TY - JOUR
T1 - Sexual Stigma Patterns Among Nigerian Men Who Have Sex with Men and Their Link to HIV and Sexually Transmitted Infection Prevalence
AU - For the TRUST/RV368 Study Group
AU - Rodriguez-Hart, Cristina
AU - Musci, Rashelle
AU - Nowak, Rebecca G.
AU - German, Danielle
AU - Orazulike, Ifeanyi
AU - Ononaku, Uchenna
AU - Liu, Hongjie
AU - Crowell, Trevor A.
AU - Baral, Stefan
AU - Charurat, Man
N1 - Funding Information:
Funding This work was supported by a cooperative agreement (W81XWH-11-2-0174) between the Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., and the U.S. Department of Defense (DoD). This study is also supported by funds from the
Funding Information:
US National Institutes of Health under Award No. R01MH099001 and R01AI120913 and training grant T32 A1050056-12, the US Military HIV Research Program (Grant No. W81XWH-07-2-0067), Fogarty AITRP (D43TW01041), and the President’s Emergency Plan for AIDS Relief through cooperative agreement U2G IPS000651 from the HHS/ Centers for Disease Control and Prevention (CDC), Global AIDS Program with IHVN.
PY - 2018/5/1
Y1 - 2018/5/1
N2 - 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 χ2 p < 0.001) and STI prevalence (15, 21, 24%, overall χ2 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.
AB - 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 χ2 p < 0.001) and STI prevalence (15, 21, 24%, overall χ2 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.
KW - HIV infections
KW - Latent class analysis
KW - Men who have sex with men
KW - Sexually transmitted infections
KW - Stigma
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U2 - 10.1007/s10461-017-1982-4
DO - 10.1007/s10461-017-1982-4
M3 - Article
C2 - 29168069
AN - SCOPUS:85034627324
VL - 22
SP - 1662
EP - 1670
JO - AIDS and Behavior
JF - AIDS and Behavior
SN - 1090-7165
IS - 5
ER -