Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana.
Identifieur interne : 001C53 ( PubMed/Corpus ); précédent : 001C52; suivant : 001C54Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana.
Auteurs : Heather Fay ; Stefan D. Baral ; Gift Trapence ; Felistus Motimedi ; Eric Umar ; Scholastika Iipinge ; Friedel Dausab ; Andrea Wirtz ; Chris BeyrerSource :
- AIDS and behavior [ 1573-3254 ] ; 2011.
English descriptors
- KwdEn :
- Adult, Botswana (epidemiology), Cross-Sectional Studies, Discrimination (Psychology), Female, HIV Infections (epidemiology), HIV Infections (prevention & control), HIV Infections (psychology), HIV-1, Health Behavior, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Homosexuality, Male (psychology), Homosexuality, Male (statistics & numerical data), Humans, Malawi (epidemiology), Male, Namibia (epidemiology), Prevalence, Risk Factors, Sexual Partners, Socioeconomic Factors, Stereotyping, Surveys and Questionnaires.
- MESH :
- geographic , epidemiology : Botswana, Malawi, Namibia.
- epidemiology : HIV Infections.
- prevention & control : HIV Infections.
- psychology : HIV Infections, Homosexuality, Male.
- statistics & numerical data : Homosexuality, Male.
- Adult, Cross-Sectional Studies, Discrimination (Psychology), Female, HIV-1, Health Behavior, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Male, Prevalence, Risk Factors, Sexual Partners, Socioeconomic Factors, Stereotyping, Surveys and Questionnaires.
Abstract
Same-sex practices are stigmatized in much of sub-Saharan Africa. Cross-sectional relationships between discrimination, access to and use of health care services, and HIV knowledge among men who have sex with men (MSM) were assessed in Malawi, Namibia, and Botswana. A survey and HIV screening were used to explore these variables and the prevalence of HIV. Overall, 19% of men screened positive for HIV infection. Ninety-three percent knew HIV is transmitted through anal sex with men, however, only 67% had ever received information of how to prevent this transmission. Few (17%) reported ever disclosing same sex practices to a health professional and 19% reported ever being afraid to seek health care. Men reported ever been denied health care services (5%) and 21% had ever been blackmailed because of their sexuality. Strong associations were observed between experiences of discrimination and fear of seeking health care services. Characterizing the relationship between stigma and health care seeking practices and attitudes can inform the development and implementation of HIV interventions for African MSM.
DOI: 10.1007/s10461-010-9861-2
PubMed: 21153432
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pubmed:21153432Le document en format XML
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Baral</name></author><author><name sortKey="Trapence, Gift" sort="Trapence, Gift" uniqKey="Trapence G" first="Gift" last="Trapence">Gift Trapence</name></author><author><name sortKey="Motimedi, Felistus" sort="Motimedi, Felistus" uniqKey="Motimedi F" first="Felistus" last="Motimedi">Felistus Motimedi</name></author><author><name sortKey="Umar, Eric" sort="Umar, Eric" uniqKey="Umar E" first="Eric" last="Umar">Eric Umar</name></author><author><name sortKey="Iipinge, Scholastika" sort="Iipinge, Scholastika" uniqKey="Iipinge S" first="Scholastika" last="Iipinge">Scholastika Iipinge</name></author><author><name sortKey="Dausab, Friedel" sort="Dausab, Friedel" uniqKey="Dausab F" first="Friedel" last="Dausab">Friedel Dausab</name></author><author><name sortKey="Wirtz, Andrea" sort="Wirtz, Andrea" uniqKey="Wirtz A" first="Andrea" last="Wirtz">Andrea Wirtz</name></author><author><name sortKey="Beyrer, Chris" sort="Beyrer, Chris" uniqKey="Beyrer C" first="Chris" last="Beyrer">Chris Beyrer</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21153432</idno><idno type="pmid">21153432</idno><idno type="doi">10.1007/s10461-010-9861-2</idno><idno type="wicri:Area/PubMed/Corpus">001C53</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001C53</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana.</title><author><name sortKey="Fay, Heather" sort="Fay, Heather" uniqKey="Fay H" first="Heather" last="Fay">Heather Fay</name><affiliation><nlm:affiliation>Department of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins School of Public Health, E7146, 615 N. Wolfe Street, Baltimore, MD 21205, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Baral, Stefan D" sort="Baral, Stefan D" uniqKey="Baral S" first="Stefan D" last="Baral">Stefan D. 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Cross-sectional relationships between discrimination, access to and use of health care services, and HIV knowledge among men who have sex with men (MSM) were assessed in Malawi, Namibia, and Botswana. A survey and HIV screening were used to explore these variables and the prevalence of HIV. Overall, 19% of men screened positive for HIV infection. Ninety-three percent knew HIV is transmitted through anal sex with men, however, only 67% had ever received information of how to prevent this transmission. Few (17%) reported ever disclosing same sex practices to a health professional and 19% reported ever being afraid to seek health care. Men reported ever been denied health care services (5%) and 21% had ever been blackmailed because of their sexuality. Strong associations were observed between experiences of discrimination and fear of seeking health care services. Characterizing the relationship between stigma and health care seeking practices and attitudes can inform the development and implementation of HIV interventions for African MSM.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21153432</PMID><DateCreated><Year>2011</Year><Month>06</Month><Day>30</Day></DateCreated><DateCompleted><Year>2011</Year><Month>09</Month><Day>16</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1573-3254</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><Issue>6</Issue><PubDate><Year>2011</Year><Month>Aug</Month></PubDate></JournalIssue><Title>AIDS and behavior</Title><ISOAbbreviation>AIDS Behav</ISOAbbreviation></Journal><ArticleTitle>Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana.</ArticleTitle><Pagination><MedlinePgn>1088-97</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10461-010-9861-2</ELocationID><Abstract><AbstractText>Same-sex practices are stigmatized in much of sub-Saharan Africa. Cross-sectional relationships between discrimination, access to and use of health care services, and HIV knowledge among men who have sex with men (MSM) were assessed in Malawi, Namibia, and Botswana. A survey and HIV screening were used to explore these variables and the prevalence of HIV. Overall, 19% of men screened positive for HIV infection. Ninety-three percent knew HIV is transmitted through anal sex with men, however, only 67% had ever received information of how to prevent this transmission. Few (17%) reported ever disclosing same sex practices to a health professional and 19% reported ever being afraid to seek health care. Men reported ever been denied health care services (5%) and 21% had ever been blackmailed because of their sexuality. Strong associations were observed between experiences of discrimination and fear of seeking health care services. Characterizing the relationship between stigma and health care seeking practices and attitudes can inform the development and implementation of HIV interventions for African MSM.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fay</LastName><ForeName>Heather</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins School of Public Health, E7146, 615 N. Wolfe Street, Baltimore, MD 21205, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baral</LastName><ForeName>Stefan D</ForeName><Initials>SD</Initials></Author><Author ValidYN="Y"><LastName>Trapence</LastName><ForeName>Gift</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Motimedi</LastName><ForeName>Felistus</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Umar</LastName><ForeName>Eric</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Iipinge</LastName><ForeName>Scholastika</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Dausab</LastName><ForeName>Friedel</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Wirtz</LastName><ForeName>Andrea</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Beyrer</LastName><ForeName>Chris</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>AIDS Behav</MedlineTA><NlmUniqueID>9712133</NlmUniqueID><ISSNLinking>1090-7165</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001902" MajorTopicYN="N" Type="Geographic">Botswana</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004192" MajorTopicYN="N">Discrimination (Psychology)</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015497" MajorTopicYN="N">HIV-1</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015438" MajorTopicYN="N">Health Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="Y">Health Services Accessibility</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018451" MajorTopicYN="N">Homosexuality, Male</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008295" MajorTopicYN="N" Type="Geographic">Malawi</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009276" MajorTopicYN="N" Type="Geographic">Namibia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012747" MajorTopicYN="N">Sexual Partners</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013240" MajorTopicYN="Y">Stereotyping</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>9</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21153432</ArticleId><ArticleId IdType="doi">10.1007/s10461-010-9861-2</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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