Factors influencing HIV-risk perception among MSM students at a university in Durban, South Africa

Gumindega, Geogina Charity; Maharaj, Pranitha

doi:10.2989/16085906.2021.1981413

Cited by 4 publications

(4 citation statements)

References 43 publications

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“…Fourteen articles13 68–80 were partially intersectional stigma studies incorporating an intersectional approach to some elements of the analysis or presentation of their findings. We also identified 10 articles81–90 that studied multiple stigmas in a non-intersectional manner and 142 articles4 13 16–18 21 51 52 91–224 that studied one stigma in one population of SGM or studied one stigma in each of multiple populations (eg, SSSAB stigma only among MSM and transgender stigma only among TGW). A summary of each intersectional stigma study (n=21) appears in online supplemental file 2 and a summary of each non-intersectional stigma study (n=152) appears in online supplemental file 3.…”

Section: Resultsmentioning

confidence: 99%

Scoping review of HIV-related intersectional stigma among sexual and gender minorities in sub-Saharan Africa

Dada,

Abu-Ba’are,

Turner

et al. 2024

BMJ Open

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ObjectivesSexual and gender minority (SGM) populations in sub-Saharan Africa (SSA) are disproportionately impacted by HIV and often face multiple HIV-related stigmas. Addressing these stigmas could reduce SGM HIV vulnerability but little is known about how the stigmas operate and intersect. Intersectional stigma offers a lens for understanding the experiences of stigmatised populations and refers to the synergistic negative health effects of various systems of oppression on individuals with multiple stigmatised identities, behaviours or conditions. This review aims to (1) assess how often and in what ways an intersectional lens is applied in HIV-related stigma research on SGM populations in SSA and (2) understand how intersectional stigma impacts HIV risk in these populations.DesignScoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews.Data sourcesPublic health and regional databases were searched in 2020 and 2022.Eligibility criteriaArticles in French and English on HIV-related stigma and HIV outcomes among men who have sex with men, women who have sex with women and/or transgender individuals in SSA.Data extraction and synthesisArticles were screened and extracted twice and categorised by use of an intersectional approach. Study designs and stigma types were described quantitatively and findings on intersectional stigma were thematically analysed.ResultsOf 173 articles on HIV-related stigma among SGM in SSA included in this review, 21 articles (12%) applied an intersectional lens. The most common intersectional stigmas investigated were HIV and same-sex attraction/behaviour stigma and HIV, same-sex attraction/behaviour and gender non-conformity stigma. Intersectional stigma drivers, facilitators and manifestations were identified across individual, interpersonal, institutional and societal socioecological levels. Intersectional stigma impacts HIV vulnerability by reducing HIV prevention and treatment service uptake, worsening mental health and increasing exposure to HIV risk factors.ConclusionIntersectional approaches are gaining traction in stigma research among SGM in SSA. Future research should prioritise quantitative and mixed methods investigations, diverse populations and intervention evaluation.

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Section: Resultsmentioning

confidence: 99%

Scoping review of HIV-related intersectional stigma among sexual and gender minorities in sub-Saharan Africa

Dada,

Abu-Ba’are,

Turner

et al. 2024

BMJ Open

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“…The self‐isolation intention prevalence was higher than a previous UK study, 16 which reported 78.5% of gay and bisexual MSM (mean age: 47.1 years) would probably or definitely self‐isolate if they had mpox. Age could be a reason for the difference, as younger MSM may perceive higher mpox infection risk due to sexual activeness 27 and have a better understanding of the importance of both measures to halt transmission, which strengthens their intention to adopt preventive measures 34 . Additionally, frequent quarantine during the COVID‐19 pandemic in China may have raised Chinese YMSM's health literacy about the control of infectious diseases and acceptance of self‐isolation and disclosure 35 .…”

Section: Discussionmentioning

confidence: 99%

“…Age could be a reason for the difference, as younger MSM may perceive higher mpox infection risk due to sexual activeness 27 and have a better understanding of the importance of both measures to halt transmission, which strengthens their intention to adopt preventive measures. 34 Additionally, frequent quarantine during the COVID-19 pandemic in China may have raised Chinese YMSM's health literacy about the control of infectious diseases and acceptance of self-isolation and disclosure. 35 Moreover, the existence of social desirability bias may also contribute to the difference.…”

Section: Factors Associated With the Behavioral Intention Of Self-iso...mentioning

confidence: 99%

Behavioral intentions of self‐isolation and informing close contacts after developing mpox‐related symptoms among young men who have sex with men in China

Xu,

Jiao,

Zhang

et al. 2024

Journal of Medical Virology

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The 2022 multi‐country mpox outbreak raised public concern globally. Self‐isolation and informing close contacts after developing mpox‐related symptoms are critical measures in controlling the outbreak. This study investigated behavioral intentions of self‐isolation and informing close contacts after developing mpox‐related symptoms and associated factors among young men who have sex with men (YMSM) aged 18−29 years in China. The cross‐sectional study was conducted among 2493 YMSM in six provincial regions in China from September 10th to 30th, 2022. Descriptive and logistic analyses were applied, using the intentions of self‐isolation and informing close contacts after developing mpox‐related symptoms as binary outcomes. The mean age of the participants was 24.6 (SD = 2.9) years. The prevalence of having intentions of self‐isolation and informing close contacts after developing mpox‐related symptoms was 88.6% (95% CI: 87.3%−89.9%) and 84.9% (95% CI: 83.5%−86.3%). Participants who were employed (adjusted odds ratio (AOR) = 1.474, 95% CI: 1.035−2.097; AOR = 1.371, 95% CI:1.002, 1.876), had higher mpox knowledge scores (AOR = 1.474, 95% CI: 1.035−2.097; AOR = 1.371, 95% CI: 1.002−1.876), and had higher perceived threats of mpox (AOR = 1.079, 95% CI: 1.030−1.130; AOR = 1.045, 95% CI: 1.002−1.090) were more likely to intend to self‐isolate and inform close contacts. Participants who had MSM in‐person gatherings in the past 6 months were more likely to intend to self‐isolate (AOR = 1.392, 95% CI: 1.066−1.208). Participants with higher depression scores (AOR = 0.968, 95% CI: 0.948−0.989) and self‐stigma (AOR = 0.975, 95% CI: 0.954−0.997) were less likely to intend to self‐isolate and inform close contacts, respectively. Self‐isolation and informing close contacts when developing disease‐related symptoms are acceptable measures in response to mpox in China. Strengthening targeted risk communication and self‐efficacy, raising disease knowledge, providing mental support, and reducing stigma toward the affected community are warranted.

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“…As we stated in the introduction, same-sex sexuality is stigmatized and discriminated against in the social context of sub-Saharan Africa. The societal pressures that restrict the freedoms of same-sex relationships and compel secrecy regarding sexual interactions may exacerbate risk [26][27][28][29]. There is pressure on same-sex attracted men to engage in sexual activity when opportunities arise, regardless of whether they have condoms and lubricant available [29].…”

Section: Discussionmentioning

confidence: 99%

HIV risk perception and sexual behavior among HIV-uninfected men and transgender women who have sex with men in sub-Saharan Africa: Findings from the HPTN 075 qualitative sub-study

Chimwaza

Dadabhai

Nyondo-Mipando

et al. 2022

PLOS Glob Public Health

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There remains a limited understanding of how men who have sex with men (MSM) and transgender women (TGW) in sub-Saharan Africa (SSA) perceive their risk for HIV and how risk influences behavior during sexual interactions. We performed thematic analysis on in-depth interviews from the qualitative sub-study of HPTN 075 in Kenya, Malawi, and South Africa. Using the Integrated Behavioral Model (IBM) constructs, we found that most MSM and TGW perceived themselves to be at risk for HIV, leading them to regularly engage in safer sexual behaviors. Notably, even though these MSM and TGW perceived themselves to be at risk for HIV, some of them reported engaging in transactional sex, sex under the influence of alcohol, and intentional non-use of condoms. This indicates that HIV risk perception was not always associated with safer sexual behaviors or a reduction in risk behaviors. Attitudes (negative attitudes toward condom use), perceived norms (social pressures), and environment constraints (contextual barriers) were related to MSM and TGW not engaging in safe sexual behavior. Hearing the perspectives of MSM and TGW on their sexual behavior continues to be important for the development and implementation of effective prevention policies and interventions. Eliminating structural barriers such as stigma, discrimination, and criminalization of same-sex sexuality is a crucial prerequisite for the success of interventions to promote sexual health among MSM and TGW in SSA.

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Factors influencing HIV-risk perception among MSM students at a university in Durban, South Africa

Cited by 4 publications

References 43 publications

Scoping review of HIV-related intersectional stigma among sexual and gender minorities in sub-Saharan Africa

Scoping review of HIV-related intersectional stigma among sexual and gender minorities in sub-Saharan Africa

Behavioral intentions of self‐isolation and informing close contacts after developing mpox‐related symptoms among young men who have sex with men in China

HIV risk perception and sexual behavior among HIV-uninfected men and transgender women who have sex with men in sub-Saharan Africa: Findings from the HPTN 075 qualitative sub-study

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