Measurements of Sexuality-Based Stigma among Gay, Bisexual, and Other Men Who Have Sex with Men (GBMSM) in Resource-Poor Settings: A Review

Freeland, Ryan; Rogers, Erin; Rooyen, Heidi van; Darbes, Lynae A.; Saylor, Kate; Stephenson, Rob

doi:10.1007/s10461-017-1975-3

Cited by 16 publications

(13 citation statements)

References 95 publications

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“…TG describes individuals who were assigned female or male sex at birth but whose gender identity does not match the assigned gender [ 2 ]. Stigma towards these groups common and a major cause of negative health outcomes [ 3 , 4 ]. Much of the research on gender and sexual minorities to this day has been conducted in high-income, English speaking countries and focused on physical health [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Although the difficulties faced by gender and sexual minorities are unlikely to leave this group of individuals unaffected, there is a great lack of research specifically focusing on mental health effects of such difficulties on these Nepalese minority groups [ 5 ]. Importantly, while recent reviews on this subject have been conducted in the USA or other English speaking and high-income countries [ 31 ], the question of negative health outcomes among gender and sexual minorities in low-income countries has only recently been raised on a sociological and psychosocial scientific level [ 3 , 26 ]. The negative health outcomes vary from physical and mental health, to work and family-related social relations [ 25 , 32 – 34 ].…”

Section: Introductionmentioning

confidence: 99%

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Social and structural factors associated with depression and suicidality among men who have sex with men and transgender women in Nepal

Storm

Deuba²,

Shrestha³

et al. 2021

BMC Psychiatry

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Introduction The prevalence of depression and suicidality is high among men who have sex with men (MSM) and transgender women (TGW) worldwide. Stigma and discrimination are likely contributing factors. More research is needed in low-income, non-English speaking countries to assess the effects of social and structural factors on depression and suicidality among MSM and TGW. Methods Nepalese MSM and TGW (n = 340) were recruited using a respondent-driven sampling design and filled out a survey questionnaire. The outcomes were depression and suicidality. Data was analyzed using bivariate and multivariable logistic regression. Results More than half of the participants (59%) suffered from depression. Severe depression was more common among TGW compared to MSM (41 and 20%, respectively). When it comes to suicidality, TGW had higher lifetime prevalence of suicidal thoughts compared to MSM (32 and 5%, respectively). Depression was positively associated with sex work both for MSM (AOR: 7.9; 95% CI 3.4–18.2) and TGW (AOR: 6.5; 95% CI: 2.3–18.2). MSM who were evicted by family had high odds of suicidal thoughts (AOR: 6.2; 95% CI: 1.3–28.8). For TGW, suicidality was associated with being cheated and threatened (AOR: 3.9; 95% CI: 1.2–12.5) and having forced to marry a female (AOR: 2.2; 95% CI 1.1–5.1). Conclusions Nepalese MSM and TGW suffer from a high degree of mental and psychosocial health issues. Future studies should focus on intervention research and on collecting data from a larger variety of gender and sexual minorities.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Social and structural factors associated with depression and suicidality among men who have sex with men and transgender women in Nepal

Storm

Deuba²,

Shrestha³

et al. 2021

BMC Psychiatry

View full text Add to dashboard Cite

show abstract

“…Legal and social factors impact the HIV/AIDS epidemic in MSM&TW in SSA [27]. Same-sex sexuality is criminalized in most SSA countries, including Kenya and Malawi, with sentences ranging up to the death penalty [28].…”

Section: Introductionmentioning

confidence: 99%

“…Stigma associated with same-sex sexuality and gender diversity impacts HIV risk and limits access to HIV prevention and care. In prior studies, stigma was associated with a lack of access to condoms and lubricants, HIV testing and ART [27, 34–37]. On a larger scale, stigma has been associated with country-level investment in HIV-related services for sexual and gender minorities [35].…”

Section: Introductionmentioning

confidence: 99%

HIV testing and the HIV care continuum among sub-Saharan African men who have sex with men and transgender women screened for participation in HPTN 075

et al. 2019

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Throughout the world, men who have sex with men (MSM) are at increased risk for HIV infection compared to heterosexual men. Little is known about awareness of HIV infection and other gaps in the HIV care continuum for MSM, especially in sub-Saharan Africa (SSA). This information is urgently needed to address the HIV epidemic in this population. This study assessed gaps in the HIV care continuum among persons screened for participation in a multi-country prospective study that evaluated the feasibility of recruiting and retaining MSM for HIV prevention studies in SSA (HIV Prevention Trials Network (HPTN) 075, conducted in four cities in Kenya, Malawi, and South Africa). Participants were recruited using site-specific strategies, that included outreach and informal networks. Transgender women (TW) were eligible to participate. During screening, 601 MSM and TW were tested for HIV infection and asked about prior HIV testing, HIV status, engagement in care, and HIV treatment. Viral load testing and retrospective antiretroviral (ARV) drug testing were performed for HIV-infected participants. Most participants (92.2%) had a prior HIV test; 42.1% were last tested >6 months earlier. HIV prevalence was 30.4%. HIV infection was associated with older age and identifying as female or transgender; 43.7% of the HIV-infected participants were newly diagnosed, especially younger persons and persons with a less recent HIV test. Almost a third of previously-diagnosed participants were not linked to care. Most participants (88.7%) in care were on ARV treatment (ART). Only about one-quarter of all HIV-infected participants were virally suppressed. These findings demonstrate substantial prevalence of undiagnosed HIV infection and sub-optimal HIV care engagement among MSM and TW in SSA. Increased HIV testing frequency and better linkage to care represent critical steps in preventing further HIV transmission in this population. Once in care, gaps in the HIV care continuum appear less critical.

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“…Multiple studies evaluating the health information needs of lesbian, gay, bisexual, and transgender (LGBT) people [1–3] and describing the health disparities of this population [4–6] have been published, and discussions are taking place among health sciences librarians about these needs and disparities, and librarians’ role in providing culturally competent services to LGBT patrons [7, 8]. Also well documented is a lack of health care provider awareness of and comfort with treating LGBT patients [9–11].…”

Section: Introductionmentioning

confidence: 99%

Development and implementation of an LGBT initiative at a health sciences library: the first eighteen months

Petrey

2019

jmla

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Background: The University of Louisville School of Medicine is the pilot site for the eQuality project, an initiative to integrate training for providing care to lesbian, gay, bisexual, and transgender (LGBT) patients into the standard medical school curriculum. Inspired by and in support of this School of Medicine initiative, Kornhauser Health Sciences Library staff have developing our own initiative. Because of past and current lack of competent provider training and the resulting need for patients to be knowledgeable self-advocates, however, our initiative was broadened to include the goal of providing LGBT individuals in our communities—both on campus and in the broader public—with the resources and tools that they need to access information about their own health.Case Presentation: This paper describes the development of that twofold initiative and the tangible methods used in its implementation, including collection development, interdepartmental collaboration, electronic resource guide creation, and community engagement through outreach.Conclusions: Outcomes of the initiative to date will also be discussed, along with plans for further development.

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Measurements of Sexuality-Based Stigma among Gay, Bisexual, and Other Men Who Have Sex with Men (GBMSM) in Resource-Poor Settings: A Review

Cited by 16 publications

References 95 publications

Social and structural factors associated with depression and suicidality among men who have sex with men and transgender women in Nepal

Social and structural factors associated with depression and suicidality among men who have sex with men and transgender women in Nepal

HIV testing and the HIV care continuum among sub-Saharan African men who have sex with men and transgender women screened for participation in HPTN 075

Development and implementation of an LGBT initiative at a health sciences library: the first eighteen months

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