School of Community & Environmental Health, College of Health Sciences, Old Dominion University, Health Sciences Building, 4608 Hampton Blvd, Norfolk, VA, 23508, USA.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
AIDS Behav. 2022 Mar;26(3):805-813. doi: 10.1007/s10461-021-03440-4. Epub 2021 Aug 18.
Sexual minority men living in Africa, where many countries criminalize same-sex behavior, are vulnerable to HIV and experience significant barriers to HIV care. Sexual prejudice in healthcare settings is a key contributor to these barriers. Building on social psychological models of prejudice and interpersonal contact at the clinic, we examined the associations between healthcare workers' sexual prejudice and their comfort to provide care to MSM, and assessed the moderating role of workers' prior interpersonal contact with MSM. A cross-sectional survey of 147 healthcare workers varying in level of training and expertise working in HIV care organizations was conducted in western Kenya. Sexual prejudice was negatively associated with comfort to provide care to MSM. Prior interpersonal contact with MSM moderated the association between sexual prejudice and comfort to provide care to MSM among nurses/counselors, such that those with low prior contact and high sexual prejudice were the most uncomfortable providing care to MSM. Interventions are needed to address sexual prejudice and encourage positive forms of interpersonal contact with MSM, especially with nurses and counselors who might have more and varied patient interactions, to improve access to the continuum of HIV prevention and care for MSM in Kenya.
生活在非洲的性少数群体男性，许多非洲国家将同性性行为定为刑事犯罪，他们容易感染艾滋病毒，并且在获得艾滋病毒护理方面面临重大障碍。医疗保健环境中的性偏见是造成这些障碍的一个关键因素。基于社会心理学对偏见和诊所中人际接触的模型，我们研究了医疗保健工作者的性偏见与其为男男性接触者提供护理的舒适度之间的关联，并评估了工作人员与男男性接触者先前的人际接触的调节作用。在肯尼亚西部，对在艾滋病毒护理组织中工作的 147 名医疗保健工作者进行了一项横断面调查，这些工作者的培训和专业水平各不相同。性偏见与为男男性接触者提供护理的舒适度呈负相关。与男男性接触者的先前人际接触调节了性偏见与为男男性接触者提供护理的舒适度之间的关联，在护士/咨询者中，那些先前接触较少且性偏见较高的人最不愿意为男男性接触者提供护理。需要采取干预措施来解决性偏见问题，并鼓励与男男性接触者进行积极的人际接触，特别是与可能有更多和更多样化的患者互动的护士和咨询师，以改善肯尼亚男男性接触者获得艾滋病毒预防和护理的机会。
