"They see you as a different thing": the experiences of men who have sex with men with healthcare workers in South African township communities.

"They see you as a different thing": the experiences of men who have sex with men with healthcare workers in South African township communities.
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DOI:
10.1136/sti.2008.031567
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发表时间:
2008-11
影响因子:
3.6
通讯作者:
Kegeles SM
Kegeles SM
中科院分区:
医学2区
文献类型:
--
作者:
Lane T;Mogale T;Struthers H;McIntyre J;Kegeles SM

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To describe interactions between men who have sex with men (MSM) and health care workers (HCWs) in peri-urban township communities in South Africa. Qualitative study using semistructured in-depth interviews and focus group discussions in the Gauteng province townships of Soweto and Mamelodi. We purposively sampled 32 MSM for in-depth interviews and 15 for focus group discussions. Topics explored included identity, sexuality, community life, use of health services, and experiences of stigma and discrimination. MSM felt their options for non-stigmatizing sexual health care services were limited by homophobic verbal harassment by HCWs. Gay-identified men sought out clinics with reputations for employing HCWs who respected their privacy and their sexuality, and challenged those HCWs who mistreated them. Non-gay identified MSM presented masculine, heterosexual identities when presenting for sexual health problems, and avoided discussing their sexuality with HCWs. The strategies MSM employ to confront or avoid homophobia from HCWs may not be conducive to sexual health promotion in this population. Interventions that increase the capacity of public sector HCWs to provide appropriate sexual health services to MSM are urgently needed.
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影响因子: 3.3
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发表时间: 2004-01-01
影响因子: 2.6
作者:
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通讯作者: Spruill, J