Experiences of minority stress among gay, bisexual, and other men who have sex with men (GBMSM) in Nigeria, Africa: The intersection of mental health, substance use, and HIV sexual risk behavior

Autor: Stella Iwuagwu, Christopher W. Kahler, Theodorus G. M. Sandfort, Rashidi Williams, Katie B. Biello, Adedotun Ogunbajo, Matthew J. Mimiaga
Rok vydání: 2020
Předmět:
Male
and promotion of well-being
Poison control
HIV Infections
Suicide prevention
Occupational safety and health
Men who have sex with men
Substance Misuse
Sexual and Gender Minorities
0302 clinical medicine
030212 general & internal medicine
Aetiology
reproductive and urinary physiology
Violence Research
virus diseases
Homosexuality
Minority stress
Infectious Diseases
Mental Health
GBMSM
Public Health and Health Services
HIV/AIDS
Female
Public Health
social and economic factors
0305 other medical science
Psychology
Clinical psychology
Substance-Related Disorders
Sexual Behavior
substance use
Nigeria
Article
03 medical and health sciences
Risk-Taking
stomatognathic system
Clinical Research
2.3 Psychological
Behavioral and Social Science
Injury prevention
Humans
Homosexuality
Male
030505 public health
Prevention
Public Health
Environmental and Occupational Health
Prevention of disease and conditions
Mental health
Good Health and Well Being
Sexual orientation
3.1 Primary prevention interventions to modify behaviours or promote wellbeing
Zdroj: Glob Public Health
Global public health, vol 16, iss 11
ISSN: 1744-1706
1744-1692
DOI: 10.1080/17441692.2020.1834598
Popis: Nigerian gay, bisexual, and other men who have sex with men (GBMSM) experience social marginalisation, discrimination and violence due to their sexual orientation and same-sex attraction, which may affect mental health, substance use, and HIV sexual risk behavior. The goal of the current study was to conduct formative qualitative research to gain better understanding of these issues among GBMSM in Lagos, Nigeria. Face-to-face, semi-structured, in-depth interviews were conducted with 30 GBMSM in Lagos, Nigeria. Data were analysed using a deductive content analysis approach. We found that Nigerian GBMSM experienced both general life stressors as well as proximal and distal sexual minority identity stressors, including rejection by family members, harassment, and physical violence perpetrated by the general public and police officers. Participants described dealing with mental health problems within the context of family rejection, experienced stigma due to sexual orientation, and feelings of social isolation. Substance use was described as occurring within the context of social settings. Lastly, some participants mentioned that they engaged in risky sexual behaviour while under the influence of alcohol and drugs. These findings call for comprehensive and innovative, GBMSM-affirming behavioural healthcare, substance cessation services, and innovative HIV prevention interventions specifically designed and tailored for Nigerian GBMSM.
Databáze: OpenAIRE
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