Considerations for South African higher education: A 'national student men who have sex with men' sexual behaviour survey

Brink, Jaco Greeff

doi:10.20853/31-4-877

Cited by 11 publications

(23 citation statements)

References 27 publications

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“…Two of the articles in here address concerns of men who have sex with men and HIV risk (Brink 2017;Scheibe et al 2017). Whilst South Africa faces a generally heterosexual HIV epidemic, results of a study by Brink entitled, Considerations for South African higher education: A 'National student men who have sex with men' sexual behaviour survey, reports factors for elevated vulnerability and risk for HIV infection for male university students.…”

Section: Introductionmentioning

confidence: 99%

Studying sexuality: LGBTI experiences in institutions of higher education in Southern Africa

Nduna

Mthombeni²,

Mavhandu-Mudzusi³

et al. 2017

SAJHE

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Although there are several studies internationally on gender and sexual orientation diversity, these are limited in the Southern African Development Community (SADC). This special issue contains articles written from different Institutions of Higher Education (IHE) in the SADC region on experiences of LGBTI individuals covering sexual health, teaching and training, advocacy and interventions. The aim of publishing this research is to disseminate information for broader advocacy to destabilise hetero-and cis-normativity. The study sites included rural and metropolitan-based institutions and diverse research designs were used. Most of the research findings presented here indicate that the institutions of higher education in SADC are still heteronormative and LGBTI staff and students are marginalized, prejudiced and discriminated Nduna, Mthombeni, Mavhandu-Mudzusi and Mogotsi LGBTI experiences in institutions of higher education 2 against. Some studies report that there are activities in a few institutions harnessed in order to create conducive teaching and learning environments for and about sexual orientation and gender identity in the SADC.

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Section: Introductionmentioning

confidence: 99%

Studying sexuality: LGBTI experiences in institutions of higher education in Southern Africa

Nduna

Mthombeni²,

Mavhandu-Mudzusi³

et al. 2017

SAJHE

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“…There are unique challenges to providing HIV prevention services to MSM and TGW. Ages of sexual debut range widely [28], and many young men engage in sex with male partners for a period of time before identifying as gay or bisexual or accessing gay‐serving or culturally competent health services [29]. Incidence was also higher for MSM who identified as gay and for TGW (versus participants with male gender identity).…”

Section: Discussionmentioning

confidence: 99%

HIV prevalence and incidence in a cohort of South African men and transgender women who have sex with men: the Sibanye Methods for Prevention Packages Programme (MP3) project

Sullivan

Phaswana‐Mafuya

Baral

et al. 2020

J. Intern. AIDS Soc.

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Introduction: Men who have sex with men (MSM) and transgender women (TGW) are at increased risk for acquiring HIV, but there are limited HIV incidence data for these key populations in Africa. Understanding HIV prevalence and incidence provides important context for designing HIV prevention strategies, including pre-exposure prophylaxis (PrEP) programmes. We describe HIV prevalence, awareness of HIV infection, HIV incidence and associated factors for a cohort of MSM and TGW in Cape Town and Port Elizabeth, South Africa. Methods: From 2015 to 2016, MSM and TGW in Cape Town and Port Elizabeth were enrolled and prospectively followed for 12 months, receiving a comprehensive package of HIV prevention services. HIV testing was conducted at baseline and at follow-up visits (targeted for three, six and twelve months). All HIV-negative PrEP-eligible participants were offered PrEP enrolment during the first four months of study participation. We determined HIV prevalence among participants at baseline, and incidence by repeat screening of initially HIV-negative participants with HIV tests at three, six and twelve months. Results: Among 292 participants enrolled, HIV prevalence was high (43%; 95% CI: 38 to 49) and awareness of HIV status was low (50%). The 167 HIV-negative participants who were followed prospectively for 144.7 person-years; nine incident HIV infections were documented. Overall annual incidence was 6.2% (CI: 2.8 to 11.8) and did not differ by city. Annual HIV incidence was significantly higher for younger (18 to 19 years) MSM and TGW (MSM: 21.8% (CI: 1.2 to 100); TGW: 31.0 (CI: 3.7, 111.2)). About half of participants started PrEP during the study; the annual incidence of HIV among 82 (49%) PrEP starters was 3.6% (CI: 0.4, 13.1) and among those who did not start PrEP was 7.8% (CI: 3.1, 16.1). Conclusions: HIV incidence was high among MSM and TGW in the context of receiving a comprehensive package of prevention interventions and offering of PrEP. PrEP uptake was high; the observed incidence of HIV in those who started PrEP was about half the incidence of HIV in those who did not. Future implementation-oriented studies should focus on decisions to start and continue PrEP for those at highest risk, including young MSM.

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“…This stark contrast between the constitutional provisions for the equal rights of LGBTI persons and the actual negative experiences of stigma, discrimination and violence has also been observed in the higher education sector in South Africa (Brink 2017). This, according to Matthyse (2017), is fuelled by a system that normalises heterosexuality and is strongly supported by an ever-present patriarchal system.…”

Section: Introductionmentioning

confidence: 98%

“…Subsequently the programme expanded to include aspects of sexual orientation and gender identity. In 2014, it commissioned the first National Student Sexual Health HIV Knowledge, Attitude and Behaviour Survey, which focused exclusively on student men who have sex with men at 14 HEIs in South Africa (Brink 2017). The study did not focus on the health status of students.…”

Section: Introductionmentioning

confidence: 99%

“…LGBTI health requires specific attention from the healthcare system and public health professionals need to address a number of health disparities including but not limited to the likelihood of engaging in high-risk sexual behaviours leading to an increased incidence of sexually transmitted infections and HIV (Brink 2017), and a greater incidence of mental health issues such as depression, anxiety, and increased suicidal behaviours than heterosexual adolescents.…”

Section: Introductionmentioning

confidence: 99%

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Lesbian gay bisexual transgender and intersex (LGBTI) students are scrambling for access to healthcare services in the campus healthcare system: Perceptions of key informants

Kleinhans

2019

SAJHE

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This article explores the experiences of lesbian, gay, bisexual, transgender and intersex (LGBTI) students and focuses specifically on how they access healthcare in the campus health system at a university in South Africa. Semi-structured, in-depth key informant interviews were conducted with selected representatives from all service providers in the campus healthcare system including a gender expert and a student leader. The findings of this study show that LGBTI students are underserved in the campus healthcare system and this is the result of a heteronormative campus environment. The implications of this study suggest the critical need for support from university management, student mobilisation, and sensitisation training for healthcare providers.

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Considerations for South African higher education: A 'national student men who have sex with men' sexual behaviour survey

Abstract: Keywords: men who have sex with men, university students, higher education, sexual health, sexual behaviour, alcohol and drug use, HIV/Aids

Cited by 11 publications

References 27 publications

Studying sexuality: LGBTI experiences in institutions of higher education in Southern Africa

Studying sexuality: LGBTI experiences in institutions of higher education in Southern Africa

HIV prevalence and incidence in a cohort of South African men and transgender women who have sex with men: the Sibanye Methods for Prevention Packages Programme (MP3) project

Lesbian gay bisexual transgender and intersex (LGBTI) students are scrambling for access to healthcare services in the campus healthcare system: Perceptions of key informants

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