Shauna Stahlman1, Ashley Grosso2, Sosthenes Ketende2, Vincent Pitche3, Seni Kouanda4, Nuha Ceesay5, Henri G Ouedraogo6, Odette Ky-Zerbo7, Marcel Lougue7, Daouda Diouf8, Simplice Anato9, Jules Tchalla10, Stefan Baral2. 1. Center for Public Health and Human Rights and Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA sstahlm1@jhu.edu. 2. Center for Public Health and Human Rights and Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 3. Conseil National de Lutte contre le SIDA-Togo (National AIDS Council), Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo. 4. Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso Institut Africain de Santé Publique, Ouagadougou, Burkina Faso. 5. UNAIDS, Mbabane, Swaziland. 6. Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso. 7. Programme d'Appui au Monde Associatif et Communautaire (PAMAC), Ouagadougou, Burkina Faso. 8. Enda Santé Senegal, Dakar, Sénégal. 9. Arc-en-ciel, Lomé, Togo. 10. Espoir Vie, Lomé, Togo.
Abstract
BACKGROUND: Suicidal ideation is understudied among men who have sex with men (MSM) across Sub-Saharan Africa. AIMS: This study aimed to explore social capital and sexual behavior stigma associated with suicidal ideation among MSM in the West African nations of The Gambia, Burkina Faso and Togo. METHODS: Participants were recruited using respondent-driven sampling and snowball sampling across multiple cities (n = 1555) from July 2011 to August 2013. During a single study visit, participants completed a survey. Logistic regression models were used to assess bivariate and multivariable associations with suicidal ideation. RESULTS: The prevalence of lifetime suicidal ideation was 13% overall and ranged 6%-17% across study sites. After adjusting for potential confounders, MSM who reported stigma as a result of having sex with men were more likely to report suicidal ideation. Physical and sexual violence was strongly associated with suicidal ideation, including being physically harmed (adjusted odds ratio (aOR) = 2.94, 95% confidence interval (CI) = 1.91, 4.52), tortured (aOR = 3.86, 95% CI = 2.17, 6.86) and raped (aOR = 3.07, 95% CI = 2.05, 4.60). In contrast, increasing social participation with the broader community was associated with decreased report of suicidal ideation (aOR = 0.91, 95% CI = 0.85, 0.99). CONCLUSION: Sexual behavior stigma should be addressed to improve mental health among MSM in Western Sub-Saharan Africa.
BACKGROUND: Suicidal ideation is understudied among men who have sex with men (MSM) across Sub-Saharan Africa. AIMS: This study aimed to explore social capital and sexual behavior stigma associated with suicidal ideation among MSM in the West African nations of The Gambia, Burkina Faso and Togo. METHODS:Participants were recruited using respondent-driven sampling and snowball sampling across multiple cities (n = 1555) from July 2011 to August 2013. During a single study visit, participants completed a survey. Logistic regression models were used to assess bivariate and multivariable associations with suicidal ideation. RESULTS: The prevalence of lifetime suicidal ideation was 13% overall and ranged 6%-17% across study sites. After adjusting for potential confounders, MSM who reported stigma as a result of having sex with men were more likely to report suicidal ideation. Physical and sexual violence was strongly associated with suicidal ideation, including being physically harmed (adjusted odds ratio (aOR) = 2.94, 95% confidence interval (CI) = 1.91, 4.52), tortured (aOR = 3.86, 95% CI = 2.17, 6.86) and raped (aOR = 3.07, 95% CI = 2.05, 4.60). In contrast, increasing social participation with the broader community was associated with decreased report of suicidal ideation (aOR = 0.91, 95% CI = 0.85, 0.99). CONCLUSION:Sexual behavior stigma should be addressed to improve mental health among MSM in Western Sub-Saharan Africa.
Authors: Jessica L Maksut; Travis H Sanchez; John Mark Wiginton; Ayden I Scheim; Carmen H Logie; Maria Zlotorzynska; Carrie E Lyons; Stefan D Baral Journal: Ann Epidemiol Date: 2020-08-05 Impact factor: 3.797
Authors: Kate E Dibble; Stefan D Baral; Matthew R Beymer; Shauna Stahlman; Carrie E Lyons; Oluwasolape Olawore; Cheikh Ndour; Gnilane Turpin Nunez; Coumba Toure-Kane; Nafissatou Leye Diouf; Daouda Diouf; Fatou Maria Drame; Souleymane Mboup; Sarah M Murray Journal: SAGE Open Med Date: 2022-05-01
Authors: Adebola Adedimeji; Jean d'Amour Sinayobye; Brenda Asiimwe-Kateera; Junaid Chaudhry; Lydia Buzinge; Andre Gitembagara; Gad Murenzi; Pacifique Mugenzi; Viraj V Patel; Philip E Castle; Leon Mutesa; Joel Palefsky; Kathryn M Anastos Journal: PLoS One Date: 2019-01-18 Impact factor: 3.240
Authors: John Mark Wiginton; Sarah M Murray; Ohemaa Poku; Jura Augustinavicius; Kevon-Mark Phillip Jackman; Jeremy Kane; Serge C Billong; Daouda Diouf; Ibrahima Ba; Tampose Mothopeng; Iliassou Mfochive Njindam; Gnilane Turpin; Ubald Tamoufe; Bhekie Sithole; Maria Zlotorzynska; Travis H Sanchez; Stefan D Baral Journal: BMC Public Health Date: 2021-12-03 Impact factor: 3.295