Sexual identity stigma and social support among men who have sex with men in Lesotho

A Qualitative Analysis

Dados Bibliográficos

ID3972903
AutoresShauna Stahlman (0000-0003-2861-7734, Johns Hopkins University), Kali Bechtold (Johns Hopkins University), Stephanie Sweitzer (0000-0002-4567-5920, Johns Hopkins University), Tampose Mothopeng (0000-0002-6854-6339, Lesotho Planned Parenthood Association), Noah Taruberekera (0000-0001-6522-7167, ISS International (South Africa)), John Nkonyana (Ministry of Health), Stefan D Baral (0000-0002-5482-2419, Johns Hopkins University), Stefan Baral
Ano2015
Volume23
Fascículo46
Páginas127-135
Data de publicação2015-01-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoReproductive Health Matters (JOURNAL)
Identificadores do periódicoISSN: 0968-8080 • E-ISSN: 1460-9576
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1016/j.rhm.2015.11.017
PMID26719004
OpenAlexW2221418713
IdiomaEN
Citações recebidas18
Referências citadas28

Men who have sex with men (MSM) face sexual identity stigma in many settings, which can increase risk for HIV by limiting access to care. This paper examines the roles of social support, sexual identity stigma, and sexual identity disclosure among MSM in Lesotho, a lower-middle income country within South Africa. Qualitative data were collected from 23 in-depth interview and six focus group participants and content analysis was performed to extract themes. Four primary themes emerged: 1) Verbal abuse from the broader community is a major challenge faced by MSM in Lesotho, 2) participants who were open about their sexual identity experienced greater stigma but were more self-sufficient and had higher self-confidence, 3) relationships between MSM tend to be conducted in secrecy, which can be associated with unhealthy relationships between male couples and higher risk sexual practices, and 4) MSM community organisations provide significant social and emotional support. Friends and family members from outside the MSM community also offer social support, but this support cannot be utilised by MSM until the risk of disclosing their sexual identity is reduced. Greater acceptance of same-sex practices would likely result in more open, healthy relationships and greater access to social support for MSM

Family medicine · Focus group · Human sexuality · Men who have sex with men · Population · Psychiatry · Qualitative research · Reproductive health · Sexual identity · Social group · Social identity theory · Social stigma · Social support · Sociology · Demography · Gender Studies · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology