Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain.
Department of Psychology, Antioch University, Los Angeles, California, United States of America.
PLoS One. 2023 Jul 11;18(7):e0288018. doi: 10.1371/journal.pone.0288018. eCollection 2023.
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.
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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