The Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, MI, 48109, USA.
Health Informatics Joint Degree Program, School of Information, University of Michigan, Ann Arbor, MI, 48109, USA.
AIDS Behav. 2018 May;22(5):1614-1638. doi: 10.1007/s10461-017-1975-3.
Gay, bisexual, and other men who have sex with men (GBMSM) in resource-poor settings are disproportionately affected by the HIV/AIDS epidemic. GBMSM living in these settings may face unique barriers to HIV prevention, including legal barriers and increased sexuality-based stigma. It is therefore imperative to tailor HIV prevention and care resources to recognize the lived realities of GBMSM in these settings. Central to this is the accurate measurement of sexuality-based stigma. However, there is wide inconsistency in how sexuality-based stigma is measured among GBMSM in resource-poor settings. This paper reviews recent studies of sexuality-based stigma among GBMSM in resource-poor settings, finding great variability in measurements. The results of the review call for greater attention to the development of contextually and culturally specific measures of sexuality-based stigma for GBMSM living in resource-poor settings.
在资源匮乏的环境中，男同性恋者、双性恋者和其他与男性发生性关系的男性（GBMSM）受到艾滋病流行的不成比例的影响。生活在这些环境中的 GBMSM 可能面临着独特的艾滋病预防障碍，包括法律障碍和增加的基于性取向的污名。因此，迫切需要调整艾滋病预防和护理资源，以认识到这些环境中 GBMSM 的现实生活。这方面的核心是准确衡量基于性取向的污名。然而，在资源匮乏环境中的 GBMSM 中，基于性取向的污名的衡量方法存在很大的不一致。本文回顾了资源匮乏环境中 GBMSM 中基于性取向的污名的最新研究，发现衡量方法存在很大的差异。审查结果呼吁更多地关注为生活在资源匮乏环境中的 GBMSM 开发具有文化和文化特异性的基于性取向的污名衡量措施。
