Sexual Stigma Patterns Among Nigerian Men Who Have Sex with Men and Their Link to HIV and Sexually Transmitted Infection Prevalence

被引：25
|
作者：
Rodriguez-Hart, Cristina [1 ,2 ]
Musci, Rashelle [2 ]
Nowak, Rebecca G. [1 ]
German, Danielle [2 ]
Orazulike, Ifeanyi [3 ]
Ononaku, Uchenna [1 ]
Liu, Hongjie [4 ]
Crowell, Trevor A. [5 ,6 ]
Baral, Stefan [2 ]
Charurat, Man [1 ]
机构：
[1] Univ Maryland, Sch Med, Inst Human Virol, Baltimore, MD 21201 USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD 21205 USA
[3] Int Ctr Advocacy & Rights Hlth, Abuja, Nigeria
[4] Univ Maryland, Sch Publ Hlth, College Pk, MD 20742 USA
[5] Walter Reed Army Inst Res, US Mil HIV Res Program, Silver Spring, MD USA
[6] Henry M Jackson Fdn Adv Mil Med, Bethesda, MD USA
来源：
AIDS AND BEHAVIOR | 2018年 / 22卷 / 05期
基金：
美国国家卫生研究院;
关键词：
Men who have sex with men; Stigma; Latent class analysis; HIV infections; Sexually transmitted infections; TRANSGENDER WOMEN; HEALTH; RISK; MSM; INTERVENTIONS; PREVENTION; PREJUDICE; PROGRAM; CARE; GAY;
D O I：
10.1007/s10461-017-1982-4
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Sexual stigma facilitates the spread of HIV and sexually transmitted infections (STIs) but little is known about stigma affecting Nigerian men who have sex with men (MSM). We assessed patterns of sexual stigma across Nigerian MSM and their relationship to HIV and STIs. Data were collected from the TRUST/RV368 Study, a prospective cohort of 1480 Nigerian MSM enrolled from March 2013 to February 2016 using respondent driven sampling. Structural equation modeling was utilized to assess the association between stigma classes and HIV and STI prevalence, adjusting for participants' characteristics. A dose-response association was found between stigma class and HIV prevalence (27, 40, 55%, overall chi(2) p < 0.001) and STI prevalence (15, 21, 24%, overall chi(2) p = 0.011). These data suggest that stigma mitigation strategies, combined with increased engagement of MSM and retention in the HIV care continuum, need to be a component of interventions focused on reducing HIV transmission risks among MSM in Nigeria.
引用
收藏
页码：1662 / 1670
页数：9
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