Evidence map›Paper›PMID 37909703›Full record

ArticleAmerican journal of men's health

The Impacts of Stigma Against Sexual Minority Men Within and Between Various Socioecological Levels: Breaking the Vicious Cycle in Zambia.

Shan Qiao, Camryn M Garrett, Prince N O Addo, Oluwafemi Adeagbo, Darius M Moore, Nobutu Muttau, Anjali Sharma, Clementina Lwatula, Levy Ngosa, McLean Kabwe and 5 more

Open access · goldAbstract read
In one paragraph

Article in American journal of men's health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 2 countries.

Shan QiaoDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Camryn M GarrettDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.ORCID 0000-0003-2569-0418
Prince N O AddoDepartment of Epidemiology, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Oluwafemi AdeagboDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.ORCID 0000-0003-1462-9275
Darius M MooreSchool of Public Health, University of Michigan, Ann Arbor, MI, USA.
Nobutu MuttauCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Anjali SharmaCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Clementina LwatulaUniversity of Zambia, Lusaka, Zambia.
Levy NgosaDignitate Zambia Limited (DZL), Lusaka, Zambia.
McLean KabweThe Lotus Identity (TLI), Lusaka, Zambia.
Albert ManasyanCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
J Anitha MenonUniversity of Zambia, Lusaka, Zambia.
Sharon WeissmanDepartment of Internal Medicine, School of Medicine Columbia, University of South Carolina, Columbia, SC, USA.
Xiaoming LiDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Gary W HarperSchool of Public Health, University of Michigan, Ann Arbor, MI, USA.
University of South Carolina · USCentre for Infectious Disease Research in Zambia · ZMUniversity of Michigan · USUniversity of Zambia · ZMUniversity of Iowa · US

Funding

Intersecting stigma against MSM in clinical settings in ZambiaR21TW011064 · FIC · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI HARPER, GARY W, QIAO, SHAN · 2019 to 2020
$361k
FIC NIH HHS R21 TW011064
6 · The paper itself

Abstract

Sexual minority men (SMM) face persistent stigma in Zambia. From a holistic perspective, we aim to explore its impacts within and between multiple socioecological levels, demonstrating how their interactions create a vicious cycle of barriers to the well-being of SMM. In-depth interviews were conducted with 20 purposively recruited SMM from Lusaka, Zambia. All interviews were audio-recorded, after written consent, transcribed verbatim, and iteratively coded employing inductive (i.e., data-driven) approaches for thematic analysis using NVivo. Results suggest three key themes: (1) interpersonal socially perpetuated sexual minority stigma (SMS); (2) multidirectional interactions between psychosocial well-being and risk-taking behaviors; and (3) institutionally perpetuated SMS as a barrier to seeking and receiving health care. SMS permeates across all levels of the socioecological model to negatively impact the psychosocial well-being of SMM while acting also as a barrier to accessing HIV prevention and care. Our study necessitates structural public health intervention to decrease stigma and discrimination against SMM in Zambia, in efforts to increase their psychosocial well-being as well as their access to and utilization of HIV care by breaking the vicious cycle of SMS that pervades through the intrapersonal, interpersonal, and institutional levels of the socioecological model.

Indexed as

HIV InfectionsSexual and Gender MinoritiesHumansMaleQualitative ResearchSocial StigmaZambiaDiscriminationHIVSexual Minority MenSocioecological ModelStigmaZambia

Identifiers

PMID37909703
PMCPMC10621297
OpenAlexW4388129004

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.