ArticleAmerican journal of epidemiology2020
Characterizing Cross-Culturally Relevant Metrics of Stigma Among Men Who Have Sex With Men Across 8 Sub-Saharan African Countries and the United States.
Article in American journal of epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed, 46 citations in OpenAlex.
- Community Connectedness and Its Association with Stigma and Viral Suppression Among MSM with HIV: Findings from HPTN 078.AIDS and behavior · 2026Article
- Characterizing HIV-related patient portal preferences among men who have sex with men in the United States.BMC public health · 2026Article
- Stigma and depression among heterosexual men and women living with HIV in the UK: Investigating a conceptual framework.PloS one · 2026Article
- Measurement instruments for sexual identity minority stress in adults: A scoping review.PloS one · 2026Article
- Exploring differences in HIV stigma and treatment interruptions between young and older adults in Zimbabwe.BMC public health · 2025Article
- Characteristics Associated with HIV Testing Frequency Among Gay and Bisexual Cisgender Men Who Have Sex with Men in the United States: Cross-sectional Study.AIDS and behavior · 2025Article
- Measurement of Sexual Behavior Stigma in Cisgender Mexican Sexual Minority Men: Contextual Considerations of Living in Mexico or the United States.Archives of sexual behavior · 2025Article
- Mpox Stigma During the 2022 Outbreak Among Men Who Have Sex With Men in the United States.Stigma and health · 2025Article
- Impact of Disclosing to Patients the Use of Antiretroviral Resistance Testing Results for Molecular HIV Surveillance: A Randomized Experiment in 2 National Surveys.JMIR public health and surveillance · 2025Article
- Investigating mental health disparities in rural sexual and gender minority adults: protocol for the rural exploration and approaches to LGBTQ + Mental Health (REALM) prospective cohort study.BMC public health · 2025Article
- Sexual behavior stigma among cisgender gay, bisexual, and other men who have sex with men in nine NHBS cities across the United States: Burden and associations with PrEP continuum and HIV care continuum outcomes.Stigma and health · 2025Article
- Methodology for the Positive Voices 2022 Survey of People With HIV Accessing Care in England, Wales, and Scotland: Cross-Sectional Questionnaire Study.JMIR research protocols · 2025Article
- Individual & joint associations of sexual stigma and mental distress with PrEP uptake, adherence and persistence among US gay and bisexual men.Social science & medicine (1982) · 2024Article
- Sexual behavior stigma and HIV/STI biospecimen self-collection among cisgender gay, bisexual, and other sexually minoritized men in the United States.BMC infectious diseases · 2024Article
- The Impact of Stigma and Sexual Identity on PrEP Awareness and Use Among At-Risk Men Who Have Sex With Men in Four U.S. Cities (HPTN 078).Stigma and health · 2024Article
- Measuring sexual behavior stigma among cisgender men who have sex with men: an assessment of cross-country measurement invariance.Stigma and health · 2024Article
- HIV and hepatitis B, C co-infection and correlates of HIV infection among men who have sex with men in Rwanda, 2021: a respondent-driven sampling, cross-sectional study.BMC infectious diseases · 2024Article
- Associations Between Sexual Behavior Stigma and HIV Risk Behaviors, Testing, Treatment, and Infection Among Men Who have Sex with Men in Ukraine.AIDS and behavior · 2024Article
- Assessment and determinants of depression and anxiety on a global sample of sexual and gender diverse people at high risk of HIV: a public health approach.BMC public health · 2024Article
- Experiences of Stigma and HIV Status Associated with Awareness and Usage of Safer Sex Functions in Dating Apps Among MSM, 2019 American Men's Internet Survey (AMIS) Study.AIDS and behavior · 2023Article
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Authors and funding
22 authors.
Funding
Abstract
Overcoming stigma affecting gay, bisexual, and other men who have sex with men (MSM) is a foundational element of an effective response to the human immunodeficiency virus (HIV) pandemic. Quantifying the impact of stigma mitigation interventions necessitates improved measurement of stigma for MSM around the world. In this study, we explored the underlying factor structure and psychometric properties of 13 sexual behavior stigma items among 10,396 MSM across 8 sub-Saharan African countries and the United States using cross-sectional data collected between 2012 and 2016. Exploratory factor analyses were used to examine the number and composition of underlying stigma factors. A 3-factor model was found to be an adequate fit in all countries (root mean square error of approximation = 0.02-0.05; comparative fit index/Tucker-Lewis index = 0.97-1.00/0.94-1.00; standardized root mean square residual = 0.04-0.08), consisting of "stigma from family and friends," "anticipated health-care stigma," and "general social stigma," with internal consistency estimates across countries of α = 0.36-0.80, α = 0.72-0.93, and α = 0.51-0.79, respectively. The 3-factor model of sexual behavior stigma cut across social contexts among MSM in the 9 countries. These findings indicate commonalities in sexual behavior stigma affecting MSM across sub-Saharan Africa and the United States, which can facilitate efforts to track progress on global stigma mitigation interventions.
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