Internalised conflicts in the practice of religion among kwandengue living with HIV in Douala, Cameroun.

Religion plays an important role in the life of many Africans. Given that most faith-based organisations are vehemently opposed to homosexuality, the question arises as to the extent to which African gay men feel free to express and enjoy their faith while simultaneously acknowledging their sexual orientation. This study explored this question in relation to gay men living with HIV in Douala, Cameroon. For the study, we analysed questionnaires used by a local HIV-support centre to assess the psychosocial life of people living with HIV. Additional follow-up discussions were held with self-help groups and one-to-one conversations were conducted. The majority of the participants practised a religion and felt generally satisfied with their religious life. At the same time, many men said that they were 'conflicted with' their faith. They did not always wish to choose between their faith and their sexual orientation, these being two important dimensions of their identity. Religion's attitude towards homosexuality does not seem to make religious life less important for gay men in Africa, but can be a source of stress, which makes their spiritual fulfilment more problematic and deprives them of a coping strategy that may be helpful in adapting to HIV.