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Assessing the association of stigma and HIV service and prevention uptake among men who have sex with men and transgender women in South Africa.

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Title: Assessing the association of stigma and HIV service and prevention uptake among men who have sex with men and transgender women in South Africa.
Authors: Brown, Carolyn A., Siegler, Aaron J., Zahn, Ryan J., Valencia, Rachel K., Sanchez, Travis, Kramer, Michael R., Phaswana-Mafuya, Nancy Refilwe, Stephenson, Rob, Bekker, Linda-Gail, Baral, Stefan D., Sullivan, Patrick S.
Source: AIDS Care. Oct2023, Vol. 35 Issue 10, p1497-1507. 11p. 4 Charts, 1 Graph.
Subjects: HIV infection epidemiology, HIV prevention, Statistics, Health services accessibility, Trans women, Human sexuality, Social stigma, Medical care, Surveys, Descriptive statistics, Research funding, Sexual orientation identity, Sex customs, Scale analysis (Psychology), Men who have sex with men, Data analysis software, Health equity, Logistic regression analysis, Psychology of HIV-positive persons, Gay people, Longitudinal method
Geographic Terms: South Africa
Abstract: HIV prevention for gay, bisexual, and other men who have sex with men (GBMSM) and transgender women (TGW) is critical to reducing health disparities and population HIV prevalence. To understand if different types of stigma impact engagement with HIV prevention services, we assessed associations between stigmas and use of HIV prevention services offered through an HIV prevention intervention. This analysis included 201 GBMSM and TGW enrolled in a prospective cohort offering a package of HIV prevention interventions. Participants completed a baseline survey that included four domains of sexual identity/behavior stigma, HIV-related stigma, and healthcare stigma. Impact of stigma on PrEP uptake and the number of drop-in visits was assessed. No domain of stigma was associated with PrEP uptake. In bivariate analysis, increased enacted sexual identity stigma increased number of drop-in visits. In a logistic regression analysis constrained to sexual identity stigma, enacted stigma was associated with increased drop-in visits (aIRR = 1.30, [95% CI: 1.02, 1.65]). Participants reporting higher enacted stigma were modestly more likely to attend additional services and have contact with the study clinics and staff. GBMSM and TGW with higher levels of enacted stigma may seek out sensitized care after negative experiences in their communities or other healthcare settings. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Assessing the association of stigma and HIV service and prevention uptake among men who have sex with men and transgender women in South Africa.
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Oct2023, Vol. 35 Issue 10, p1497-1507. 11p. 4 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22South+Africa%22">South Africa</searchLink>
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  Data: HIV prevention for gay, bisexual, and other men who have sex with men (GBMSM) and transgender women (TGW) is critical to reducing health disparities and population HIV prevalence. To understand if different types of stigma impact engagement with HIV prevention services, we assessed associations between stigmas and use of HIV prevention services offered through an HIV prevention intervention. This analysis included 201 GBMSM and TGW enrolled in a prospective cohort offering a package of HIV prevention interventions. Participants completed a baseline survey that included four domains of sexual identity/behavior stigma, HIV-related stigma, and healthcare stigma. Impact of stigma on PrEP uptake and the number of drop-in visits was assessed. No domain of stigma was associated with PrEP uptake. In bivariate analysis, increased enacted sexual identity stigma increased number of drop-in visits. In a logistic regression analysis constrained to sexual identity stigma, enacted stigma was associated with increased drop-in visits (aIRR = 1.30, [95% CI: 1.02, 1.65]). Participants reporting higher enacted stigma were modestly more likely to attend additional services and have contact with the study clinics and staff. GBMSM and TGW with higher levels of enacted stigma may seek out sensitized care after negative experiences in their communities or other healthcare settings. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2023.2175770
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      – Code: eng
        Text: English
    PhysicalDescription:
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        PageCount: 11
        StartPage: 1497
    Subjects:
      – SubjectFull: HIV infection epidemiology
        Type: general
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Health services accessibility
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      – SubjectFull: Trans women
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      – SubjectFull: Human sexuality
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Research funding
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      – SubjectFull: Sexual orientation identity
        Type: general
      – SubjectFull: Sex customs
        Type: general
      – SubjectFull: Scale analysis (Psychology)
        Type: general
      – SubjectFull: Men who have sex with men
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Health equity
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Psychology of HIV-positive persons
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      – SubjectFull: Gay people
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      – SubjectFull: Longitudinal method
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      – SubjectFull: South Africa
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      – TitleFull: Assessing the association of stigma and HIV service and prevention uptake among men who have sex with men and transgender women in South Africa.
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