Patterns of sexual and HIV-related stigma among men who have sex with men and women living with HIV in Haiti.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
07 05 2022
07 05 2022
Historique:
received:
03
02
2022
accepted:
27
04
2022
entrez:
7
5
2022
pubmed:
8
5
2022
medline:
11
5
2022
Statut:
epublish
Résumé
Vulnerability to contracting HIV among Men who have Sex with Men and Women (MSMW) was recognized early in the epidemic. However, while global HIV efforts have made tremendous progress for the heterosexually-identified population, the specific needs of MSMW were not directly addressed with tailored and context-adapted interventions. The purpose of this study was to inform this area of research by exploring patterns of stigma through sexual identity developmental history as well as coping mechanisms among MSMW living with HIV in Haiti. A qualitative descriptive study comprised of in-depth interviews with 32 MSMW living with HIV was carried out. Participants were recruited using snowball techniques. An inductive thematic analysis was conducted in NVivo, contextualized by the socio-ecological context of Haiti. MSMW reported struggling with their sexuality since their adolescence, often because of enacted stigma from family members, the community, and cultural conflicts. Most participants described experiencing anxiety, psychological distress, depression, social isolation, suicidal ideation and suicide attempts. Mechanisms for coping with stigma included self-acceptance, social support, hiding their sexual orientation, and tolerance of the voodoo religion. To combat stigma, and improve HIV treatment adherence and retention among MSMW, culturally-tailored multilevel initiatives should be implemented.
Identifiants
pubmed: 35525876
doi: 10.1038/s41598-022-11647-1
pii: 10.1038/s41598-022-11647-1
pmc: PMC9079062
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
7511Subventions
Organisme : NIAAA NIH HHS
ID : R01 AA018084
Pays : United States
Organisme : NIMH NIH HHS
ID : R25 MH067127
Pays : United States
Organisme : NIAAA NIH HHS
ID : U34 AA026219
Pays : United States
Informations de copyright
© 2022. The Author(s).
Références
J Adv Nurs. 2008 Apr;62(1):107-15
pubmed: 18352969
Am J Public Health. 2005 Jan;95(1):53-9
pubmed: 15623859
AIDS Res Ther. 2021 Oct 9;18(1):67
pubmed: 34627315
AIDS Care. 2012;24(4):405-12
pubmed: 22117138
PLoS One. 2014 Jun 24;9(6):e99591
pubmed: 24959923
BMC Health Serv Res. 2017 Mar 16;17(1):214
pubmed: 28302106
J Behav Med. 2007 Dec;30(6):497-503
pubmed: 17690973
J Int AIDS Soc. 2019 Jul;22(7):e25281
pubmed: 31287624
AIDS Patient Care STDS. 2020 Jun;34(6):275-280
pubmed: 32484742
Glob Public Health. 2016 Aug-Sep;11(7-8):923-36
pubmed: 26783732
AIDS Behav. 2015 Aug;19(8):1460-9
pubmed: 25969182
Antivir Ther. 2014;19 Suppl 3:91-104
pubmed: 25310257
AIDS. 2015 Apr 24;29(7):837-45
pubmed: 25730508
Sex Transm Dis. 2006 Oct;33(10):594-5
pubmed: 16837828
Ann Behav Med. 2011 Oct;42(2):227-34
pubmed: 21533623
BMJ Open. 2016 Jul 13;6(7):e011453
pubmed: 27412106
Glob Public Health. 2016 Mar;11(3):363-379
pubmed: 26315563
Arch Sex Behav. 2018 Oct;47(7):2061-2069
pubmed: 29149399
AIDS Educ Prev. 2007 Aug;19(4):346-64
pubmed: 17685847
BMC Int Health Hum Rights. 2014 Jun 03;14:20
pubmed: 24893654
AIDS Behav. 2020 Jan;24(1):8-17
pubmed: 31664571
J Acquir Immune Defic Syndr. 2017 Feb 1;74(2):e38-e44
pubmed: 27787344
Int J STD AIDS. 2020 Jul;31(8):712-723
pubmed: 32631213
Dimens Crit Care Nurs. 2017 Jul/Aug;36(4):253-263
pubmed: 28570380
Cult Health Sex. 2018 Aug;20(8):873-887
pubmed: 29125041
J Health Care Poor Underserved. 2016;27(4):1745-1760
pubmed: 27818436
Rev Panam Salud Publica. 2021 Mar 08;45:e12
pubmed: 33708247
LGBT Health. 2016 Dec;3(6):443-450
pubmed: 27835058
Health (London). 2013 Sep;17(5):441-59
pubmed: 23117592
AIDS Behav. 2013 Jun;17(5):1883-7
pubmed: 22392156
AIDS Behav. 2016 Oct;20(10):2243-2265
pubmed: 26781871
Glob Health Action. 2014 Oct 23;7:24814
pubmed: 25361722
Lancet HIV. 2019 Mar;6(3):e151-e152
pubmed: 30846056
AIDS Behav. 2006 Jul;10(4 Suppl):S25-33
pubmed: 16715344
Curr HIV/AIDS Rep. 2014 Jun;11(2):158-67
pubmed: 24623473
Arch Sex Behav. 2016 Aug;45(6):1483-91
pubmed: 26679303
J Acquir Immune Defic Syndr. 2021 Oct 1;88(2):149-156
pubmed: 34267054
Eur J Gen Pract. 2018 Dec;24(1):120-124
pubmed: 29202616
PLoS One. 2014 Jan 30;9(1):e87139
pubmed: 24498030
AIDS Behav. 2020 Feb;24(2):357-362
pubmed: 31907675
AIDS Care. 2016;28 Suppl 1:140-7
pubmed: 27002772
AIDS Care. 2019 Sep;31(9):1069-1076
pubmed: 30942086