Tags

Type your tag names separated by a space and hit enter

The Association of HIV Stigma and HIV/STD Knowledge With Sexual Risk Behaviors Among Adolescent and Adult Men Who Have Sex With Men in Ghana, West Africa.
Res Nurs Health. 2015 Jun; 38(3):194-206.RN

Abstract

Ghanaian men who have sex with men (MSM) have a high HIV seroprevalence, but despite a critical need to address this public health concern, research evidence has been extremely limited on influences on sexual risk behavior among MSM in Ghana. To investigate associations between HIV/STD knowledge, HIV stigma, and sexual behaviors in a sample of MSM in Ghana, we conducted a secondary data analysis of cross-sectional survey data from a non-probability sample of Ghanaian MSM (N = 137). Nearly all the men (93%) had more than one current sex partner (M = 5.11, SD = 7.4). Of those reported partners, the average number of current female sexual partners was 1.1 (SD = 2.6). Overall, knowledge levels about HIV and STDs were low, and HIV stigma was high. There was no age-related difference in HIV stigma. Younger MSM (≤25 years) used condoms less often for anal and vaginal sex than did those over 25. Relative frequency of condom use for oral sex was lower in younger men who had higher STD knowledge and also was lower in older men who reported high HIV stigma. Knowledge and stigma were not associated with condom use for anal or vaginal sex in either age group. These descriptive data highlight the need for the development of intervention programs that address HIV/STD prevention knowledge gaps and reduce HIV stigma in Ghanaian communities. Intervention research in Ghana should address age-group-specific HIV prevention needs of MSM youth.

Authors+Show Affiliations

Dean's Endowed Fellow in Health Disparities & Assistant Professor, School of Nursing, University of Rochester, 601 Elmwood Ave., Box SON, Rochester, NY, 14642.Associate Professor, Department of Human Development, State University of New York at Binghamton, Binghamton, NY. Lecturer, Faculty of Humanities, University of Johannesburg, Auckland Park, South Africa.Lecturer, School of Medical Sciences, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.Assistant Professor, Department of Biostatistics & Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.Doctoral Student & US Fulbright Scholar, College of Nursing, University of South Florida, Tampa, FL.Postdoctoral Fellow, College of Nursing, University of South Florida, Tampa, FL.Deputy Director for Research, Centre for Popular Education & Human Rights, Ghana.Dean and Professor, School of Medical Sciences, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25809638

Citation

Nelson, LaRon E., et al. "The Association of HIV Stigma and HIV/STD Knowledge With Sexual Risk Behaviors Among Adolescent and Adult Men Who Have Sex With Men in Ghana, West Africa." Research in Nursing & Health, vol. 38, no. 3, 2015, pp. 194-206.
Nelson LE, Wilton L, Agyarko-Poku T, et al. The Association of HIV Stigma and HIV/STD Knowledge With Sexual Risk Behaviors Among Adolescent and Adult Men Who Have Sex With Men in Ghana, West Africa. Res Nurs Health. 2015;38(3):194-206.
Nelson, L. E., Wilton, L., Agyarko-Poku, T., Zhang, N., Aluoch, M., Thach, C. T., Owiredu Hanson, S., & Adu-Sarkodie, Y. (2015). The Association of HIV Stigma and HIV/STD Knowledge With Sexual Risk Behaviors Among Adolescent and Adult Men Who Have Sex With Men in Ghana, West Africa. Research in Nursing & Health, 38(3), 194-206. https://doi.org/10.1002/nur.21650
Nelson LE, et al. The Association of HIV Stigma and HIV/STD Knowledge With Sexual Risk Behaviors Among Adolescent and Adult Men Who Have Sex With Men in Ghana, West Africa. Res Nurs Health. 2015;38(3):194-206. PubMed PMID: 25809638.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Association of HIV Stigma and HIV/STD Knowledge With Sexual Risk Behaviors Among Adolescent and Adult Men Who Have Sex With Men in Ghana, West Africa. AU - Nelson,LaRon E, AU - Wilton,Leo, AU - Agyarko-Poku,Thomas, AU - Zhang,Nanhua, AU - Aluoch,Marilyn, AU - Thach,Chia T, AU - Owiredu Hanson,Samuel, AU - Adu-Sarkodie,Yaw, Y1 - 2015/03/23/ PY - 2015/01/28/accepted PY - 2015/3/27/entrez PY - 2015/3/27/pubmed PY - 2015/8/1/medline KW - Ghana KW - HIV KW - HIV knowledge KW - MSM KW - STI KW - West Africa KW - adolescents KW - condom use KW - health disparities SP - 194 EP - 206 JF - Research in nursing & health JO - Res Nurs Health VL - 38 IS - 3 N2 - Ghanaian men who have sex with men (MSM) have a high HIV seroprevalence, but despite a critical need to address this public health concern, research evidence has been extremely limited on influences on sexual risk behavior among MSM in Ghana. To investigate associations between HIV/STD knowledge, HIV stigma, and sexual behaviors in a sample of MSM in Ghana, we conducted a secondary data analysis of cross-sectional survey data from a non-probability sample of Ghanaian MSM (N = 137). Nearly all the men (93%) had more than one current sex partner (M = 5.11, SD = 7.4). Of those reported partners, the average number of current female sexual partners was 1.1 (SD = 2.6). Overall, knowledge levels about HIV and STDs were low, and HIV stigma was high. There was no age-related difference in HIV stigma. Younger MSM (≤25 years) used condoms less often for anal and vaginal sex than did those over 25. Relative frequency of condom use for oral sex was lower in younger men who had higher STD knowledge and also was lower in older men who reported high HIV stigma. Knowledge and stigma were not associated with condom use for anal or vaginal sex in either age group. These descriptive data highlight the need for the development of intervention programs that address HIV/STD prevention knowledge gaps and reduce HIV stigma in Ghanaian communities. Intervention research in Ghana should address age-group-specific HIV prevention needs of MSM youth. SN - 1098-240X UR - https://www.unboundmedicine.com/medline/citation/25809638/The_Association_of_HIV_Stigma_and_HIV/STD_Knowledge_With_Sexual_Risk_Behaviors_Among_Adolescent_and_Adult_Men_Who_Have_Sex_With_Men_in_Ghana_West_Africa_ L2 - https://doi.org/10.1002/nur.21650 DB - PRIME DP - Unbound Medicine ER -