Prevalence and factors associated to disclosure of same-sex practices to family members and health care workers among men who have sex with men in Togo
| Autor: | Laurent Kapesa, Sosthenes Ketende, Carrie Lyons, Horacio Ruiseñor-Escudero, Vincent Palokinam Pitche, Jules Tchalla, Dométo Sodji, Stefan Baral, Anato Simplice |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Self Disclosure Health (social science) Adolescent Social Psychology Health Personnel Social Stigma education Human immunodeficiency virus (HIV) HIV Infections Violence Truth Disclosure medicine.disease_cause Health outcomes Men who have sex with men Odds Young Adult 03 medical and health sciences Discrimination Psychological 0302 clinical medicine Surveys and Questionnaires Health care Prevalence medicine Humans Family 030212 general & internal medicine Cities Homosexuality Male 030505 public health business.industry Public Health Environmental and Occupational Health Middle Aged Cross-Sectional Studies Physical abuse Togo Respondent Same sex Female 0305 other medical science business Demography |
| Zdroj: | AIDS Care. 31:1019-1025 |
| ISSN: | 1360-0451 0954-0121 |
| DOI: | 10.1080/09540121.2019.1612000 |
| Popis: | Disclosure of same-sex practices is associated with improved access to health services and better health outcomes. Our aim was to estimate the prevalence of same-sex practice disclosure to family members and health care workers (HCW) in two cities in Togo. 683 MSM ≥18 years of age were surveyed using respondent driven sampling (RDS) for a cross-sectional survey using a structured questionnaire in Lome (354 (51.8%)) and Kara (n = 329 (48.2%)). Median age was lower in Lome than in Kara. A significantly higher proportion of MSM in Lome (RDSa: 37.0%; 95% CI: 29.7, 44.3) than in Kara (RDSa: 8.0%; 95% CI: 4.7, 11.3) told a HCW that they have sex with men. Disclosure to a family member was associated with female gender, living with HIV, difficulties accessing health services, and blackmail. Disclosure to a HCW was associated with living with HIV, and physical abuse. MSM had decreased odds of disclosure to a HCW if they were living in Kara, reported female gender or intersex, or if had difficulties access... |
| Databáze: | OpenAIRE |
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