Food and Water Insecurity in Sexual and Gender Minority Groups Living With HIV in Lagos, Nigeria

Hamill, Matthew M; Hu, Fengming; Adebajo, Sylvia; Kokogho, Afoke; Tiamiyu, Abdulwasiu Bolaji; Parker, Zahra; Charurat, Manhattan; Ake, Julie A; Baral, Stefan; Nowak, Rebecca G.; Crowell, Trevor A

doi:10.1097/qai.0000000000003183

Cited by 4 publications

(3 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is very little research explicitly linking sexual identities and water insecurity experiences. One exception is Hamill et al (2023), who studied water and food insecurity among sexual and gender minority people living with HIV in Lagos, Nigeria. Same‐sex sexual activity and relationships, dressing in accordance with a gender not assigned at birth, and transgender activism are illegal in Nigeria, with severe penalties particularly in northern states under Sharia law (Gaudio, 2009; Ogueji & Ogueji, 2022; Sekoni et al, 2020).…”

Section: Gender Concepts For Water Insecurity Researchmentioning

confidence: 99%

“…Same‐sex sexual activity and relationships, dressing in accordance with a gender not assigned at birth, and transgender activism are illegal in Nigeria, with severe penalties particularly in northern states under Sharia law (Gaudio, 2009; Ogueji & Ogueji, 2022; Sekoni et al, 2020). In research with 357 respondents—including 74% men who have sex with men, 18% transgender women, and 8% who identify outside binary gender categories—Hamill et al (2023) found at baseline that 32% experienced water insecurity. Regardless of gender identity, respondents were more likely to experience water insecurity when they were co‐habiting with a man, engaged in transactional sex, older, or food insecure.…”

Section: Gender Concepts For Water Insecurity Researchmentioning

confidence: 99%

See 1 more Smart Citation

Gender identities, water insecurity, and risk: Re‐theorizing the connections for a gender‐inclusive toolkit for water insecurity research

Brewis,

DuBois,

Wutich

et al. 2023

WIREs Water

View full text Add to dashboard Cite

Informed by decades of literature, water interventions increasingly deploy “gender‐sensitive” or even “gender transformative” approaches that seek to redress the disproportionate harms women face from water insecurity. These efforts recognize the role of gendered social norms and unequal power relations but often focus narrowly on the differences and dynamics between cisgender (cis) men and women. This approach renders less visible the ways that living with water insecurity can differentially affect all individuals through the dynamics of gender, sexuality, and linked intersecting identities. Here, we first share a conceptual toolkit that explains gender as fluid, negotiated, and diverse beyond the cis‐binary. Using this as a starting point, we then review what is known and can be theorized from current literature, identifying limited observations from water‐insecure communities to identify examples of contexts where gendered mechanisms (such as social norms) differentiate experiences of water insecurity, such as elevating risks of social stigma, physical harm, or psychological distress. We then apply this approach to consider expanded ways to include transgender, non‐binary, and gender and sexual diversity to deepen, nuance and expand key thematics and approaches for water insecurity research. Reconceptualizing gender in these ways widens theoretical possibilities, changes how we collect data, and imagines new possibilities for effective and just water interventions.This article is categorized under: Human Water > Value of Water Engineering Water > Water, Health, and Sanitation Human Water > Water as Imagined and Represented Human Water > Methods

show abstract

Section: Gender Concepts For Water Insecurity Researchmentioning

confidence: 99%

Section: Gender Concepts For Water Insecurity Researchmentioning

confidence: 99%

Gender identities, water insecurity, and risk: Re‐theorizing the connections for a gender‐inclusive toolkit for water insecurity research

Brewis,

DuBois,

Wutich

et al. 2023

WIREs Water

View full text Add to dashboard Cite

show abstract

“…Thus, a better understanding water insecurity experiences among LGBTQ populations is urgently needed (Brewis et al, 2023 ). For instance, a Nigerian study with LGBTQ persons found water insecurity was associated with living with a man, transactional sex and food insecurity (Hamill et al, 2023 ), and Brewis et al describe how this study “highlights the intersectional nature of gender and sexual identities in creating risks for water insecurity” (p. 6) (Brewis et al, 2023 ). The limited research that has considered LGBTQ persons in relation to WASH is focused on sanitation, in particular, access to toilets among transgender persons (Benjamin and Hueso, 2017 ; Boyce et al, 2018 ; Moreira et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Associations between water insecurity and mental health outcomes among lesbian, gay, bisexual, transgender and queer persons in Bangkok, Thailand and Mumbai, India: Cross-sectional survey findings

Logie,

Newman,

Admassu

et al. 2024

Camb. prisms Glob. ment. health

View full text Add to dashboard Cite

Background: Water insecurity disproportionally affects socially marginalized populations and may harm mental health. Lesbian, gay, bisexual, transgender and queer (LGBTQ) persons are at the nexus of social marginalization and mental health disparities; however, they are understudied in water insecurity research. Yet LGBTQ persons likely have distinct water needs. We explored associations between water insecurity and mental health outcomes among LGBTQ adults in Mumbai, India and Bangkok, Thailand. Methods: This cross-sectional survey with a sample of LGBTQ adults in Mumbai and Bangkok assessed associations between water insecurity and mental health outcomes, including anxiety symptoms, depression symptoms, loneliness, alcohol misuse, COVID-19 stress and resilience. We conducted multivariable logistic and linear regression analyses to examine associations between water insecurity and mental health outcomes. Results: Water insecurity prevalence was 28.9% in Mumbai and 18.6% in Bangkok samples. In adjusted analyses, in both sites, water insecurity was associated with higher likelihood of depression symptoms, anxiety symptoms, COVID-19 stress, alcohol misuse and loneliness. In Mumbai, water insecurity was also associated with reduced resilience. Conclusion: Water insecurity was common among LGBTQ participants in Bangkok and Mumbai and associated with poorer well-being. Findings signal the importance of assessing water security as a stressor harmful to LGBTQ mental health. Impact statementWater insecuritydisproportionately impacting socially marginalized communitiesaffects two billion people and is an urgent global health concern. Water insecurity is linked with poorer mental health outcomes through complex pathways, including distress, uncertainty, reduced self-efficacy and relationship conflict. Yet water insecurity and linkages to mental health are understudied with lesbian, gay, bisexual, transgender and queer (LGBTQ) persons. Structural violence, the ways in which social structures (e.g., political, economic religious) limit persons from realizing their potential, contributes to social marginalization of LGBTQ persons and poorer mental health outcomes. India and Thailand are LMICs affected by water insecurity, where there are also notable LGBTQ mental health disparities. In these two contexts, LGBTQ persons may also, as a result of social, educational and economic marginalization, live in housing with insufficient water, sanitation and hygiene (WASH) access. We conducted the first study to examine water insecurity and associations with mental health among LGBTQ persons in Mumbai, India and Bangkok, Thailand. We found that water insecurity is widespreadaffecting approximately one-fifth of LGBTQ participants in Bangkok (18.6%) and one-quarter (28.9%) in Mumbaiand was associated with anxiety symptoms, depression symptoms, loneliness, alcohol misuse, COVID-19 stress and resilience. This points to water insecurity as a possible additional minority stressor that can harm LGBTQ mental health in LMICs that warrants furthe...

show abstract

HIV Vulnerabilities Associated with Water Insecurity, Food Insecurity, and Other COVID-19 Impacts Among Urban Refugee Youth in Kampala, Uganda: Multi-method Findings

Logie,

Okumu,

Admassu

et al. 2023

AIDS Behav

View full text Add to dashboard Cite

Food and Water Insecurity in Sexual and Gender Minority Groups Living With HIV in Lagos, Nigeria

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 4 publications

References 48 publications

Gender identities, water insecurity, and risk: Re‐theorizing the connections for a gender‐inclusive toolkit for water insecurity research

Gender identities, water insecurity, and risk: Re‐theorizing the connections for a gender‐inclusive toolkit for water insecurity research

Associations between water insecurity and mental health outcomes among lesbian, gay, bisexual, transgender and queer persons in Bangkok, Thailand and Mumbai, India: Cross-sectional survey findings

HIV Vulnerabilities Associated with Water Insecurity, Food Insecurity, and Other COVID-19 Impacts Among Urban Refugee Youth in Kampala, Uganda: Multi-method Findings

Contact Info

Product

Resources

About