The Synergistic Impact of Sexual Stigma and Psychosocial Well-Being on HIV Testing: A Mixed-Methods Study Among Nigerian Men who have Sex with Men |
| |
| Authors: | Cristina?Rodriguez-Hart Cory?Bradley Danielle?German Rashelle?Musci Ifeanyi?Orazulike Stefan?Baral Hongjie?Liu Trevor?A.?Crowell Man?Charurat Rebecca?G.?Nowak the TRUST/RV Study Group |
| |
| Affiliation: | 1.Institute of Human Virology,University of Maryland School of Medicine,Baltimore,USA;2.Department of Health, Behavior and Society,Johns Hopkins Bloomberg School of Public Health,Baltimore,USA;3.Department of Mental Health,Johns Hopkins Bloomberg School of Public Health,Baltimore,USA;4.International Center on Advocacy and Rights to Health,Abuja,Nigeria;5.Department of Epidemiology,Johns Hopkins Bloomberg School of Public Health,Baltimore,USA;6.School of Public Health,University of Maryland,College Park,USA;7.U.S. Military HIV Research Program,Walter Reed Army Institute of Research,Silver Spring,USA;8.Henry M. Jackson Foundation for the Advancement of Military Medicine,Bethesda,USA |
| |
| Abstract: | Although sexual stigma has been linked to decreased HIV testing among men who have sex with men (MSM), mechanisms for this association are unclear. We evaluated the role of psychosocial well-being in connecting sexual stigma and HIV testing using an explanatory sequential mixed methods analysis of 25 qualitative and 1480 quantitative interviews with MSM enrolled in a prospective cohort study in Nigeria from March/2013–February/2016. Utilizing structural equation modeling, we found a synergistic negative association between sexual stigma and suicidal ideation on HIV testing. Qualitatively, prior stigma experiences often generated psychological distress and perceptions of feeling unsafe, which decreased willingness to seek services at general health facilities. MSM reported feeling safe at the MSM-friendly study clinic but still described a need for psychosocial support services. Addressing stigma and unmet mental health needs among Nigerian MSM has the potential to improve HIV testing uptake. |
| |
| Keywords: | |
| 本文献已被 SpringerLink 等数据库收录！ |
|
