Gay and Bisexual Men in Kampala, Uganda

Kajubi, Phoebe; Kamya, Moses R.; Raymond, H. Fisher; Chen, Sanny; Rutherford, George W; Mandel, Jeffrey S.; McFarland, Willi

doi:10.1007/s10461-007-9323-7

Cited by 72 publications

(60 citation statements)

References 14 publications

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“…Exceptionally high rates of multiple partners and transactional sex were reported, corroborating similar findings from other surveys of MSM in Africa [1][2][3][4][5]. Most worrisome is that condom use messages for preventing HIV and STI do not appear to have penetrated this population given the low proportion of MSM using condoms at last sex with their partners.…”

Section: Discussionsupporting

confidence: 83%

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HIV and Related Risk Behavior Among Men Who Have Sex with Men in Zanzibar, Tanzania: Results of a Behavioral Surveillance Survey

et al. 2009

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We conducted a respondent driven sampling survey to estimate HIV prevalence and risk behavior among men who have sex with men (MSM) in Unguja, Zanzibar. Men aged ≥ 15 years living in Unguja and reporting anal sex with another man in the past 3 months were asked to complete a questionnaire and provide specimens for biologic testing. HIV prevalence was 12.3% (95% confidence interval 8.7, 16.3). HIV infection was associated with injecting drugs in the past 3 months, Hepatitis C virus infection and being paid for sex in the past year. Interventions for MSM in Zanzibar are needed and should include linkages to prevention, care and treatment services.

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Section: Discussionsupporting

confidence: 83%

“…Men who have sex with men (MSM) in Africa are a highly vulnerable population at risk for HIV and other sexually transmitted infections (STI) [1][2][3][4][5]. In spite of this, the Africa region has documented limited HIV and STI data on MSM, largely due to stigmatization of homosexual behavior in the population.…”

Section: Introductionmentioning

confidence: 99%

HIV and Related Risk Behavior Among Men Who Have Sex with Men in Zanzibar, Tanzania: Results of a Behavioral Surveillance Survey

et al. 2009

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“…However, there is now data highlighting a disproportionate burden of HIV among MSM in Uganda mirroring other African countries (Beyrer, Baral, van Griensven, Goodreau, Chariyalertsak, Wirtz, et al 2012;Hladik, Barker, Ssenkusu, Opio, Tappero, Hakim, et al 2012). Research among MSM in Uganda has been limited by structural and policy-level issues including that Uganda, similar to other countries with British colonial histories, has longstanding legislation interpreted as criminalizing same-sex practices (Baral, Diouf, Trapence, Poteat, Ndaw, Drame, et al 2010;Kajubi, Kamya, Raymond, Chen, Rutherford, Mandel, et al 2008) (Olukya 2010). The aim was to enhance existing anti-homosexuality laws.…”

Section: Introductionmentioning

confidence: 99%

Assessing the effects of anti-homosexuality legislation in Uganda on HIV prevention, treatment, and care services

Semugoma¹,

Beyrer

Baral

2012

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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Uganda's response to the HIV epidemic has been lauded for its robustness and achievements. However, a key component of HIV prevention programming has been missing, for men who have sex with men (MSM). The main reason cited has been criminalization of male homosexual behavior. In 2009, the Anti-Homosexuality Bill (AHB) was introduced in the parliament to enhance existing anti-homosexuality law. A multi-disciplinary team made a Health Impact Assessment of the proposed AHB. The bill as tabled would severely increase punishments, increased closeting. Social capital of MSM would be eroded by clauses mandating reporting by friends, relatives, and acquaintances. Health-care professionals would have to inform on homosexuals. Mandatory HIV testing would be a blow to programming. Probable disclosure of HIV status in a public space (court) would also be a deterrent. Heftier punishments for those testing positive increases stigma and hobbles subsequent care. The AHB argues for exclusion, and more discrimination targeting persons living with HIV and sexual minorities. It will exacerbate the negative public health consequences of the existing legislation. The government of Uganda should review guidance documents published by authoritative bodies including the World Bank, World Health Organization to develop and bring to scale Human rightsaffirming HIV prevention, treatment, and care responses.Keywords: HIV, homosexuality, MSM, Uganda, anti-homosexuality law, criminalization RésuméLa réponse Ougandaise sur l'épidémie de VIH a été salué par sa robustesse et ses réalisations. Mais, l' élément clé du programme de la prévention du VIH demeure manquant, pour les hommes ayant des rapports sexuels avec des hommes (HSH). La principale raison invoquée a été la criminalisation du comportement homosexuel masculin. En 2009, le projet de loi anti-homosexualité (AHB) a été présenté au parlement pour renforcer la législation contre la loi sur l'homosexualité. Une équipe multidisciplinaire a été composée pour évaluer l'impact de la santé sur la dite loi (AHB) proposée. Le projet de loi tel que deposé avait sévèrement augmenter de punitions, ce qui augmente closeting. Le capital social de MSM serait érodée par des clauses rendant obligatoire de rapports par des amis, parents et connaissances. Les professionnels de la santé seraient tenus d'informer sur les homosexuels. Le dépistage obligatoire du VIH serait un coup dur pour la programmation. Probable, divulgation du séropositivité statut dans un espace public (tribunal) serait aussi un moyen de dissuasion. Lourdes peines pour ceux qui augmenteraient la stigmatisation en testant positifs et entraveraient les soins ultérieurs. L'AHB plaide pour l'exclusion et la discrimination des personnes ciblées vivant avec plus le VIH et les minorités sexuelles. Il va exacerber les conséquences négatives de la santé publique sur la législation existante. Le gouvernement Ougandais doit examiner les documents d'orientation publiés par des organismes faisant autorité, y compris la Banque mondiale, l'Org...

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“…(Goyer and Gow 2001;Niehaus 2002;Odujinrin and Adebajo 2001;Zachariah et al 2002). Recently published studies and reports from Senegal (Niang et al 2002;Teunis 2001;Wade et al 2005) Kenya (Onyango-Ouma et al 2005), and Uganda (Kajubi et al 2007) have explored male homosexual identities, behaviors, and HIV risk in urban community settings.…”

Section: Introductionmentioning

confidence: 99%

Alcohol and Sexual Risk Behavior Among Men Who Have Sex with Men in South African Township Communities

et al. 2008

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There are few studies of HIV risk behavior among men who have sex with men (MSM) in sub-Saharan Africa. We conducted a behavioral survey of MSM in peri-urban "township" communities in Gauteng province, South Africa. Between October 2004 and March 2005, 199 MSM completed an interviewer administered pen-and-paper standardized questionnaire. The sample was 94% black, 83% identified as gay, and 12% as bisexual. Among those reporting sex with other men in the prior six months (n = 147), 59% reported unprotected anal intercourse (UAI). Increased risk of UAI was associated with both regular drinking (adjusted odds ratio (OR) 4.1, 95% confidence interval (CI) 1.4, 12.6) regular drinking to intoxication (OR 2.6, 95% CI 1.0, 6.8), and reporting symptoms of rectal trauma resulting from anal intercourse (AI; OR 4.3, 95% CI 1.8, 10.4). Decreased risk of UAI was associated with the exclusive use of lubricants that are latex-compatible for AI (OR 0.3, 95% CI 0.1, 0.7). Township MSM in South Africa are at high risk of HIV infection. Targeted sexual health and risk reduction interventions that address the link between alcohol use and HIV risk are urgently needed.

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Gay and Bisexual Men in Kampala, Uganda

Cited by 72 publications

References 14 publications

HIV and Related Risk Behavior Among Men Who Have Sex with Men in Zanzibar, Tanzania: Results of a Behavioral Surveillance Survey

HIV and Related Risk Behavior Among Men Who Have Sex with Men in Zanzibar, Tanzania: Results of a Behavioral Surveillance Survey

Assessing the effects of anti-homosexuality legislation in Uganda on HIV prevention, treatment, and care services

Alcohol and Sexual Risk Behavior Among Men Who Have Sex with Men in South African Township Communities

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