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An assessment of st...
An assessment of stigma and human right violations among men who have sex with men in Abuja, Nigeria
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- Strömdahl, Susanne (författare)
- Karolinska Institutet,Uppsala universitet,Infektionssjukdomar,Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Ctr Publ Hlth & Human Rights, Baltimore, MD 21205 USA
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- Williams, Abimbola Onigbanjo (författare)
- Ctr Right Hlth Nigeria CRH, Abuja, Nigeria
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- Eziefule, Bede (författare)
- Ctr Right Hlth Nigeria CRH, Abuja, Nigeria
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- Emmanuel, Godwin (författare)
- Ctr Right Hlth Nigeria CRH, Abuja, Nigeria
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- Iwuagwu, Stella (författare)
- Ctr Right Hlth Nigeria CRH, Abuja, Nigeria
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- Anene, Oliver (författare)
- ARN, Abuja, Nigeria
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- Orazulike, Ifeanyi (författare)
- ARN, Abuja, Nigeria
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- Beyrer, Chris (författare)
- Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Ctr Publ Hlth & Human Rights, Baltimore, MD 21205 USA
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- Baral, Stefan (författare)
- Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Ctr Publ Hlth & Human Rights, Baltimore, MD 21205 USA
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(creator_code:org_t)
- 2019-03-05
- 2019
- Engelska.
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Ingår i: BMC International Health and Human Rights. - : BMC. - 1472-698X. ; 19
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://bmcinthealth...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
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- Background: There have been several barriers in effectively engaging men who have sex with men for STI/HIV prevention and treatment programming in Nigeria including social stigma, policies, and laws criminalizing same-sex practices. The objective of this study was to describe the human rights context for MSM in Abuja and characterize factors associated with having had a genital ulcer disease in the previous 12months, a health outcome associated with increased risk of HIV acquisition and transmission.Methods: A convenience sample of 297 men reporting ever having had anal intercourse with another man participated in the study in 2008. A structured survey instrument including sexual risk behaviour for STI/HIV, disclosure of sexual orientation, perceived and enacted human rights violations were performed. Descriptive and inferential data analyses were conducted using Stata11 software.Results: 36% reported having been discriminated due to sexual orientation and 17% reported being afraid to walk the streets of their community. Enacted rights violations included 41% having been blackmailed, 36% been beaten, 13% been denied housing, and 11% been jailed due to sexual orientation. Having been blackmailed due to sexual orientation (aOR 3.40, 95%CI: 1.35-8.56) was significantly associated with reporting having had a genital ulcer in the last 12months. Having been beaten due to sexual orientation (aOR 2.36, 95%CI:0.96-5.82) was moderately significantly associated with reporting having had a genital ulcer in the last 12months.Conclusions: High levels of experienced stigma, discrimination and human rights violations among MSM in Abuja was reported, constituting structural risks that are linked to sexual risk behaviour for STI/HIV. Given data on the high prevalence and incidence of HIV among MSM in Abuja, these findings reinforce the need for structural interventions to mediate access to STI/HIV prevention and treatment services.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Men who have sex with men
- Stigma
- Human rights violations
- HIV
- STI
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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