Health care in a homophobic climate
The SPEND model for providing sexual health services to men who have sex with men where their health and human rights are compromised
Bibliographic Data
| ID | 19529696 |
|---|---|
| Authors | Michael W Ro (0000-0002-5718-9989, University of Minnesota, corresponding author), Joyce Nyoni (0000-0002-6926-5088, University of Dar es Salaam), Markus Larsson (0000-0001-6336-3245, Lund University), Jessie Mbwambo (Muhimbili University of Health and Allied Sciences), Anette Agardh (0000-0002-1879-7244, Lund University), John Kashiha (0000-0001-6517-0156, University of Dar es Salaam), Sheryl A Mccurdy, Sheryl Mccurdy (0000-0003-0526-1608, The University of Texas Health Science Center at Houston) |
| Year | 2015 |
| Volume | 8 |
| Issue | 1 |
| Pages | 26096 |
| Publication date | 2015-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Health Action (JOURNAL) |
| Journal identifiers | ISSN: 1654-9716 • E-ISSN: 1654-9880 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.3402/gha.v8.26096 |
| PMID | 25787179 |
| OpenAlex | W2127956728 |
| Language | EN |
| Citations received | 13 |
| References cited | 15 |
We present a model for developing health services for men who have sex with men (MSM) in sub-Saharan Africa and other places where MSM are heavily stigmatized and marginalized. The processes of the SPEND model include Safe treatment for sexually transmissible infections (STIs) and HIV; Pharmacy sites for treatment of STIs in countries where pharmacies and drug stores are the source of medical advice and treatment; Education in sexual health issues for health professionals to reduce discrimination against MSM patients; Navigation for patients who have HIV and are rejected or discriminated against for treatment; and Discrimination reduction through educating potential leaders in tertiary education in issues of human sexuality. Supporting empirical evidence from qualitative and quantitative studies is summarized, and barriers to implementation are discussed. Health care for MSM is one of the casualties of anti-homosexual social and legal climates. There is no amnesty for MSM in health care settings, where the stigma and discrimination that they face in the rest of society is replicated. Such conditions, however, make it necessary to consider ways of providing access to health care for MSM, especially where rates of HIV and STIs in MSM populations are high, and stigma and discrimination encourages high proportions of MSM to marry. This in itself enhances the status of MSM as an important bridge population for STIs including HIV. Where anti-homosexual laws encourage, or are believed to encourage, the reporting of MSM to authorities, health care may be seen as an agent of authority rather than an agency for care
Environmental health · Family medicine · Health care · Homosexuality · Men who have sex with men · Political science · Population · Psychiatry · Reproductive health · Social stigma · Syphilis · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Law · Medicine
Cultural and clinical challenges in sexual health care provision to men who have sex with men in Tanzania
Disclosure of same-sex practices and experiences of healthcare stigma among cisgender men who have sex with men in five sub-Saharan African countries
Understanding and managing HIV infection risk among men who have sex with men in rural Uganda
The political economy of heroin and crack cocaine in Tanzania
The impact on mental and physical health of human rights as they relate to gender and sexual minority adolescents and emerging adults
Cultural adaptation and validation of a measure of prejudice against men who have sex with men among healthcare providers in western Kenya
Perceptions of Sexual Healthcare Provision in Tanzania
Electronic Media Access and Use for Sexuality and Sexual Health Education Among Men Who Have Sex With Men in Four Cities in Tanzania
Providing Care to LGBT Patients in Guyana
Stigmatization of men who have sex with men in health care settings in East Africa is based more on perceived gender role-inappropriate mannerisms than having sex with men
Anti-homosexual legislation and HIV-related stigma in African nations
The push of stigma
The use of PrEP among men who have sex with men and transgender women as Biomedical Prevention Work
Men who have sex with men
Men who have sex with men and HIV/Aids in sub-Saharan Africa
"They see you as a different thing"
Sex Differences in Attitudes Toward Homosexual Persons, Behaviors, and Civil Rights A Meta-Analysis
HIV System Navigation
Essentialist Beliefs About Homosexuality
High prevalence of stigma-related abuse among a sample of men who have sex with men in Tanzania
Gay and Bisexual Men in Kampala, Uganda
Tswanarising global gayness
Same-Sex Practicing Men in Tanzania from 1860 to 2010
Community satisfaction with primary health care services
Why do nurses abuse patients? Reflections from South African obstetric services
Nurse-Midwives' Attitudes towards Adolescent Sexual and Reproductive Health Needs in Kenya and Zambia
Intersecting gender with race and religiosity
| Unique citing works | 13 |
|---|---|
| Citations per year | 1,3 |
| Citation span | 2016 - 2023 (8) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 13 |