Minority Stress in the Lives of Men Who Have Sex With Men in Cape Town, South Africa

McAdams-Mahmoud, Ayesha; Stephenson, Rob; Rentsch, Christopher T; Cooper, Hannah L.F.; Arriola, Kimberly Jacob; Jobson, Geoffrey; Swardt, Glenn de; Struthers, Helen; McIntyre, James

doi:10.1080/00918369.2014.870454

Cited by 35 publications

(24 citation statements)

References 37 publications

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“…Having a confidant—someone one to confide in regarding health, emotional distress and sex—was associated with lower odds of alcohol use (OR 0.22, p < 0.01, CI95% 0.078 – 0.64). 46 Qualitative interviews indicated that for some African men using alcohol is a way of coping with the stigma of being MSM, 40,47 as has been previously suggested. 39,48 …”

Section: Resultsmentioning

confidence: 64%

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Substance Use and HIV Risk Among Men Who Have Sex With Men in Africa: A Systematic Review

Sandfort

Knox²,

Alcala

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background Substance use and its relation to HIV risk among men who have sex in Africa, a population at high risk for HIV, has received little attention. Methods This systematic review summarizes and discusses findings from 68 empirical studies, published between 1980 and 2016 that included data about substance use in MSM in Africa. Results Substance use has rarely been the primary focus of studies in African MSM. In general, measurement of substance use was suboptimal. Whereas prevalence of alcohol use varied across studies, partly resulting from variety in assessment strategies, it seemed higher than in the general male population across countries. Alcohol use was associated with sexual risk practices, but not with HIV infection. The most frequently reported drug used by African MSM was cannabis. Use of other drugs, such as cocaine and heroin seemed relatively rare, although injection drug use was exceptionally high in a few studies. As alcohol, drugs were regularly used in conjunction with sex. Both alcohol and drug use were often associated with other risk factors for HIV infection, including violence and transactional sex. No interventions were found addressing substance use among African MSM. Conclusion Given high HIV-risk and prevalence in this population, substance use should be studied more in-depth, taking into account the specific social and cultural context. Assessment of substance use practices in this population has to be improved. The available information suggests, though, that there is an urgent need for interventions addressing substance use tailored to the needs of this critical population.

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Section: Resultsmentioning

confidence: 64%

“…The prevalence of alcohol use among MSM varied, ranging from 50% in South Africa 40 to 100% in Kenya 41 (no time period or quantity specified) (Table 1). A much lower percentage of 1.4%, a clear outlier, was reported in a study among MSM in Egypt.…”

Section: Resultsmentioning

confidence: 99%

Substance Use and HIV Risk Among Men Who Have Sex With Men in Africa: A Systematic Review

Sandfort

Knox²,

Alcala

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

View full text Add to dashboard Cite

show abstract

“…Additional focus on MSM may contribute to unintended negative consequences for these men, including further stigmatisation on the basis of their sexual practices or identity (McAdams-Mahmoud et al 2014). Approaches that do not take the diversity of MSM sub-groups into account (i.e.…”

Section: Threatsmentioning

confidence: 99%

A SWOT analysis of health service access by men who have sex with men in South Africa: lessons for higher education institutions

Scheibe

Daniels

Kutner

et al. 2017

SAJHE

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Few interventions to address heteronormativity in health education and practice exist within South Africa's Higher Education Institutions (HEIs). We conducted a strengths, weaknesses, opportunities and threats (SWOT) analysis of programmes that enhanced the competency of health workers with respect to men who have sex with men (MSM) and the MSM-focused HIV response in South Africa to develop recommendations for similar interventions within HEIs. We found that a combination of political will, MSM community mobilisation, appropriate training approaches, and dedicated funding have enabled the up-scale of HIV-related services for MSM.The implications of our analysis suggest that support from HEI management, student mobilisation, sensitisation training, dedicated financing, and mechanisms to address discrimination would Scheibe, Daniels, Kutner and Lane A SWOT analysis of health service access by men who have sex with men 220 facilitate expansion of practices at HEIs to include the health and wellbeing of sexual minorities.

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“…11,13,[20][21][22] Men who have sex with men face high levels of social stigma and homophobic violence which may be associated with traditional attitudes toward sexuality. 23,24 A 2013 study found that less than a third of South Africans reported that homosexuality should be accepted by society. 25 Simultaneously, the progress and momentum in South Africa are encouraging; it is the only country in sub-Saharan Africa where gay rights are formally recognized, and national policies emphasized reducing discrimination based on sexual orientation.…”

Section: Introductionmentioning

confidence: 99%

Comparing Provider and Client Preferences for HIV Prevention Services in South Africa among Men Who Have Sex with Men

Shaver

Sullivan

Siegler

et al. 2017

J Int Assoc Provid AIDS Care

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Combination prevention efforts are now recommended toward reducing HIV incidence among men who have sex with men (MSM). Understanding the perceptions of both MSM and service providers is critical to informing the development of prevention packages and ultimately improving intervention effectiveness. This study assessed the preferences of MSM and health service providers in the administration of HIV-prevention efforts. Qualitative data were gathered from a series of separate MSM and health care provider focus groups in 2 South African cities. Participants discussed HIV-prevention services and MSM client experiences within South Africa and identified the 3 most important clinic characteristics and 3 most important HIVprevention services for MSM clients. Priorities indicated by both MSM and health care providers were confidentiality of visit, friendly staff, and condoms, while discrepancies existed between MSM and providers regarding provider consistency and the provision of pre-exposure prophylaxis/post-exposure prophylaxis (PrEP/PEP) and lubricant as prevention methods. Effective interventions must address these discrepancies through the design of intervention and provider training to optimally accommodate MSM.

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Minority Stress in the Lives of Men Who Have Sex With Men in Cape Town, South Africa

Cited by 35 publications

References 37 publications

Substance Use and HIV Risk Among Men Who Have Sex With Men in Africa: A Systematic Review

Substance Use and HIV Risk Among Men Who Have Sex With Men in Africa: A Systematic Review

A SWOT analysis of health service access by men who have sex with men in South Africa: lessons for higher education institutions

Comparing Provider and Client Preferences for HIV Prevention Services in South Africa among Men Who Have Sex with Men

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