Depression and Social Stigma among MSM in Lesotho: Implications for HIV and Sexually Transmitted Infection Prevention
Identifieur interne : 002013 ( Pmc/Corpus ); précédent : 002012; suivant : 002014Depression and Social Stigma among MSM in Lesotho: Implications for HIV and Sexually Transmitted Infection Prevention
Auteurs : Shauna Stahlman ; Ashley Grosso ; Sosthenes Ketende ; Stephanie Sweitzer ; Tampose Mothopeng ; Noah Taruberekera ; John Nkonyana ; Stefan BaralSource :
- AIDS and behavior [ 1090-7165 ] ; 2015.
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
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Ketende</name><affiliation><nlm:aff id="A1">Johns Hopkins Bloomberg School of Public Health, Center for Public Health and Human Rights, Department of Epidemiology, Baltimore, USA</nlm:aff></affiliation></author><author><name sortKey="Sweitzer, Stephanie" sort="Sweitzer, Stephanie" uniqKey="Sweitzer S" first="Stephanie" last="Sweitzer">Stephanie Sweitzer</name><affiliation><nlm:aff id="A1">Johns Hopkins Bloomberg School of Public Health, Center for Public Health and Human Rights, Department of Epidemiology, Baltimore, USA</nlm:aff></affiliation></author><author><name sortKey="Mothopeng, Tampose" sort="Mothopeng, Tampose" uniqKey="Mothopeng T" first="Tampose" last="Mothopeng">Tampose Mothopeng</name><affiliation><nlm:aff id="A2">Matrix Support Group, Maseru, Lesotho</nlm:aff></affiliation></author><author><name sortKey="Taruberekera, Noah" sort="Taruberekera, Noah" uniqKey="Taruberekera N" first="Noah" last="Taruberekera">Noah Taruberekera</name><affiliation><nlm:aff id="A3">Population Services International, Johannesburg, South Africa</nlm:aff></affiliation></author><author><name sortKey="Nkonyana, John" sort="Nkonyana, John" uniqKey="Nkonyana J" first="John" last="Nkonyana">John Nkonyana</name><affiliation><nlm:aff id="A4">Ministry of Health, Maseru, Lesotho</nlm:aff></affiliation></author><author><name sortKey="Baral, Stefan" sort="Baral, Stefan" uniqKey="Baral S" first="Stefan" last="Baral">Stefan Baral</name><affiliation><nlm:aff id="A1">Johns Hopkins Bloomberg School of Public Health, Center for Public Health and Human Rights, Department of Epidemiology, Baltimore, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25969182</idno><idno type="pmc">4858167</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4858167</idno><idno type="RBID">PMC:4858167</idno><idno type="doi">10.1007/s10461-015-1094-y</idno><date when="2015">2015</date><idno 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USA</nlm:aff></affiliation></author><author><name sortKey="Ketende, Sosthenes" sort="Ketende, Sosthenes" uniqKey="Ketende S" first="Sosthenes" last="Ketende">Sosthenes Ketende</name><affiliation><nlm:aff id="A1">Johns Hopkins Bloomberg School of Public Health, Center for Public Health and Human Rights, Department of Epidemiology, Baltimore, USA</nlm:aff></affiliation></author><author><name sortKey="Sweitzer, Stephanie" sort="Sweitzer, Stephanie" uniqKey="Sweitzer S" first="Stephanie" last="Sweitzer">Stephanie Sweitzer</name><affiliation><nlm:aff id="A1">Johns Hopkins Bloomberg School of Public Health, Center for Public Health and Human Rights, Department of Epidemiology, Baltimore, USA</nlm:aff></affiliation></author><author><name sortKey="Mothopeng, Tampose" sort="Mothopeng, Tampose" uniqKey="Mothopeng T" first="Tampose" last="Mothopeng">Tampose Mothopeng</name><affiliation><nlm:aff id="A2">Matrix Support Group, Maseru, Lesotho</nlm:aff></affiliation></author><author><name sortKey="Taruberekera, Noah" sort="Taruberekera, Noah" uniqKey="Taruberekera N" first="Noah" last="Taruberekera">Noah Taruberekera</name><affiliation><nlm:aff id="A3">Population Services International, Johannesburg, South Africa</nlm:aff></affiliation></author><author><name sortKey="Nkonyana, John" sort="Nkonyana, John" uniqKey="Nkonyana J" first="John" last="Nkonyana">John Nkonyana</name><affiliation><nlm:aff id="A4">Ministry of Health, Maseru, Lesotho</nlm:aff></affiliation></author><author><name sortKey="Baral, Stefan" sort="Baral, Stefan" uniqKey="Baral S" first="Stefan" last="Baral">Stefan Baral</name><affiliation><nlm:aff id="A1">Johns Hopkins Bloomberg School of Public Health, Center for Public Health and Human Rights, Department of Epidemiology, Baltimore, USA</nlm:aff></affiliation></author></analytic><series><title level="j">AIDS and behavior</title><idno type="ISSN">1090-7165</idno><idno type="eISSN">1573-3254</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">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><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9712133</journal-id><journal-id journal-id-type="pubmed-jr-id">21042</journal-id><journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id><journal-title-group><journal-title>AIDS and behavior</journal-title></journal-title-group><issn pub-type="ppub">1090-7165</issn><issn pub-type="epub">1573-3254</issn></journal-meta><article-meta><article-id pub-id-type="pmid">25969182</article-id><article-id pub-id-type="pmc">4858167</article-id><article-id pub-id-type="doi">10.1007/s10461-015-1094-y</article-id><article-id pub-id-type="manuscript">NIHMS779908</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Depression and Social Stigma among MSM in Lesotho: Implications for HIV and Sexually Transmitted Infection Prevention</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Stahlman</surname><given-names>Shauna</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Grosso</surname><given-names>Ashley</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Ketende</surname><given-names>Sosthenes</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Sweitzer</surname><given-names>Stephanie</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Mothopeng</surname><given-names>Tampose</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Taruberekera</surname><given-names>Noah</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Nkonyana</surname><given-names>John</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Baral</surname><given-names>Stefan</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Johns Hopkins Bloomberg School of Public Health, Center for Public Health and Human Rights, Department of Epidemiology, Baltimore, USA</aff><aff id="A2"><label>2</label>Matrix Support Group, Maseru, Lesotho</aff><aff id="A3"><label>3</label>Population Services International, Johannesburg, South Africa</aff><aff id="A4"><label>4</label>Ministry of Health, Maseru, Lesotho</aff><author-notes><corresp id="FN1">Corresponding author: Shauna Stahlman, MPH, PhD, E7133, 615 N. Washington St., Baltimore, MD 21205, Phone: 410-502-8975, Fax: 410-614-8371, <email>sstahlm1@jhu.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>25</day><month>4</month><year>2016</year></pub-date><pub-date pub-type="ppub"><month>8</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>8</month><year>2016</year></pub-date><volume>19</volume><issue>8</issue><fpage>1460</fpage><lpage>1469</lpage><pmc-comment>elocation-id from pubmed: 10.1007/s10461-015-1094-y</pmc-comment>
<abstract><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></abstract><kwd-group><kwd>Depression</kwd><kwd>social stigma</kwd><kwd>MSM</kwd><kwd>HIV</kwd><kwd>Africa</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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