Beyond biomedical and comorbidity approaches: Exploring associations between affinity group membership, health and health seeking behaviour among MSM/MSW in Nairobi, Kenya
Beyond biomedical and comorbidity approaches: Exploring associations between affinity group membership, health and health seeking behaviour among MSM/MSW in Nairobi, Kenya
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DOI：
10.1080/17441692.2020.1739729
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发表时间：
2020-03-12
影响因子：
3.3
通讯作者：
Lorway, Robert R.
中科院分区：
文献类型：
--
作者：
Doshi, Monika;Macharia, Pascal;Lorway, Robert R.
我们调查了肯尼亚内罗毕男性性工作者和其他男男性行为者的一般健康和心理社会特征。共有595名MSM/MSW被招募到研究中。我们评估了自我报告HIV阳性（SR-HIVP）和自我报告HIV阴性（sr -HIV）的群体差异，并通过亲和小组成员进行了评估。与sr - hiv参与者相比，sr - hiv参与者的生活质量明显更差。与艾滋病毒状况和亲和团体成员无关，参与者报告了高水平的危险酒精使用、有害物质使用、最近的创伤和童年虐待。与一般人群相比，总体样本显示出较高的中度至重度抑郁症状患病率。与报告亲和群体成员（AGP）的参与者相比，未报告亲和群体成员（AGN）的参与者的生活质量明显更差。AGN参与者报告的社会支持水平也明显较低。研究发现，亲和团体的成员资格会影响求医行为。我们的研究结果表明，我们需要扩大目前与MSM/MSW相关的主流生物医学和共病研究。此外，加入男男性行为者/城市固体废物组织也有好处，这些组织可能在男男性行为者/城市固体废物的健康和福祉方面发挥重要作用。
We explored general health and psychosocial characteristics among male sex workers and other men who have sex with men in Nairobi, Kenya. A total of 595 MSM/MSW were recruited into the study. We assessed group differences among those who self-reported HIV positive (SR-HIVP) and those who self-reported HIV negative (SR-HIVN) and by affinity group membership. Quality of life among SR-HIVP participants was significantly worse compared to SR-HIVN participants. Independent of HIV status and affinity group membership, participants reported high levels of hazardous alcohol use, harmful substance use, recent trauma and childhood abuse. The overall sample exhibited higher prevalence of moderate to severe depressive symptoms compared to the general population. Quality of life among participants who did not report affinity group membership (AGN) was significantly worse compared to participants who reported affinity group membership (AGP). AGN participants also reported significantly lower levels of social support. Membership in affinity groups was found to influence health seeking behaviour. Our findings suggest that we need to expand the mainstay biomedical and comorbidity focused research currently associated with MSM/MSW. Moreover, there are benefits to being part of MSM/MSW organisations and these organisations can potentially play a vital role in the health and well-being of MSM/MSW.