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 : 001878 ( Pmc/Curation ); précédent : 001877; suivant : 001879How 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
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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></affiliation></author><author><name sortKey="Hackman, Melissa" sort="Hackman, Melissa" uniqKey="Hackman M" first="Melissa" last="Hackman">Melissa Hackman</name><affiliation wicri:level="1"><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></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></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></affiliation></author><author><name sortKey="Sanders, Eduard J" sort="Sanders, Eduard J" uniqKey="Sanders E" first="Eduard J." last="Sanders">Eduard J. 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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><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>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">100883416</journal-id><journal-id journal-id-type="pubmed-jr-id">27090</journal-id><journal-id journal-id-type="nlm-ta">Cult Health Sex</journal-id><journal-id journal-id-type="iso-abbrev">Cult Health Sex</journal-id><journal-title-group><journal-title>Culture, health & sexuality</journal-title></journal-title-group><issn pub-type="ppub">1369-1058</issn><issn pub-type="epub">1464-5351</issn></journal-meta><article-meta><article-id pub-id-type="pmid">26551761</article-id><article-id pub-id-type="pmc">4837057</article-id><article-id pub-id-type="doi">10.1080/13691058.2015.1102326</article-id><article-id pub-id-type="manuscript">NIHMS767590</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>How intersectional constructions of sexuality, culture, and masculinity shape identities and sexual decision-making among men who have sex with men in coastal Kenya</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Midoun</surname><given-names>Miriam</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Shangani</surname><given-names>Sylvia</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Mbete</surname><given-names>Bibi</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Babu</surname><given-names>Shadrack</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Hackman</surname><given-names>Melissa</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>van der Elst</surname><given-names>Elise</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Sanders</surname><given-names>Eduard J.</given-names></name><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Smith</surname><given-names>Adrian</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Operario</surname><given-names>Don</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="corresp" rid="CR1">*</xref></contrib></contrib-group><aff id="A1"><label>1</label>School of Public Health, Brown University, USA</aff><aff id="A2"><label>2</label>Centre for Geographic Medicine Research-Coast, Kenya Medical Research Institute (KEMRI), Kenya</aff><aff id="A3"><label>3</label> School of Public Health, Moi University, College of Health Sciences, Kenya</aff><aff id="A4"><label>4</label> Department of Public Health, University of Oxford, UK</aff><aff id="A5"><label>5</label> Department of Women's, Gender, and Sexuality Studies, Emory University, USA</aff><author-notes><corresp id="CR1"><label>*</label><email>Don_Operario@brown.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>12</day><month>3</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>09</day><month>11</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>6</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>6</month><year>2017</year></pub-date><volume>18</volume><issue>6</issue><fpage>625</fpage><lpage>638</lpage><pmc-comment>elocation-id from pubmed: 10.1080/13691058.2015.1102326</pmc-comment>
<abstract><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></abstract><kwd-group><kwd>Kenya</kwd><kwd>men who have sex with men</kwd><kwd>sexuality</kwd><kwd>intersectionality</kwd><kwd>HIV</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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