Poteat Tonia C, Logie Carmen H, Adams Darrin, Mothopeng Tampose, Lebona Judith, Letsie Puleng, Baral Stefan
Assistant Professor, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Assistant Professor, Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada.
Reprod Health Matters. 2015 Nov;23(46):107-16. doi: 10.1016/j.rhm.2015.11.020. Epub 2015 Dec 17.
In recent years, gender and sexual minorities have become increasingly visible across sub-Saharan Africa, marking both the progression and violation of their human rights. Using data from a study with sexual minorities in Lesotho, this analysis leveraged the social ecological model to examine relationships between stigma, human rights, and sexual health among women who have sex with women in Lesotho. A community-based participatory approach was used for the mixed-method, cross-sectional study. A total of 250 women who have sex with women completed a structured questionnaire, of which 21 participated in a total of three focus group discussions. Stigma was common within and outside the health sector. Stigma and human rights abuses were associated with increased risk for HIV and STIs. Interventions to address stigma at the structural, community, and interpersonal levels are essential to ensuring sexual health and rights for women who have sex with women in Lesotho.
近年来，性别和性少数群体在撒哈拉以南非洲越来越受到关注，这既标志着他们人权的进步，也存在对其人权的侵犯。本分析利用莱索托一项关于性少数群体的研究数据，借助社会生态模型来研究莱索托女性与女性发生性行为者中耻辱感、人权和性健康之间的关系。基于社区的参与式方法被用于这项混合方法的横断面研究。共有250名女性与女性发生性行为者完成了一份结构化问卷，其中21人参与了总共三场焦点小组讨论。耻辱感在卫生部门内外都很常见。耻辱感和人权侵犯与感染艾滋病毒和性传播感染的风险增加有关。在结构、社区和人际层面采取措施消除耻辱感，对于确保莱索托女性与女性发生性行为者的性健康和权利至关重要。
