Harper Gary W, Lewis Katherine A, Norwitz Gabriella A, Odhiambo Elijah Ochieng, Jadwin-Cakmak Laura, Okutah Felix, Lauber Kendall, Aloo Teddy, Collins Ben, Gumbe Edwin, Amico K Rivet, Olango Kennedy, Odero Wilson, Graham Susan M
Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1415 Washington Heights, SPH I, Ann Arbor, MI 48109, USA.
Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th St., New York, NY 10032, USA.
Adolescents. 2021 Sep;1(3):267-282. doi: 10.3390/adolescents1030020. Epub 2021 Jul 13.
Gay and bisexual male youth in Kenya experience human rights violations, including pervasive stigma and discrimination, and these oppressive forces are associated with elevated rates of mental health concerns. Despite these challenges, many gay and bisexual male youth in Kenya are thriving during this critical developmental period. This study explored intrapersonal processes that gay and bisexual male youth in Kisumu, Kenya, highlight as important to developing, and demonstrating resilience in the face of adversity. We conducted qualitative in-depth interviews (IDIs) with 40 gay and bisexual male youth, ages 20-30 (mean = 26.4), and an additional 20 IDIs with gay and bisexual men, ages 22-45 (mean = 26.6), who were working as peer educators (total = 60), all in Kisumu, Kenya. A total of nine primary themes emerged which describe various intrapersonal resilience processes enacted by gay and bisexual male youth, including sexual identity acceptance, self-confidence, self-love, religious/spiritual affirmation, adaptive coping, successful navigation, legal rights awareness, economic stability, and advocacy satisfaction. These data demonstrate the range of positive personal processes that promote mental health and wellbeing among gay and bisexual male youth in Kenya. We discuss implications of these findings for community-based interventions, and call for a research paradigm shift away from deficits and toward resilience.
肯尼亚的男同性恋和双性恋青年面临人权侵犯,包括普遍存在的耻辱感和歧视,而这些压迫性力量与心理健康问题的高发生率相关。尽管存在这些挑战,但肯尼亚许多男同性恋和双性恋青年在这个关键的发育阶段仍茁壮成长。本研究探讨了肯尼亚基苏木的男同性恋和双性恋青年所强调的对成长以及在面对逆境时展现复原力至关重要的个人内在过程。我们对40名年龄在20至30岁(平均年龄 = 26.4岁)的男同性恋和双性恋青年进行了定性深入访谈(IDI),并对另外20名年龄在22至45岁(平均年龄 = 26.6岁)、担任同伴教育者的男同性恋和双性恋男性进行了访谈(共计60人),所有访谈均在肯尼亚基苏木进行。总共出现了九个主要主题,描述了男同性恋和双性恋青年所展现的各种个人内在复原力过程,包括性身份认同、自信、自爱、宗教/精神肯定、适应性应对、成功导航、法律权利意识、经济稳定和倡导满意度。这些数据表明了一系列积极的个人过程,这些过程促进了肯尼亚男同性恋和双性恋青年的心理健康和幸福。我们讨论了这些发现对基于社区的干预措施的影响,并呼吁研究范式从关注缺陷转向关注复原力。