Anti-Homosexual Legislation and HIV-Related Stigma in African Nations: What Has Been the Role of PEPFAR?

Hagopian, Amy; Rao, Deepa; Katz, Aaron; Sanford, Sallie Thieme; Barnhart, Scott

doi:10.2139/ssrn.3044873

Cited by 2 publications

(2 citation statements)

References 42 publications

(31 reference statements)

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“…For example, social-cultural norms across many sub-Saharan African contexts facilitate adolescent sexual and reproductive health stigma related to sexual activity outside of marriage, unintended pregnancy, and use of contraception, and influence the uptake and delivery of sexual and reproductive health services, particularly in association with HIV [8,14,[25][26][27][28]. Likewise, across political contexts in many sub-Saharan African countries, laws and policies criminalize same-sex sexual relations, and facilitate the process of stigmatizing YMSM, and ultimately impact HIV-related outcomes for this group [29][30][31].…”

Section: Introductionmentioning

confidence: 99%

Intersectional Stigma and Implementation of HIV Prevention and Treatment Services for Adolescents Living with and at Risk for HIV: Opportunities for Improvement in the HIV Continuum in Sub-Saharan Africa

et al. 2022

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Adolescents in sub-Saharan Africa, specifically adolescent girls and young women, young men who have sex with men, transgender persons, persons who use substances, and adolescents experiencing homelessness experience intersectional stigma, have a high incidence of HIV and are less likely to be engaged in HIV prevention and care. We conducted a thematic analysis informed by the Health and Discrimination Framework using a multiple case study design with five case studies in 3 sub-Saharan African countries. Our analysis found commonalities in adolescents’ intersectional stigma experiences across cases, despite different contexts. We characterize how intersectional stigma impacts the uptake and implementation of HIV prevention and treatment services along the continuum for adolescents. Findings reveal how intersectional stigma operates across social-ecological levels and worsens HIV-related outcomes for adolescents. We identify opportunities for implementation science research to address stigma-related barriers to the uptake and delivery of HIV services for adolescents in sub-Saharan Africa.

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Section: Introductionmentioning

confidence: 99%

Intersectional Stigma and Implementation of HIV Prevention and Treatment Services for Adolescents Living with and at Risk for HIV: Opportunities for Improvement in the HIV Continuum in Sub-Saharan Africa

et al. 2022

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“…The criminalization is a legacy of colonization and some countries such as Uganda have even explored expanding on these laws (Han & O'Mahoney, 2014;Ireland, 2013;Kaoma, 2018). The challenges of criminalization such as high levels of stigma, violence and discrimination are well documented (Hagopian et al, 2017;KHRC, 2011). A recent study also showed that gay men and other men who have sex with men living in countries that criminalize homosexuality are nearly five times more likely to get infected with HIV than those who do not (Lyons, 2020).…”

Section: Introductionmentioning

confidence: 99%

Facing Our Fears: The Impact of a 4-Day Training Intervention to Reduce Negative Perspectives on Sexual and Gender Minorities among Religious Leaders in Kenya

Mbote¹,

Mombo

Mutongu

et al. 2021

The Journal of Sex Research

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This study evaluated short-and long-term impact of a 4-day training intervention to reduce negative perspectives of religious leaders in Kenya on sexual and gender minorities, adopting a one-group pretestposttest-follow-up design. Religious leaders' perspectives play an important role in maintaining the negative status quo for sexual and gender minorities, especially in Africa, where religion's impact is ubiquitous and holding negative attitudes against these populations is perceived as an expression of doctrinal orthodoxy. The training, developed by a community-based organization, employs a variety of strategies, including education, storytelling, and in-person contact. Data were collected directly before and after the training, and at 3-to 4-months follow-up. After the training, acceptance of lesbian women and gay men and gender diversity had increased, while attitudes toward gender and sexual minorities became more positive. Interaction effect analysis showed that compared to women, men changed more, as did those who scored higher on religious fundamentalism. Changes in attitudes were maintained at follow-up (three to four months). Although it is not clear whether the training had an impact on the religious leaders' interactions with members of their congregation, these findings suggest that intensive trainings may promote positive changes in their perspective on gender and sexual minorities.

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Anti-Homosexual Legislation and HIV-Related Stigma in African Nations: What Has Been the Role of PEPFAR?

Cited by 2 publications

References 42 publications

Intersectional Stigma and Implementation of HIV Prevention and Treatment Services for Adolescents Living with and at Risk for HIV: Opportunities for Improvement in the HIV Continuum in Sub-Saharan Africa

Intersectional Stigma and Implementation of HIV Prevention and Treatment Services for Adolescents Living with and at Risk for HIV: Opportunities for Improvement in the HIV Continuum in Sub-Saharan Africa

Facing Our Fears: The Impact of a 4-Day Training Intervention to Reduce Negative Perspectives on Sexual and Gender Minorities among Religious Leaders in Kenya

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