Center for Interdisciplinary Research on AIDS, Yale University School of Public Health, New Haven, Connecticut, USA
Yale University School of Nursing, New Haven, Connecticut, USA.
BMJ Open. 2021 Aug 6;11(8):e047280. doi: 10.1136/bmjopen-2020-047280.
Research has established that various forms of stigma (HIV stigma, gender non-conforming stigma and same-gender sex stigma) exist across Sub-Saharan Africa and have consequences for the utilisation of HIV prevention and care services. Stigmas are typically investigated in HIV literature individually or through investigating individual populations and the various stigmas they may face. The concept of intersectionality highlights the interconnected nature of social categorisations and their ability to create interdependent systems of discrimination based on gender, race, sexuality and so on. Drawing from perspectives on intersectionality, intersectional stigma denotes the convergence of multiple marginalised identities within an individual or a group, the experiences of stigma associated with these identities as well as the synergistic impact of these experiences on health and well-being. With respect to HIV, public health scholars can examine the impacts of intersectional stigmas on HIV prevention and care utilisation.
Reviewers will search systematically through MEDLINE, Global Health, Embase, Scopus, Web of Science Core Collection and Africa Index Medicus and citations for quantitative studies, qualitative studies and grey literature that include data on stigma and HIV among men who have sex with men and women who have sex with women in Sub-Saharan Africa. Eligible studies will include primary or secondary data on stigma related to HIV risk factors experienced by this population. Studies will be written in French or English and be published between January 1991 and November 2020. All screening and data extraction will be performed in duplicate, and if discrepancies arise, they will be settled by GM'RA, LEN, DD or AO. Findings from this study will be reported according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews.
Ethics approval is not required as there will be no human participants and no protected data will be used in this study. We will disseminate findings through peer-reviewed manuscripts, conferences and webinars.
研究表明，各种形式的污名（HIV 污名、性别不一致污名和同性性行为污名）存在于撒哈拉以南非洲，并对 HIV 预防和护理服务的利用产生影响。污名通常在 HIV 文献中单独进行研究，或者通过调查个别人群和他们可能面临的各种污名来进行研究。交叉性的概念强调了社会分类的相互关联性质及其基于性别、种族、性取向等因素创建相互依赖的歧视系统的能力。从交叉性的角度来看，交叉性污名表示在个体或群体中，多个边缘化身份的融合，与这些身份相关的污名经历，以及这些经历对健康和幸福的协同影响。就 HIV 而言，公共卫生学者可以研究交叉性污名对 HIV 预防和护理利用的影响。
审查员将通过 MEDLINE、全球健康、Embase、Scopus、Web of Science 核心集合和非洲医学索引系统，对在撒哈拉以南非洲地区与男男性行为者和女女性行为者的 HIV 相关的污名和 HIV 进行定量研究、定性研究和灰色文献的系统搜索，并对这些文献进行搜索。合格的研究将包括与该人群经历的 HIV 风险因素相关的污名的主要或次要数据。研究将用法语或英语撰写，并在 1991 年 1 月至 2020 年 11 月期间发表。所有筛选和数据提取都将由 GM'RA、LEN、DD 或 AO 进行双重操作，如果出现差异，将由他们进行解决。根据系统评价和元分析扩展的首选报告项目，本研究的结果将进行报告。
由于本研究没有人类参与者，也不会使用受保护的数据，因此不需要伦理批准。我们将通过同行评审的论文、会议和网络研讨会来传播研究结果。
