背景:同性恋,双性恋,与男性发生性关系的男性(GBMSM)面临严重后果,尤其是在被污名化的环境中。然而,人们对居住在SSA和加纳贫民窟的GBMSM的经历知之甚少。这项研究调查了耻辱的经历,受害,和应对策略,并提出了一些干预方法,以对抗贫民窟社区GBMSM面临的污名。
方法:我们与居住在加纳两个主要城市贫民窟的GBMSM合作。我们使用了时间定位抽样,并通过深入的个人访谈收集了数据。研究中出现了两个主要主题:(1)对GBMSM活动的不安全感和定罪,(2)GBMSM应对策略。
结果:研究结果表明,GBMSM由于其性行为/取向而受到社区的消极态度。GBMSM还制定了应对策略来避免负面经历,比如隐藏他们的身份/行为,避免不符合性别的男人,与社区外的人有关系。
结论:我们提出了干预措施,例如艾滋病毒教育,移情,赋权,验收,和承诺疗法是改善加纳贫民窟社区GBMSM生活经验的可能措施。
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.