They call us goor-jigeen: a qualitative exploration of the experiences of Senegalese Muslim men who have sex with men living with HIV.
They call us goor-jigeen: a qualitative exploration of the experiences of Senegalese Muslim men who have sex with men living with HIV.
复制标题
他们称我们为“goor-jigeen”：对与艾滋病毒感染者发生性关系的塞内加尔穆斯林男性的经历进行定性探索。
DOI：
10.1080/13691058.2022.2080273
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Ndoye,Omar
中科院分区：
文献类型：
--
作者：
Alio,AminaP;Khoudia,Abdou;Thiam,MamadouH;Talawa,DrusillaA;Bamfonga,Gradi;AlAnsar,Abdoulaye;Ndour,CheikhT;Ndoye,Omar
在大多数穆斯林社区，与艾滋病毒感染者发生性关系的男性在社会文化和立法层面面临多种形式的耻辱歧视。本研究旨在定性探讨塞内加尔达喀尔与艾滋病毒感染者发生性关系的男性的经历。对 30 名年龄在 18 岁至 55 岁之间的塞内加尔男性进行了深入的个人访谈，他们自称是同性性行为者、穆斯林，并在达喀尔的卫生中心接受艾滋病毒治疗。使用民族志现象学方法对访谈数据进行分析，以探索他们的生活经历。主要主题包括：自我发现的过程；同性行为对社会、宗教和健康的影响；和耻辱。在所描述的耻辱问题主题中，包括羞耻、责备（对自己和他人）以及因与其他男性发生性行为和/或艾滋病毒血清呈阳性而导致的暴力。那些病毒载量无法检测到的人报告了随着健康状况的改善，与艾滋病毒相关的耻辱和负担如何减少。披露自己是男男性行为者和/或艾滋病毒感染状况，无论是否自愿，都会影响暴力和/或孤立的经历。解决医疗机构的耻辱问题并改善艾滋病毒治疗的可及性有助于减轻影响这些男性的耻辱负担。解决他们的身心健康问题的干预措施需要多个利益相关者的参与，包括宗教和政治领袖。
Men who have sex with men living with HIV in majority Muslim communities face discrimination based on multiple forms of stigma at socio-cultural and legislative levels. This study aimed to explore qualitatively the experiences of men who have sex with men living with HIV in Dakar, Senegal. In-depth individual interviews were conducted with 30 Senegalese men aged 18 to 55 years, who self-reported as same-sex practising, Muslim, and receiving HIV treatment at health centres in Dakar. Interview data were analysed using an ethnographic phenomenological approach to explore their life experiences. Primary themes included: the self-discovery process; the social, religious and health ramifications of being same-sex practising; and stigma. Within the theme of stigma issues described included shame, blame (of self and others), and violence resulting from being a man who has sex with other men and/or being HIV seropositive. Those with undetectable viral load reported how HIV related stigma and burden diminished as their health improved. Disclosure of being men who have sex with men and/or HIV status, whether voluntary or not, affected experiences of violence and/or isolation. Addressing stigma at healthcare institutions and improving access to HIV treatment can help mitigate the burden of stigma affecting such men. Interventions to address their physical and psychosocial wellbeing require the engagement of multiple stakeholders, including religious and political leaders.