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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
You become afraid to tell them that you are gay: Health service utilization by men who have sex with men in South African cities
Journal of Public Health Policy, Volume 32, No. SUPPL. 1, Year 2011
Notification
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Description
We describe the utilization of health services by men who have sex with men (MSM) in South African cities, their perceptions of available health services, and their service preferences. We triangulated data from 32 key informant interviews (KIIs), 18 focus group discussions (FGDs) with MSM in four cities, and a survey of 285 MSM in two cities, recruited through respondent-driven sampling in 2008. FGDs and KIIs revealed that targeted public health sector programs for MSM were limited, and that MSM experienced stigma, discrimination, and negative health worker attitudes. Fifty-seven per cent of the survey participants had used public health services in the previous 12 months, and 69 per cent had no private health insurance, with no difference by HIV status. Despite these findings, South Africa is well placed to take the lead in sub-Saharan Africa in providing responsive and appropriate HIV services for MSM. © 2011 Macmillan Publishers Ltd.
Authors & Co-Authors
Rispel, Laetitia Charmaine
South Africa, Johannesburg
University of the Witwatersrand Faculty of Health Sciences
Metcalf, Carol Ann
Switzerland, Geneva
Medecins Sans Frontieres
Cloete, Allanise
South Africa, Pretoria
Human Sciences Research Council of South Africa
Moorman, Julia
South Africa, Johannesburg
Wits School of Public Health
Reddy, Vasu
South Africa, Pretoria
Human Sciences Research Council of South Africa
Statistics
Citations: 109
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1057/jphp.2011.29
ISSN:
01975897
e-ISSN:
1745655X
Research Areas
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Qualitative
Quantitative
Study Locations
South Africa
Participants Gender
Male