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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana
AIDS and Behavior, Volume 15, No. 6, Year 2011
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Description
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. © Springer Science+Business Media, LLC 2010.
Authors & Co-Authors
Fay, Heather
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Baral, Stefan David
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Trapence, Gift
Malawi, Blantyre
Center for the Development of People
Motimedi, Felistus
Botswana, Gaborone
Botswana Network on Ethics Law and Hiv/aids
Umar, Eric
Malawi, Zomba
University of Malawi
Iipinge, Scholastika Ndatinda
Namibia, Windhoek
University of Namibia
Dausab, Friedel
Namibia, Windhoek
Rainbow Project
Wirtz, Andrea L.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Beyrer, Chris C.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Statistics
Citations: 310
Authors: 9
Affiliations: 6
Identifiers
Doi:
10.1007/s10461-010-9861-2
ISSN:
10907165
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Botswana
Malawi
Namibia
Participants Gender
Male