Ashley" uniqKey="Grosso A" first="Ashley" last="Grosso">Ashley Grosso</name><name sortKey="Ketende, Sosthenes" sort="Ketende, Sosthenes" uniqKey="Ketende S" first="Sosthenes" last="Ketende">Sosthenes Ketende</name><name sortKey="Sweitzer, Stephanie" sort="Sweitzer, Stephanie" uniqKey="Sweitzer S" first="Stephanie" last="Sweitzer">Stephanie Sweitzer</name></country><country name="Lesotho"><noRegion><name sortKey="Mothopeng, Tampose" sort="Mothopeng, Tampose" uniqKey="Mothopeng T" first="Tampose" last="Mothopeng">Tampose Mothopeng</name></noRegion><name sortKey="Nkonyana, John" sort="Nkonyana, John" uniqKey="Nkonyana J" first="John" last="Nkonyana">John Nkonyana</name></country><country name="Afrique du Sud"><noRegion><name sortKey="Taruberekera, Noah" sort="Taruberekera, Noah" uniqKey="Taruberekera N" first="Noah" last="Taruberekera">Noah Taruberekera</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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