You become afraid to tell them that you are gay: health service utilization by men who have sex with men in South African cities
- PMID: 21730987
- DOI: 10.1057/jphp.2011.29
You become afraid to tell them that you are gay: health service utilization by men who have sex with men in South African cities
Abstract
We describe the utilization of health services by men who have sex with men (MSM) in South African cities, their perceptions of available health services, and their service preferences. We triangulated data from 32 key informant interviews (KIIs), 18 focus group discussions (FGDs) with MSM in four cities, and a survey of 285 MSM in two cities, recruited through respondent-driven sampling in 2008. FGDs and KIIs revealed that targeted public health sector programs for MSM were limited, and that MSM experienced stigma, discrimination, and negative health worker attitudes. Fifty-seven per cent of the survey participants had used public health services in the previous 12 months, and 69 per cent had no private health insurance, with no difference by HIV status. Despite these findings, South Africa is well placed to take the lead in sub-Saharan Africa in providing responsive and appropriate HIV services for MSM.
Similar articles
-
"We are not gays… don't tell me those things": engaging 'hidden' men who have sex with men and transgender women in HIV prevention in Myanmar.BMC Public Health. 2019 Jan 14;19(1):63. doi: 10.1186/s12889-018-6351-3. BMC Public Health. 2019. PMID: 30642303 Free PMC article.
-
Needs Assessment on the Use of Health Services Among Men Who Have Sex with Men in Ho Chi Minh City, Vietnam.LGBT Health. 2015 Dec;2(4):341-5. doi: 10.1089/lgbt.2015.0034. Epub 2015 Aug 26. LGBT Health. 2015. PMID: 26788775
-
Healthcare-related stigma among men who have sex with men and transgender women in sub-Saharan Africa participating in HIV Prevention Trials Network (HPTN) 075 study.AIDS Care. 2020 Aug;32(8):1052-1060. doi: 10.1080/09540121.2020.1776824. Epub 2020 Jun 5. AIDS Care. 2020. PMID: 32500722 Free PMC article.
-
A qualitative assessment of health seeking practices among and provision practices for men who have sex with men in Malawi.BMC Int Health Hum Rights. 2014 Jun 3;14:20. doi: 10.1186/1472-698X-14-20. BMC Int Health Hum Rights. 2014. PMID: 24893654 Free PMC article.
-
Participation of HIV prevention programs among men who have sex with men in two cities of China--a mixed method study.BMC Public Health. 2012 Oct 8;12:847. doi: 10.1186/1471-2458-12-847. BMC Public Health. 2012. PMID: 23039880 Free PMC article.
Cited by 41 articles
-
Healthcare worker training to improve quality of care for sexual and gender minority people in sub-Saharan Africa: learning from efforts in Uganda.J Int AIDS Soc. 2021 Jul;24 Suppl 3(Suppl 3):e25728. doi: 10.1002/jia2.25728. J Int AIDS Soc. 2021. PMID: 34189872 Free PMC article.
-
Cultural and clinical challenges in sexual health care provision to men who have sex with men in Tanzania: a qualitative study of health professionals' experiences and health students' perspectives.BMC Public Health. 2021 Apr 7;21(1):676. doi: 10.1186/s12889-021-10696-x. BMC Public Health. 2021. PMID: 33827508 Free PMC article.
-
Client and provider preferences for HIV care: Implications for implementing differentiated service delivery in Thailand.J Int AIDS Soc. 2021 Apr;24(4):e25693. doi: 10.1002/jia2.25693. J Int AIDS Soc. 2021. PMID: 33792192 Free PMC article.
-
Online socializing among men who have sex with men and transgender people in Nairobi and Johannesburg and implications for public health-related research and health promotion: an analysis of qualitative and respondent-driven sampling survey data.J Int AIDS Soc. 2020 Oct;23 Suppl 6(Suppl 6):e25603. doi: 10.1002/jia2.25603. J Int AIDS Soc. 2020. PMID: 33000904 Free PMC article.
-
Disclosure of Same-Sex Sexual Practices to Family and Healthcare Providers by Men Who Have Sex with Men and Transgender Women in Nigeria.Arch Sex Behav. 2021 May;50(4):1665-1676. doi: 10.1007/s10508-020-01644-8. Epub 2020 Mar 19. Arch Sex Behav. 2021. PMID: 32193812 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Medical