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交叉污名及其对撒哈拉以南非洲国家男男性行为者和女同性恋、双性恋、跨性别者艾滋病毒预防和护理的影响:系统评价方案。

Intersectional stigma and its impact on HIV prevention and care among MSM and WSW in sub-Saharan African countries: a protocol for a scoping review.

机构信息

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.

出版信息

BMJ Open. 2021 Aug 6;11(8):e047280. doi: 10.1136/bmjopen-2020-047280.


DOI:10.1136/bmjopen-2020-047280
PMID:34362801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8351482/
Abstract

INTRODUCTION: 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. METHODS AND ANALYSIS: 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 AND DISSEMINATION: 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.

摘要

简介: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。

方法和分析: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。

伦理和传播: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。

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[4]
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[5]
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[6]
Status-neutral community-based multilevel intervention to address intersectional stigma and discrimination, and increase HIV testing, PrEP, and ART uptake among YGBMSM in Ghanaian Slums: A clustered randomized control trial protocol.

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[7]
Qualitative description of interpersonal HIV stigma and motivations for HIV testing among gays, bisexuals, and men who have sex with men in Ghana's slums-BSGH-005.

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[8]
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[9]
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本文引用的文献

[1]
Autonomy-Supportive Healthcare Climate and HIV-Related Stigma Predict Linkage to HIV Care in Men Who Have Sex With Men in Ghana, West Africa.

J Int Assoc Provid AIDS Care. 2021

[2]
Outcomes of HIV treatment from the private sector in low-income and middle-income countries: a systematic review protocol.

BMJ Open. 2020-1-8

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Praxis (Bern 1994). 2019-11

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The arc of HIV epidemics in sub-Saharan Africa: new challenges with concentrating epidemics in the era of 90-90-90.

Curr Opin HIV AIDS. 2019-9

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Challenges and opportunities in examining and addressing intersectional stigma and health.

BMC Med. 2019-2-15

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Lancet. 2018-11-8

[7]
Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the Global Burden of Disease Study 2017.

Lancet. 2018-11-8

[8]
PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation.

Ann Intern Med. 2018-9-4

[9]
Stigma and intersectionality: a systematic review of systematic reviews across HIV/AIDS, mental illness, and physical disability.

BMC Public Health. 2018-7-27

[10]
Stigma as a barrier to health care utilization among female sex workers and men who have sex with men in Burkina Faso.

Ann Epidemiol. 2017-12-5

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