‘It's raining stones’: stigma, violence and HIV vulnerability among men who have sex with men in Dakar, Senegal

Niang, Cheikh Ibrahima; Tapsoba, Placide; Weiss, Ellen; Diagne, Mamadou; Niang, Youssoupha; Moreau, Amadou; Gomis, Dominique; Wade, Abdoulaye SidbÉ; Seck, Karim; Castle, Chris D

doi:10.1080/1369105031000152715

Cited by 154 publications

(103 citation statements)

References 6 publications

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“…This is similar to what was observed in South Africa in 2008 whereby participants reported that they were scared to come out due to fear of discrimination and stigma (Rispel et al, 2011). The same scenario was also reported in another study conducted in Dakar, Senegal in 2003 which also reported that there was a delay in health seeking behaviour for sexually transmitted infections among MSM due to the fear of being stigmatized in their own community (Niang et al, 2003).…”

Section: Focus Group Discussionsupporting

confidence: 69%

“…Reason for this was that, sexual relationships between men remain unacceptable in many communities, particularly in black African communities (Rispel et al, 2011). In Senegal in 2003, delays in seeking health care for sexually transmitted infection among MSM are common because of the perception that revealing anal symptoms at clinics and hospitals was a risk of exposing their homosexuality which was stigmatizing in this community (Niang et al, 2003). In South Africa, there are reports that MSM were constantly threatened by health care workers.…”

Section: Introductionmentioning

confidence: 99%

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Barriers to men who have sex with men attending HIV related health services in Dar es Salaam, Tanzania

Magesa¹,

Mtui²,

Abdul³

et al. 2014

Tanzania J Hlth Res

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Abstract:The HIV/ AIDS disease burden is disproportionately high among men who have sex with men (MSM) worldwide. If this group will continue to be ignored they will continue to be the focus of HIV infection to the general population. This study explored barriers impeding MSM utilizing the HIV related health services currently available. The objectives of the study were to: (i) determine how stigma and discrimination affect MSM attendance to HIV related health services; (ii) determine how health care worker's (HCW's) practices and attitudes towards MSM affect their attendance to HIV related health service; (iii) learn MSM's perception towards seeking HIV related health services and other factors affecting accessibility of HIV related health services among MSM in Dar es Salaam, Tanzania. This was a descriptive study whereby qualitative methods were employed, using in-depth interviews for 50 individuals and focus group discussions for 5 groups which were conducted at PASADA premises, in Temeke district in 2012. After transcription data was read through, codes created were then collapsed into themes which were interpreted. The findings of this study show that majority of the study participants access HIV related health services in Dar es Salaam when they need to. However, they reported stigma and discrimination, lack of confidentiality and privacy, lack of availability and MSM friendly HIV related health services, financial challenges, poor practices and negative attitudes directed towards them by health workers, fears and lack of HIV knowledge among them as barriers for them to access these services. With these findings, there is an importance of enabling MSM to overcome the perceived stigma when seeking for HIV related health services. Also there is a need to conduct further research with regards to how HCW's treat this group and their understanding on same sex practices.

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Section: Focus Group Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Barriers to men who have sex with men attending HIV related health services in Dar es Salaam, Tanzania

Magesa¹,

Mtui²,

Abdul³

et al. 2014

Tanzania J Hlth Res

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“…The first large behavioral survey of MSM in sub-Saharan Africa was conducted in Senegal just over 10 years ago in 2001 (Niang, Tapsoba, Weiss, Diagne, Niang, Moreau, et al 2003).…”

Section: Introductionmentioning

confidence: 99%

A decade of research involving men who have sex with men in sub-Saharan Africa: Current knowledge and future directions

Muraguri

Temmerman

Geibel³

2012

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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It has been just over 10 years since the first large behavioral survey of men who have sex with men (MSM) was implemented in Senegal in 2001. Since then, behavioral and/or HIV prevalence surveys have been conducted in over 14 other countries in subSaharan Africa. Current available evidence and review have established that HIV prevalence among MSM in these countries are significantly higher than corresponding general populations, that MSM engage in sexual risk behaviors that place them and sexual partners at higher risk, and that issues of discrimination and stigmatization inhibit HIV interventions for MSM. This paper summarizes the existing knowledge, describes limitations of this evidence, and proposes new and enhanced research approaches to fulfill needed gaps to inform national HIV responses for MSM populations.Keywords: men who have sex with men, male sex workers, Africa, HIV/AIDS, sexually transmitted infections, epidemiology RésuméIl y a juste 10 ans depuis qu'une première large enquête comportementale sur les hommes ayant des rapports sexuels avec les hommes a été mise en oeuvre au Sénégal en 2001. Depuis lors, des enquêtes comportementales et/ou de prévalence du VIH ont été conduites dans plus de 14 autres pays d'Afrique Sub-saharienne. Les preuves actuelles disponibles et les bilans faits ont établis que la prévalence du VIH parmi les HSH dans ces pays est significativement plus élevée que celle de la population correspondante en général, que les HSH sont engagés dans des comportements sexuels à risque qui placent leurs partenaires sexuels et eux-mêmes à un risque très élevé, et que les problèmes de discrimination et stigmatisation joue un rôle inhibiteur dans les interventions en faveur des HSH. Cette présentation donne un résumé de connaissances existantes, décrit les limites de cette évidence, et propose des approches nouvelles et améliorées pour combler les lacunes afin d'apporter des réponses nationales éclairées au VIH en faveur des populations des HSH.

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“…Представители этих групп зачастую не обращаются за необходимыми услугами, или откладывают такое обращение из страха быть "разоблаченными", униженными и/или боясь изменений в отношении со стороны медицин-ских работников и, в некоторых случаях, опасаясь судебного преследования и тюремного заключения. [4,23,24].…”

Section: усиление последствий в социально уязвимых группахunclassified

Results of Social Surveys to Identify Forms of Stigma and Discrimination of People Living With Hiv in Tajikistan

Ruziev¹,

Bandaev²,

Сон³

et al. 2018

Soc.Asp.Pop.Hlth

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‘It's raining stones’: stigma, violence and HIV vulnerability among men who have sex with men in Dakar, Senegal

Cited by 154 publications

References 6 publications

Barriers to men who have sex with men attending HIV related health services in Dar es Salaam, Tanzania

Barriers to men who have sex with men attending HIV related health services in Dar es Salaam, Tanzania

A decade of research involving men who have sex with men in sub-Saharan Africa: Current knowledge and future directions

Results of Social Surveys to Identify Forms of Stigma and Discrimination of People Living With Hiv in Tajikistan

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