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Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana.

Publication ,  Journal Article
Fay, H; Baral, SD; Trapence, G; Motimedi, F; Umar, E; Iipinge, S; Dausab, F; Wirtz, A; Beyrer, C
Published in: AIDS Behav
August 2011

Same-sex practices are stigmatized in much of sub-Saharan Africa. Cross-sectional relationships between discrimination, access to and use of health care services, and HIV knowledge among men who have sex with men (MSM) were assessed in Malawi, Namibia, and Botswana. A survey and HIV screening were used to explore these variables and the prevalence of HIV. Overall, 19% of men screened positive for HIV infection. Ninety-three percent knew HIV is transmitted through anal sex with men, however, only 67% had ever received information of how to prevent this transmission. Few (17%) reported ever disclosing same sex practices to a health professional and 19% reported ever being afraid to seek health care. Men reported ever been denied health care services (5%) and 21% had ever been blackmailed because of their sexuality. Strong associations were observed between experiences of discrimination and fear of seeking health care services. Characterizing the relationship between stigma and health care seeking practices and attitudes can inform the development and implementation of HIV interventions for African MSM.

Duke Scholars

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Published In

AIDS Behav

DOI

EISSN

1573-3254

Publication Date

August 2011

Volume

15

Issue

6

Start / End Page

1088 / 1097

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Stereotyping
  • Socioeconomic Factors
  • Sexual Partners
  • Risk Factors
  • Public Health
  • Prevalence
  • Namibia
  • Male
  • Malawi
 

Citation

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Chicago
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Fay, H., Baral, S. D., Trapence, G., Motimedi, F., Umar, E., Iipinge, S., … Beyrer, C. (2011). Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana. AIDS Behav, 15(6), 1088–1097. https://doi.org/10.1007/s10461-010-9861-2
Fay, Heather, Stefan D. Baral, Gift Trapence, Felistus Motimedi, Eric Umar, Scholastika Iipinge, Friedel Dausab, Andrea Wirtz, and Chris Beyrer. “Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana.AIDS Behav 15, no. 6 (August 2011): 1088–97. https://doi.org/10.1007/s10461-010-9861-2.
Fay H, Baral SD, Trapence G, Motimedi F, Umar E, Iipinge S, et al. Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana. AIDS Behav. 2011 Aug;15(6):1088–97.
Fay, Heather, et al. “Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana.AIDS Behav, vol. 15, no. 6, Aug. 2011, pp. 1088–97. Pubmed, doi:10.1007/s10461-010-9861-2.
Fay H, Baral SD, Trapence G, Motimedi F, Umar E, Iipinge S, Dausab F, Wirtz A, Beyrer C. Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana. AIDS Behav. 2011 Aug;15(6):1088–1097.
Journal cover image

Published In

AIDS Behav

DOI

EISSN

1573-3254

Publication Date

August 2011

Volume

15

Issue

6

Start / End Page

1088 / 1097

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Stereotyping
  • Socioeconomic Factors
  • Sexual Partners
  • Risk Factors
  • Public Health
  • Prevalence
  • Namibia
  • Male
  • Malawi