School of Nursing, University of Rochester, Rochester, USA.
Behavioral, Sexual and Gender Health Lab, Accra, Ghana.
BMC Public Health. 2024 Apr 5;24(1):966. doi: 10.1186/s12889-024-18242-1.
Gay, bisexual, and cis-gender men who have sex with men (GBMSM) face severe consequences, especially within stigmatized environments. However, very little is known about the experiences of GBMSM living in slums in SSA and Ghana. This study investigates the experiences of stigma, victimization, and coping strategies and proposes some interventional approaches for combating stigma facing GBMSM in slum communities.
We engaged GBMSM living in slums in two major Ghanaian cities. We used a time-location sampling and collected data through in-depth individual interviews. Two major themes emerged from the study: (1) insecurities and criminalization of GBMSM activity, and (2) GBMSM coping strategies.
Findings show GBMSM experienced negative attitudes from the community due to their sexual behavior/orientation. GBMSM also developed coping strategies to avert negative experiences, such as hiding their identities/behavior, avoiding gender non-conforming men, and having relationships with persons outside their communities.
We propose interventions such as HIV Education, Empathy, Empowerment, Acceptance, and Commitment Therapy as possible measures to improve the experiences of GBMSM living in Ghanaian slum communities.
男同性恋、双性恋和异性恋男性与男性发生性关系(GBMSM)面临严重后果,尤其是在污名化的环境中。然而,对于生活在撒哈拉以南非洲(SSA)和加纳贫民窟中的 GBMSM 的经历,我们知之甚少。本研究调查了 GBMSM 在贫民窟中面临污名、受害和应对策略的经历,并提出了一些针对 GBMSM 在贫民窟社区面临污名的干预方法。
我们接触了加纳两个主要城市贫民窟中的 GBMSM。我们使用时间地点抽样法,通过深入的个人访谈收集数据。研究中出现了两个主要主题:(1)GBMSM 活动的不安全感和刑事定罪,以及(2)GBMSM 的应对策略。
研究结果表明,由于他们的性行为/取向,GBMSM 受到社区的负面态度。GBMSM 还制定了应对策略来避免负面经历,例如隐藏自己的身份/行为、避免性别不一致的男性,以及与社区外的人建立关系。
我们提出了一些干预措施,如艾滋病教育、同理心、赋权、接受和承诺疗法,作为改善生活在加纳贫民窟社区中的 GBMSM 经历的可能措施。