Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana

Heather Fay, Stefan Baral, Gift Trapence, Felistus Motimedi, Eric Umar, Scholastika Iipinge, Friedel Dausab, Andrea Wirtz, Christopher Beyrer

Research output: Contribution to journalArticle

Abstract

Same-sex practices are stigmatized in much of sub-Saharan Africa. Cross-sectional relationships between discrimination, access to and use of health care services, and HIV knowledge among men who have sex with men (MSM) were assessed in Malawi, Namibia, and Botswana. A survey and HIV screening were used to explore these variables and the prevalence of HIV. Overall, 19% of men screened positive for HIV infection. Ninety-three percent knew HIV is transmitted through anal sex with men, however, only 67% had ever received information of how to prevent this transmission. Few (17%) reported ever disclosing same sex practices to a health professional and 19% reported ever being afraid to seek health care. Men reported ever been denied health care services (5%) and 21% had ever been blackmailed because of their sexuality. Strong associations were observed between experiences of discrimination and fear of seeking health care services. Characterizing the relationship between stigma and health care seeking practices and attitudes can inform the development and implementation of HIV interventions for African MSM.

Original languageEnglish (US)
Pages (from-to)1088-1097
Number of pages10
JournalAIDS and Behavior
Volume15
Issue number6
DOIs
StatePublished - Aug 2011

Fingerprint

Namibia
Botswana
Malawi
HIV
Delivery of Health Care
Health Services
Health Services Accessibility
Africa South of the Sahara
Sexuality
Sexual Behavior
HIV Infections
Fear
Health

Keywords

  • Botswana
  • Discrimination
  • HIV/AIDS
  • Malawi
  • Men who have sex with men (MSM)
  • Namibia
  • Stigma

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

Cite this

Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana. / Fay, Heather; Baral, Stefan; Trapence, Gift; Motimedi, Felistus; Umar, Eric; Iipinge, Scholastika; Dausab, Friedel; Wirtz, Andrea; Beyrer, Christopher.

In: AIDS and Behavior, Vol. 15, No. 6, 08.2011, p. 1088-1097.

Research output: Contribution to journalArticle

Fay, Heather ; Baral, Stefan ; Trapence, Gift ; Motimedi, Felistus ; Umar, Eric ; Iipinge, Scholastika ; Dausab, Friedel ; Wirtz, Andrea ; Beyrer, Christopher. / Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana. In: AIDS and Behavior. 2011 ; Vol. 15, No. 6. pp. 1088-1097.
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