Challenges for the sexual health and social acceptance of men who have sex with men in Nigeria
Challenges for the sexual health and social acceptance of men who have sex with men in Nigeria
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DOI：
10.1080/13691050601040480
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发表时间：
2007-01-01
影响因子：
2.2
通讯作者：
Ogunsola, Sade
中科院分区：
文献类型：
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作者：
Allman, Dan;Adebajo, Sylvia;Ogunsola, Sade
关于尼日利亚男男性行为者和性风险的研究很少。在实施有针对性的艾滋病毒/性传播感染流行率研究之前，在尼日利亚安全地点对该人群的成员进行了结构化焦点小组调查，其中包括匿名调查问卷。通过口口相传有目的地招募男性样本。共有 58 名男性参加了 5 个焦点小组。平均年龄为 27 岁（范围 16-58 岁）； 60%接受过专上教育； 56% 是全职或兼职； 83% 是基督徒； 16% 是穆斯林； 66% 的人自认是双性恋； 31% 为同性恋。参与者的经历多种多样，种族、宗教和阶级差异强烈地构成了性表达。同性社区网络是隐藏的，社交活动在非商业、私人场所进行。由于受到文化、宗教和政治意愿的社会排斥，同性活动所蕴含的风险很高。对于尼日利亚这个文化丰富、宗教虔诚的国家来说，公共卫生政策的影响是复杂的。然而，这些研究结果表明，立即采取行动对于减轻艾滋病毒和其他性传播感染的影响至关重要。
Little research exists regarding men who have sex with men and sexual risk in Nigeria. Prior to the implementation of a targeted HIV/STI prevalence study, structured focus groups incorporating anonymous questionnaires were conducted with members of this population in secure locations in Nigeria. A purposive sample of men was recruited by word-of-mouth. Five focus groups were conducted with a total of 58 men. Mean age was 27 years (range 16-58); 60% had post-secondary education; 56% were employed full or part-time; 83% were Christian; 16% were Muslim; 66% self-identified as bisexual; 31% as homosexual. Participants' experiences were diverse, with ethnic, religious and class distinctions strongly structuring sexual expression. Same-sex community networks were hidden, with social activities taking place in non-commercial, private venues. Socially ostracized by culture, religion, and political will, the risks embodied within same-sex activity are high. For Nigeria - a nation culturally rich and religiously devout - the implications for public health policy are complex. However, these research findings suggest that immediate action is vital to mitigate the impacts of HIV and other STIs.