| Title |
The Synergistic Impact of Sexual Stigma and Psychosocial Well-Being on HIV Testing: A Mixed-Methods Study Among Nigerian Men who have Sex with Men
|
|---|---|
| Published in |
AIDS and Behavior, June 2018
|
| DOI | 10.1007/s10461-018-2191-5 |
| Pubmed ID | |
| Authors |
Cristina Rodriguez-Hart, Cory Bradley, Danielle German, Rashelle Musci, Ifeanyi Orazulike, Stefan Baral, Hongjie Liu, Trevor A. Crowell, Man Charurat, Rebecca G. Nowak, the TRUST/RV368 Study Group |
| Abstract |
Although sexual stigma has been linked to decreased HIV testing among men who have sex with men (MSM), mechanisms for this association are unclear. We evaluated the role of psychosocial well-being in connecting sexual stigma and HIV testing using an explanatory sequential mixed methods analysis of 25 qualitative and 1480 quantitative interviews with MSM enrolled in a prospective cohort study in Nigeria from March/2013-February/2016. Utilizing structural equation modeling, we found a synergistic negative association between sexual stigma and suicidal ideation on HIV testing. Qualitatively, prior stigma experiences often generated psychological distress and perceptions of feeling unsafe, which decreased willingness to seek services at general health facilities. MSM reported feeling safe at the MSM-friendly study clinic but still described a need for psychosocial support services. Addressing stigma and unmet mental health needs among Nigerian MSM has the potential to improve HIV testing uptake. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 133 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 133 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 18 | 14% |
| Student > Ph. D. Student | 13 | 10% |
| Student > Bachelor | 13 | 10% |
| Researcher | 11 | 8% |
| Student > Doctoral Student | 10 | 8% |
| Other | 23 | 17% |
| Unknown | 45 | 34% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 20 | 15% |
| Nursing and Health Professions | 16 | 12% |
| Social Sciences | 15 | 11% |
| Psychology | 12 | 9% |
| Biochemistry, Genetics and Molecular Biology | 4 | 3% |
| Other | 18 | 14% |
| Unknown | 48 | 36% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 July 2018.
All research outputs
#21,186,729
of 23,849,058 outputs
Outputs from AIDS and Behavior
#3,266
of 3,566 outputs
Outputs of similar age
#290,831
of 331,106 outputs
Outputs of similar age from AIDS and Behavior
#77
of 91 outputs
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