Disclosure of Same-Sex Sexual Practices to Family and Healthcare Providers by Men Who Have Sex with Men and Transgender Women in Nigeria.
Disclosure of same-sex sexual practices by men who have sex with men (MSM) and transgender women (TGW) may facilitate appropriate healthcare engagement, including risk assessment for HIV and other sexually transmitted infections (STIs), and negotiation of condom use with partners. However, disclosur...
| Published in: | Archives of Sexual Behavior Vol. 50; no. 4; pp. 1665 - 1677 |
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| Main Authors: | , , , , , , , , , , , , |
| Format: | Article |
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Springer Nature
May2021
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=150973206&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 150973206 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00040002 ASX jtl: Archives of Sexual Behavior issn: 00040002 maglogo: N pubinfo: dt: May2021 vid: 50 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 150973206 10.1007/s10508-020-01644-8 ppf: 1665 ppct: 12 formats: fmt: @attributes: type: P size: 1.4MB tig: atl: Disclosure of Same-Sex Sexual Practices to Family and Healthcare Providers by Men Who Have Sex with Men and Transgender Women in Nigeria. aug: au: Kokogho, Afoke Amusu, Senate Baral, Stefan D. Charurat, Manhattan E. Adebajo, Sylvia Makanjuola, Olumide Tonwe, Veronica Storme, Casey Michael, Nelson L. Robb, Merlin L. Ake, Julie A. Nowak, Rebecca G. Crowell, Trevor A. affil: U.S. Army Medical Research Directorate–Africa, Nairobi, Kenya HJF Medical Research International, Abuja, Nigeria Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Institute of Human Virology, University of Maryland, Baltimore, MD, USA Population Council Nigeria, Abuja, Nigeria The Initiative for Equal Rights, Lagos, Nigeria Henry M. Jackson Foundation for the Advancement of Military Medicine, 20817, Bethesda, MD, USA U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA Center for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, MD, USA su: Nigeria Men who have sex with men Human sexuality Women's sexual behavior Disclosure Social stigma Gay men's sexual behavior Transgender people's sexual behavior sug: subj: Men who have sex with men Human sexuality Women's sexual behavior Disclosure Social stigma Nigeria Gay men's sexual behavior Transgender people's sexual behavior keyword: AIDS Gender and sexual minorities Sexual orientation Stigma Transgender AIDS Gender and sexual minorities Sexual orientation Stigma Transgender ab: Disclosure of same-sex sexual practices by men who have sex with men (MSM) and transgender women (TGW) may facilitate appropriate healthcare engagement, including risk assessment for HIV and other sexually transmitted infections (STIs), and negotiation of condom use with partners. However, disclosure may also generate stigma. In these cross-sectional analyses, MSM and TGW were categorized based on self-report of disclosure to family members and healthcare providers (HCP) at enrollment into the TRUST/RV368 study of comprehensive HIV and STI care programs in Abuja and Lagos, Nigeria. Multivariable Poisson regression models with robust error variance were used to estimate relative risk of disclosure with 95% confidence intervals. Pearson's chi-squared test was used to compare condom use and stigma indicators by disclosure status. Of 2557 participants who answered baseline questions about disclosure, 384 (15.0%) had ever disclosed to a family member and 733 (28.7%) to HCP, including 192 (7.5%) who disclosed to both. Higher education, prevalent HIV infections, and residence in Lagos were each associated with increased likelihood of disclosure to family and HCP. Older participants were more likely to disclose to HCP but not family. Participants who made a disclosure to family or HCP were more likely to report condom use during anal sex as well as perceived and experienced stigma that included healthcare avoidance, blackmail, assault, and sexual violence as compared to participants who had not disclosed. Improved disclosure practices within safe spaces may enhance engagement of MSM and TGW in healthcare and HIV prevention services. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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