Literature DB >> 29956115

The Synergistic Impact of Sexual Stigma and Psychosocial Well-Being on HIV Testing: A Mixed-Methods Study Among Nigerian Men who have Sex with Men.

Cristina Rodriguez-Hart1,2, Cory Bradley3, Danielle German3, Rashelle Musci4, Ifeanyi Orazulike5, Stefan Baral6, Hongjie Liu7, Trevor A Crowell8,9, Man Charurat10, Rebecca G Nowak10.   

Abstract

Although sexual stigma has been linked to decreased HIV testing among men who have sex with men (MSM), mechanisms for this association are unclear. We evaluated the role of psychosocial well-being in connecting sexual stigma and HIV testing using an explanatory sequential mixed methods analysis of 25 qualitative and 1480 quantitative interviews with MSM enrolled in a prospective cohort study in Nigeria from March/2013-February/2016. Utilizing structural equation modeling, we found a synergistic negative association between sexual stigma and suicidal ideation on HIV testing. Qualitatively, prior stigma experiences often generated psychological distress and perceptions of feeling unsafe, which decreased willingness to seek services at general health facilities. MSM reported feeling safe at the MSM-friendly study clinic but still described a need for psychosocial support services. Addressing stigma and unmet mental health needs among Nigerian MSM has the potential to improve HIV testing uptake.

Entities:  

Keywords:  HIV testing; Latent class analysis; Men who have sex with men; Mental health; Stigma; Suicidal ideation

Mesh:

Year:  2018        PMID: 29956115      PMCID: PMC6209528          DOI: 10.1007/s10461-018-2191-5

Source DB:  PubMed          Journal:  AIDS Behav        ISSN: 1090-7165


  50 in total

1.  The immediate eff ect of the Same-Sex Marriage Prohibition Act on stigma, discrimination, and engagement on HIV prevention and treatment services in men who have sex with men in Nigeria: analysis of prospective data from the TRUST cohort.

Authors:  Sheree R Schwartz; Rebecca G Nowak; Ifeanyi Orazulike; Babajide Keshinro; Julie Ake; Sara Kennedy; Ogbonnaya Njoku; William A Blattner; Manhattan E Charurat; Stefan D Baral
Journal:  Lancet HIV       Date:  2015-07       Impact factor: 12.767

2.  High levels of unprotected anal intercourse and never testing for HIV among men who have sex with men in Nigeria: evidence from a cross-sectional survey for the need for innovative approaches to HIV prevention.

Authors:  Lung Vu; Katherine Andrinopoulos; Waimar Tun; Sylvia Adebajo
Journal:  Sex Transm Infect       Date:  2013-07-12       Impact factor: 3.519

3.  The Impact of Homophobia and HIV Stigma on HIV Testing Uptake Among Chinese Men Who Have Sex With Men: a Mediation Analysis.

Authors:  Chongyi Wei; Doug H Cheung; Hongjing Yan; Jianjun Li; Ling-en Shi; Henry F Raymond
Journal:  J Acquir Immune Defic Syndr       Date:  2016-01-01       Impact factor: 3.731

4.  "They see you as a different thing": the experiences of men who have sex with men with healthcare workers in South African township communities.

Authors:  T Lane; T Mogale; H Struthers; J McIntyre; S M Kegeles
Journal:  Sex Transm Infect       Date:  2008-11       Impact factor: 3.519

5.  Effectiveness of Trauma-Focused Cognitive Behavioral Therapy Among Trauma-Affected Children in Lusaka, Zambia: A Randomized Clinical Trial.

Authors:  Laura K Murray; Stephanie Skavenski; Jeremy C Kane; John Mayeya; Shannon Dorsey; Judy A Cohen; Lynn T M Michalopoulos; Mwiya Imasiku; Paul A Bolton
Journal:  JAMA Pediatr       Date:  2015-08       Impact factor: 26.796

6.  Access to Basic HIV-Related Services and PrEP Acceptability among Men Who Have sex with Men Worldwide: Barriers, Facilitators, and Implications for Combination Prevention.

Authors:  George Ayala; Keletso Makofane; Glenn-Milo Santos; Jack Beck; Tri D Do; Pato Hebert; Patrick A Wilson; Thomas Pyun; Sonya Arreola
Journal:  J Sex Transm Dis       Date:  2013-07-08

7.  Perception of Societal Stigma and Discrimination Towards People Living with HIV/AIDS in Lagos, Nigeria: a Qualitative Study.

Authors:  Adebimpe Wasiu Olalekan; Akindele Rasaq Akintunde; Mabayoje Victor Olatunji
Journal:  Mater Sociomed       Date:  2014-06-21

8.  Participation of HIV prevention programs among men who have sex with men in two cities of China--a mixed method study.

Authors:  Wei Ma; H Fisher Raymond; Erin C Wilson; Willi McFarland; Hongyan Lu; Xianbin Ding; Rongrong Lu; Xiaoyan Ma; Dongyan Xia; Jing Xu; Xiong He; Liangui Feng; Song Fan; Xuefeng Li; Jiangping Sun; Yujiang Jia; Yiming Shao; Yuhua Ruan; Yan Xiao
Journal:  BMC Public Health       Date:  2012-10-08       Impact factor: 3.295

9.  Outcomes of a community-based HIV-prevention pilot programme for township men who have sex with men in Cape Town, South Africa.

Authors:  Elizabeth Batist; Benjamin Brown; Andrew Scheibe; Stefan D Baral; Linda-Gail Bekker
Journal:  J Int AIDS Soc       Date:  2013-12-02       Impact factor: 5.396

Review 10.  Interventions to improve the rate or timing of initiation of antiretroviral therapy for HIV in sub-Saharan Africa: meta-analyses of effectiveness.

Authors:  Matthew P Fox; Sydney Rosen; Pascal Geldsetzer; Till Bärnighausen; Eyerusalem Negussie; Rachel Beanland
Journal:  J Int AIDS Soc       Date:  2016-08-08       Impact factor: 5.396

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  15 in total

1.  Individual and Sexual Network Predictors of HIV Incidence Among Men Who Have Sex With Men in Nigeria.

Authors:  Rebecca G Nowak; Andrew Mitchell; Trevor A Crowell; Hongjie Liu; Sosthenes Ketende; Habib O Ramadhani; Nicaise Ndembi; Sylvia Adebajo; Julie Ake; Nelson L Michael; William A Blattner; Stefan D Baral; Manhattan E Charurat
Journal:  J Acquir Immune Defic Syndr       Date:  2019-04-01       Impact factor: 3.731

2.  HIV testing and engagement with the HIV treatment cascade among men who have sex with men in Africa: a systematic review and meta-analysis.

Authors:  James Stannah; Elizabeth Dale; Jocelyn Elmes; Roisin Staunton; Chris Beyrer; Kate M Mitchell; Marie-Claude Boily
Journal:  Lancet HIV       Date:  2019-10-07       Impact factor: 12.767

3.  A syndemic of psychosocial health problems is associated with increased HIV sexual risk among Nigerian gay, bisexual, and other men who have sex with men (GBMSM).

Authors:  Adedotun Ogunbajo; Temitope Oke; Harry Jin; William Rashidi; Stella Iwuagwu; Gary W Harper; Katie B Biello; Matthew J Mimiaga
Journal:  AIDS Care       Date:  2019-10-13

4.  Sexual behavior stigma and depression among transgender women and cisgender men who have sex with men in Côte d'Ivoire.

Authors:  Ayden Scheim; Carrie Lyons; Rebecca Ezouatchi; Benjamin Liestman; Fatou Drame; Daouda Diouf; Ibrahima Ba; Amara Bamba; Abo Kouame; Stefan Baral
Journal:  Ann Epidemiol       Date:  2019-03-12       Impact factor: 3.797

5.  Using factor analyses to estimate the number of female sex workers across Malawi from multiple regional sources.

Authors:  Xiaoyue Maggie Niu; Amrita Rao; David Chen; Ben Sheng; Sharon Weir; Eric Umar; Gift Trapence; Vincent Jumbe; Dunker Kamba; Katherine Rucinski; Nikita Viswasam; Stefan Baral; Le Bao
Journal:  Ann Epidemiol       Date:  2020-12-16       Impact factor: 3.797

6.  Field evaluation of HIV-1 viral load monitoring in adults and children receiving antiretroviral treatment in Nigeria by dried blood spot testing with RealTime HIV-1 on m2000.

Authors:  Monday Tola; Ramadhani O Habib; Adebajo Sylvia; Trevor A Crowell; Nowak G Rebecca; Manhattan E Charurat; Patrick Dakum; Nicaise Ndembi
Journal:  J Clin Virol       Date:  2020-11-25       Impact factor: 14.481

7.  Validation of depressive symptoms, social support, and minority stress scales among gay, bisexual, and other men who have with men (GBMSM) in Nigeria, Africa: a mixed methods approach.

Authors:  Adedotun Ogunbajo; Stella Iwuagwu; Rashidi Williams; Katie B Biello; Christopher W Kahler; Theodorus G M Sandfort; Matthew J Mimiaga
Journal:  BMC Public Health       Date:  2020-06-29       Impact factor: 3.295

8.  Implementation of and Early Outcomes From Anal Cancer Screening at a Community-Engaged Health Care Facility Providing Care to Nigerian Men Who Have Sex With Men.

Authors:  Rebecca G Nowak; Nicaise Ndembi; Wuese Dauda; Paul Jibrin; Søren M Bentzen; Chinedu H Nnaji; Oluwole Olaomi; Teresa M Darragh; Jonathan Madukwe; Trevor A Crowell; Stefan D Baral; William A Blattner; Manhattan E Charurat; Joel M Palefsky; Kevin J Cullen
Journal:  J Glob Oncol       Date:  2019-07

9.  Characterizing Cross-Culturally Relevant Metrics of Stigma Among Men Who Have Sex With Men Across 8 Sub-Saharan African Countries and the United States.

Authors:  Jura L Augustinavicius; Stefan D Baral; Sarah M Murray; Kevon Jackman; Qian-Li Xue; Travis H Sanchez; Rebecca G Nowak; Trevor A Crowell; Maria Zlotorzynska; Oluwasolape Olawore; Carrie E Lyons; Iliassou M Njindam; Ubald Tamoufe; Daouda Diouf; Fatou Drame; Seni Kouanda; Abo Kouame; Man E Charurat; Simplice Anato; Tampose Mothopeng; Zandile Mnisi; Jeremy C Kane
Journal:  Am J Epidemiol       Date:  2020-07-01       Impact factor: 4.897

10.  Predictors of first-line antiretroviral therapy failure among adults and adolescents living with HIV/AIDS in a large prevention and treatment program in Nigeria.

Authors:  Nicaise Ndembi; Fati Murtala-Ibrahim; Monday Tola; Jibreel Jumare; Ahmad Aliyu; Peter Alabi; Charles Mensah; Alash'le Abimiku; Miguel E Quiñones-Mateu; Trevor A Crowell; Soo-Yon Rhee; Robert W Shafer; Ravindra Gupta; William Blattner; Manhattan E Charurat; Patrick Dakum
Journal:  AIDS Res Ther       Date:  2020-11-03       Impact factor: 2.250

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