A decade of research involving men who have sex with men in sub-Saharan Africa: Current knowledge and future directions

Muraguri, Nicholas; Temmerman, Marleen; Geibel, Scott

doi:10.1080/17290376.2012.744176

Cited by 59 publications

(38 citation statements)

References 53 publications

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“…24 For example, internalized homophobia has been associated with an increased risk of unprotected anal intercourse 25 and higher level of HIV misinformation, 26 whereas homophobic abuse was also significantly associated with being HIV infected. 21, 27 Further, stigma and discrimination could also increase barriers to testing HIV 28–31 and adherence to ART.…”

Section: Men Who Have Sex With Men (Msm)mentioning

confidence: 99%

Concentrated HIV subepidemics in generalized epidemic settings

Tanser

Oliveira

Maheu‐Giroux

et al. 2014

Current Opinion in HIV and AIDS

117

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Purpose of review A relatively neglected topic to date has been the occurrence of concentrated epidemics within generalized epidemic settings and the potential role of targeted interventions in such settings. We review recent studies in high-risk groups as well as findings relating to geographical heterogeneity and the potential for targeting ‘high-transmission zones’ in the ten highest HIV prevalence countries in sub-Saharan Africa and the world. Recent findings Recent studies have confirmed earlier findings that, even in the context of generalized epidemics, men who have sex with men (MSM) have a substantially higher prevalence than the general population. Estimates of prevalence of HIV among people who inject drugs (PWID) in sub-Saharan countries are rarely available and, when they are, often outdated. We identified recent studies of sex workers (SW) in Kenya and Uganda. In all three cases – MSM, PWID and SW – HIV prevalence estimates are mostly based on convenience. Moreover, good estimates of the total size of these populations are not available. Our review of recent studies of high-risk populations defined on the basis of geography showed very high levels of both new and existing infections in Kenya (slums), South Africa (peri-urban communities) and Uganda (fishing villages). Summary Recent empirical findings combined with evidence from phylogenetic studies and supported by mathematical models provide a clear rationale for testing the feasibility, acceptability, and effectiveness of targeted HIV prevention approaches in hyper-endemic populations to supplement measures aimed at the general population.

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Section: Men Who Have Sex With Men (Msm)mentioning

confidence: 99%

Concentrated HIV subepidemics in generalized epidemic settings

Tanser

Oliveira

Maheu‐Giroux

et al. 2014

Current Opinion in HIV and AIDS

117

View full text Add to dashboard Cite

show abstract

“…Previous studies have linked HIV/STIs with sexual risk behaviors such as inconsistent condom use for anal intercourse and multiple and concurrent sexual partnerships (22, 25). However, although sexual behavior change is an important consideration for HIV/STIs, the epidemic of HIV among MSM is driven substantially by other factors including the social and structural factors that underlie high risk sexual practices (26).…”

Section: Introductionmentioning

confidence: 99%

Depression and Social Stigma Among MSM in Lesotho: Implications for HIV and Sexually Transmitted Infection Prevention

et al. 2015

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Social stigma is common among men who have sex with men (MSM) across Sub-Saharan Africa, and may influence risks for HIV and sexually transmitted infections (STIs) via its association with depression. We conducted a cross-sectional study of 530 MSM in Lesotho accrued via respondent-driven sampling. Using generalized structural equation models we examined associations between stigma, social capital, and depression with condom use and testing positive for HIV/STIs. Depression was positively associated with social stigma experienced or perceived as a result of being MSM. In contrast, increasing levels of social cohesion were negatively associated with depression. Social stigma was associated with testing positive for HIV; however, this association did not appear to be mediated by depression or condom use. These data suggest a need for integrated HIV and mental health care that addresses stigma and discrimination and facilitates positive social support for MSM.

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“…These findings attest to literature mentioning that stigma related to being a member of a sexual minority fuel the spread of HIV as it obscures open discussion about sexuality and seeking proper preventative measures (Jobson et al 2012;Muraguri, Temmerman and Geibel 2012).…”

Section: Discussionmentioning

confidence: 62%

Impact of stigma and discrimination on sexual wellbeing of LGBTI students in a South African rural university

Mavhandu-Mudzusi

2017

SAJHE

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Lesbian, gay, bisexual, transgender and intersex (LGBTI) students in South African institutions of Higher Education face stigma and discrimination. This is happening despite the country's constitution that prohibits any form of discrimination of an individual based on sexual orientation or gender identity. The study objective was to explore and describe the impact of stigma and discrimination on sexual-wellbeing of LGBTI students in a South African rural university. An interpretative phenomenological analysis design was used to conduct a study. Individual semistructured interviews were conducted with 20 LGBTI students. Results indicate that LGBTI students try to avert stigma and discrimination through hiding their true sexual orientation and gender identity. In the process, they end up engaging in sexual practices which increase the risk of contracting or transmitting sexual transmitted infections including HIV. The researcher recommends that the university should initiate programmes for ensuring social justice for LGBTI affirmation.

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A decade of research involving men who have sex with men in sub-Saharan Africa: Current knowledge and future directions

Cited by 59 publications

References 53 publications

Concentrated HIV subepidemics in generalized epidemic settings

Concentrated HIV subepidemics in generalized epidemic settings

Depression and Social Stigma Among MSM in Lesotho: Implications for HIV and Sexually Transmitted Infection Prevention

Impact of stigma and discrimination on sexual wellbeing of LGBTI students in a South African rural university

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