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在塞内加尔为男男性行为者提供文化能力相符的心理社会关怀培训计划的设计与评估。

The design and evaluation of a training program on culturally competent psychosocial care provision for men who have sex with men in Senegal.

机构信息

Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain.

Department of Psychology, Antioch University, Los Angeles, California, United States of America.

出版信息

PLoS One. 2023 Jul 11;18(7):e0288018. doi: 10.1371/journal.pone.0288018. eCollection 2023.


DOI:10.1371/journal.pone.0288018
PMID:37432914
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10335694/
Abstract

Men who have sex with men (MSM) experience a high degree of discrimination and marginalization in Senegal. Homophobia is pervasive in Senegalese society at the cultural, religious, and political levels. Its effects are reflected in the disproportionately high levels of depression, anxiety, and substance abuse among men who have sex with men when compared to the general population. Given the widespread stigma and the lack of structural support, healthcare providers play a critical role in reconciling the physical and psychological needs of men who have sex with men. This led to the design of a training program that aimed to improve the capacity of healthcare providers to deliver MSM-competent psychosocial care. The training was delivered virtually to 37 Senegal-based nurses and physicians. The program was quantitatively and qualitatively evaluated using pre- and post-testing. The findings demonstrate a general post-training increase in knowledge acquisition (9. 23%, p-value = 0.0021) and a 6.39% reduction in homophobia, which was statistically significant (p = 0.0376); with male providers outperforming female providers, and physicians outperforming nurses. This demonstrates the effectiveness and applicability of the program to support the psychosocial needs of men who have sex with men, and its capacity for future and broader implementation among healthcare providers.

摘要

男男性行为者(MSM)在塞内加尔经历着高度的歧视和边缘化。在塞内加尔社会的文化、宗教和政治层面都普遍存在着恐同现象。与一般人群相比,MSM 中抑郁、焦虑和药物滥用的比例过高,这反映了其影响。鉴于普遍存在的污名和缺乏结构性支持,医疗保健提供者在满足 MSM 的身体和心理需求方面发挥着至关重要的作用。这导致了一项培训计划的设计,旨在提高医疗保健提供者提供 MSM 胜任的心理社会关怀的能力。该培训以虚拟方式提供给 37 名塞内加尔的护士和医生。使用前后测试对该计划进行了定量和定性评估。结果表明,一般来说,培训后知识获取有所增加(9.23%,p 值=0.0021),恐同心理减少了 6.39%,这具有统计学意义(p=0.0376);男性提供者的表现优于女性提供者,医生的表现优于护士。这表明该计划在支持 MSM 的心理社会需求方面是有效和适用的,并且具有在医疗保健提供者中进一步推广和实施的潜力。

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[1]
The design and evaluation of a training program on culturally competent psychosocial care provision for men who have sex with men in Senegal.

PLoS One. 2023

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引用本文的文献

[1]
Assessment of anxiety symptoms with low social support and associated factors among men who have sex with men (MSM): A cross-sectional study.

PLoS One. 2025-8-21

本文引用的文献

[1]
Healthcare providers' attitudes towards care for men who have sex with men (MSM) in Malawi.

BMC Health Serv Res. 2019-5-17

[2]
Attitude shifts and knowledge gains: Evaluating men who have sex with men sensitisation training for healthcare workers in the Western Cape, South Africa.

South Afr J HIV Med. 2017-3-31

[3]
Using Predictive Evaluation to Design, Evaluate, and Improve Training for Polio Volunteers.

Pedagogy Health Promot. 2018-3

[4]
Whole person medicine: Psychosocial issues in primary care.

Afr J Prim Health Care Fam Med. 2016-11-16

[5]
Efficacy of Tailored Clinic Trainings to Improve Knowledge of Men Who Have Sex with Men Health Needs and Reduce Homoprejudicial Attitudes in South Africa.

LGBT Health. 2016-11-11

[6]
The Prevalence of Sexual Behavior Stigma Affecting Gay Men and Other Men Who Have Sex with Men Across Sub-Saharan Africa and in the United States.

JMIR Public Health Surveill. 2016-7-26

[7]
Barriers to men who have sex with men attending HIV related health services in Dar es Salaam, Tanzania.

Tanzan J Health Res. 2014-4

[8]
The roles and training of primary care doctors: China, India, Brazil and South Africa.

Hum Resour Health. 2015-12-4

[9]
Depression and Social Stigma Among MSM in Lesotho: Implications for HIV and Sexually Transmitted Infection Prevention.

AIDS Behav. 2015-8

[10]
Repaving the Road of Good Intentions: LGBT Health Care and the Queer Bioethical Lens.

Hastings Cent Rep. 2014-9

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