AIDS and Behavior

, Volume 15, Issue 6, pp 1088–1097

Stigma, Health Care Access, and HIV Knowledge Among Men Who Have Sex With Men in Malawi, Namibia, and Botswana

Authors

  • Heather Fay
    • Department of Epidemiology, Center for Public Health and Human RightsJohns Hopkins School of Public Health
  • Stefan D. Baral
    • Department of Epidemiology, Center for Public Health and Human RightsJohns Hopkins School of Public Health
  • Gift Trapence
    • Center for the Development of People
  • Felistus Motimedi
    • Botswana Network on Ethics, Law, and HIV/AIDS
  • Eric Umar
    • Department of Community HealthUniversity of Malawi, College of Medicine
  • Scholastika Iipinge
    • University of Namibia
  • Friedel Dausab
    • The Rainbow Project
  • Andrea Wirtz
    • Department of Epidemiology, Center for Public Health and Human RightsJohns Hopkins School of Public Health
    • Department of Epidemiology, Center for Public Health and Human RightsJohns Hopkins School of Public Health
Original Paper

DOI: 10.1007/s10461-010-9861-2

Cite this article as:
Fay, H., Baral, S.D., Trapence, G. et al. AIDS Behav (2011) 15: 1088. doi:10.1007/s10461-010-9861-2

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.

Keywords

StigmaDiscriminationHIV/AIDSMen who have sex with men (MSM)NamibiaBotswanaMalawi

Copyright information

© Springer Science+Business Media, LLC 2010