Vulnerability of lesbian and bisexual women to HIV: a qualitative meta-synthesis

Andrade, Carla Andreia Alves de; Aquino, Rafael Lemes de; Souza, Karla Romana Ferreira de; Melo, Givânya Bezerra de; Silva, Beatriz Caetano da; Abrão, Fátima Maria da Silva

doi:10.1590/1806-9282.20220988

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Unlike the CCA countries, Ukraine lacked documented violations against the entire LGBT community, possibly due to criteria for documenting violations. Data likely underrepresent lesbian, bisexual and queer women, as they are not recognized as KP [27,[89][90][91][92], but analysed cases show their rights violations and vulnerability to HIV acquisition [93].…”

Section: Limitationsmentioning

confidence: 99%

Being yourself is a defect: analysis of documented rights violations related to sexual orientation, gender identity and HIV in 2022 using the REAct system in six eastern European, Caucasus and Central Asian countries

Kovtun,

Tilek kyzy,

Masiumova

2024

J Int AIDS Soc.

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IntroductionRemoving legal barriers to HIV services is crucial for the global 2030 goal of ending the HIV and AIDS epidemic, particularly in eastern Europe, the Caucasus and central Asia. Despite state commitments to uphold human rights, gay, bisexual and other men who have sex with men (gbMSM), along with transgender people (TP) still face stigma and discrimination. This article presents an analysis of rights violations based on sexual orientation and gender identity (SOGI) and HIV reported in 2022 across six countries, highlighting features and their links to legislation and law enforcement practices.MethodsWe examined documented cases of rights violations among gbMSM and TP in Armenia, Kazakhstan, Kyrgyzstan, Tajikistan, Uzbekistan and Ukraine in 2022 using the REAct system, a tool for documenting and responding to rights violations against key populations. Initially, we employed directed content analysis based on Yogyakarta Principles to analyse narratives of violations. A codebook was developed through contextual, manifest and latent coding, with themes, categories and codes converted into quantitative variables for statistical analysis. Descriptive statistics were used to identify the characteristics of violations.ResultsA total of 456 cases of rights violations related to SOGI and HIV were documented, ranging from 22 cases in Tajikistan to 217 in Ukraine. Most violations concerned gbMSM (76.5%), with one‐fifth involving TP, predominantly transgender women. Complex violations with multiple perpetrators or infringements were documented in Armenia and central Asia. Privacy rights were commonly violated, often through outing. Cases of violations of the right to the highest attainable standard of health (13.6%) and protection from medical abuses (2.6%) were also documented. Other rights violations were sporadic, with each country exhibiting distinct patterns of violated rights and types of violations. In Ukraine, the full‐scale war in 2022 influenced the nature of documented cases, reflecting the challenges faced by gbMSM and TP.ConclusionsMonitoring rights violations proved effective for assessing the situation of gbMSM and TP, particularly in the insufficiently studied and diverse eastern Europe, Caucasus and central Asia regions. As rights violations are linked to both legislation and law enforcement practices, comprehensive interventions to minimize structural and interpersonal stigma are essential.

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Section: Limitationsmentioning

confidence: 99%

Being yourself is a defect: analysis of documented rights violations related to sexual orientation, gender identity and HIV in 2022 using the REAct system in six eastern European, Caucasus and Central Asian countries

Kovtun,

Tilek kyzy,

Masiumova

2024

J Int AIDS Soc.

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“…The inclusion criteria aimed to ensure the comprehensive synthesis of the psycho-social impact of various health conditions and the availability of support for affected women in Nigeria (Nduka et al, 2023). Additionally, studies that explored the vulnerability of women to health conditions such as HIV and provided scientific evidence on the vulnerability of women compared to heterosexual women were also included (de Andrade et al, 2023).…”

Section: Inclusion Criteriamentioning

confidence: 99%

Advancing Women's Health in Nigeria: A Review of Laboratory Science Contributions Description

Maduka,

Adegoke,

Okongwu

et al. 2023

Malays. Mtl. Hlth.

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This review delineates the profound contributions of laboratory science to women’s health in Nigeria, aiming to elucidate the advancements and innovations that have been instrumental in addressing the myriad of health challenges faced by women. The method involved a meticulous examination of the existing literature, focusing on historical contexts, modern developments, diagnostic advancements, and reproductive health interventions, emphasising the practical implications of laboratory science initiatives in Nigeria. The results revealed significant insights into the efficacy of laboratory science contributions, highlighting the obstacles encountered in implementing initiatives and the repercussions for women’s health in Nigeria. The review identified discernible gaps in the literature and offered suggestions for amplified impact on women’s health, outlining potential directions for subsequent research. The conclusion underscored the indispensable role of laboratory science in deciphering the complexities of women’s health, offering a beacon of hope in the quest for enhanced women’s health in Nigeria. The recommendations emphasize the importance of addressing structural sexism in medicine, enhancing food safety, strengthening local capacity, fostering collaboration, and developing holistic and sustainable approaches to improving women’s health. This review provides a foundation upon which future endeavors can be built to elevate the health outcomes of women in Nigeria.

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Sexual and Reproductive Justice and Health Equity for LGBTQ+ Women

Ertl,

Maroney,

Becker

et al. 2024

Journal of Lesbian Studies

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Vulnerability of lesbian and bisexual women to HIV: a qualitative meta-synthesis

Cited by 3 publications

References 24 publications

Being yourself is a defect: analysis of documented rights violations related to sexual orientation, gender identity and HIV in 2022 using the REAct system in six eastern European, Caucasus and Central Asian countries

Being yourself is a defect: analysis of documented rights violations related to sexual orientation, gender identity and HIV in 2022 using the REAct system in six eastern European, Caucasus and Central Asian countries

Advancing Women's Health in Nigeria: A Review of Laboratory Science Contributions Description

Sexual and Reproductive Justice and Health Equity for LGBTQ+ Women

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