Evidence map›Paper›PMID 38346887›Full record

ArticleBMJ open2024

Scoping review of HIV-related intersectional stigma among sexual and gender minorities in sub-Saharan Africa.

Debbie Dada, Gamji R Abu-Ba'are, DeAnne Turner, Ibrahim Wunpini Mashoud, Francis Owusu-Dampare, Amos Apreku, Zhao Ni, Pascal Djiadeu, Gloria Aidoo-Frimpong, Edem Yaw Zigah and 3 more

Registry-linked trialOpen access · goldAbstract readScoping Review
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07514221 (Adaptation of Project Yes+ to Improve Mental Health and Reduce HIV-related Stigma Among Adolescent and Young Men Who Have Sex With Men Living With HIV in Vietnam), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
13.2field-weighted citation impact, top 1% 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.

NCT07514221 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Adaptation of Project Yes+ to Improve Mental Health and Reduce HIV-related Stigma Among Adolescent and Young Men Who Have Sex With Men Living With HIV in Vietnam

TypeinterventionalSponsorHanoi Medical UniversityRan2026 to 2028Enrolled80ConditionsMental Disorder, HIV StigmaArmsTo-Hieu (I understand)
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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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

13 authors at 7 institutions in 3 countries.

Debbie DadaSchool of Nursing, Yale University, New Haven, Connecticut, USA debbie.dada@yale.edu.ORCID 0000-0003-4199-7102
Gamji R Abu-Ba'areCenter for Interdisciplinary Research on AIDS, School of Public Health, Yale University, New Haven, Connecticut, USA.
DeAnne TurnerUniversity of South Florida, Tampa, Florida, USA.
Ibrahim Wunpini MashoudMedical Division, 37 Military Hospital, Ghana Armed Forces, Accra, Ghana.ORCID 0000-0002-6440-1407
Francis Owusu-DamparePriorities on Rights and Sexual Health, Accra, Ghana.
Amos AprekuUniversity of Ghana, Legon, Ghana.
Zhao NiSchool of Medicine, Yale University, New Haven, Connecticut, USA.
Pascal DjiadeuSt Michael's Hospital Centre for Urban Health Solutions, Toronto, Ontario, Canada.ORCID 0000-0001-9708-6530
Gloria Aidoo-FrimpongCenter for Interdisciplinary Research on AIDS, School of Public Health, Yale University, New Haven, Connecticut, USA.
Edem Yaw ZigahBehavioral, Sexual, and Global Health Lab, University of Rochester, Rochester, New York, USA.
Kate NyhanHarvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, Connecticut, USA.ORCID 0000-0001-5397-2303
Laura NybladeResearch Triangle Institute, Research Triangle Park, North Carolina, USA.
LaRon E NelsonSchool of Nursing, Yale University, New Haven, Connecticut, USA.
Yale University · USSt. Michael's Hospital · CA37 Military Hospital · GHRTI International · USUniversity of Ghana · GHUniversity of Rochester · USUniversity of South Florida · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Multi-Level Intervention Addressing Intersectional Stigma to Improve HIV Testing in MSMR01NR019009 · NINR · YALE UNIVERSITY · PI NELSON, LARON EARNEST, NYBLADE, LAURA · 2019 to 2022
$2.3M
NCATS NIH HHS UL1 TR001863NIMH NIH HHS R25 MH067127NINR NIH HHS R01 NR019009
6 · The paper itself

Abstract

objectivesSexual and gender minority (SGM) populations in sub-Saharan Africa (SSA) are disproportionately impacted by HIV and often face multiple HIV-related stigmas. Addressing these stigmas could reduce SGM HIV vulnerability but little is known about how the stigmas operate and intersect. Intersectional stigma offers a lens for understanding the experiences of stigmatised populations and refers to the synergistic negative health effects of various systems of oppression on individuals with multiple stigmatised identities, behaviours or conditions. This review aims to (1) assess how often and in what ways an intersectional lens is applied in HIV-related stigma research on SGM populations in SSA and (2) understand how intersectional stigma impacts HIV risk in these populations.

designScoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews. DATA SOURCES: Public health and regional databases were searched in 2020 and 2022. ELIGIBILITY CRITERIA: Articles in French and English on HIV-related stigma and HIV outcomes among men who have sex with men, women who have sex with women and/or transgender individuals in SSA. DATA EXTRACTION AND SYNTHESIS: Articles were screened and extracted twice and categorised by use of an intersectional approach. Study designs and stigma types were described quantitatively and findings on intersectional stigma were thematically analysed.

resultsOf 173 articles on HIV-related stigma among SGM in SSA included in this review, 21 articles (12%) applied an intersectional lens. The most common intersectional stigmas investigated were HIV and same-sex attraction/behaviour stigma and HIV, same-sex attraction/behaviour and gender non-conformity stigma. Intersectional stigma drivers, facilitators and manifestations were identified across individual, interpersonal, institutional and societal socioecological levels. Intersectional stigma impacts HIV vulnerability by reducing HIV prevention and treatment service uptake, worsening mental health and increasing exposure to HIV risk factors.

conclusionIntersectional approaches are gaining traction in stigma research among SGM in SSA. Future research should prioritise quantitative and mixed methods investigations, diverse populations and intervention evaluation.

Indexed as

HIV InfectionsSexual and Gender MinoritiesSocial StigmaAfrica South of the SaharaFemaleHumansMaleHIV & AIDSMENTAL HEALTHSexual and Gender MinoritiesSexually Transmitted DiseaseTransgender Persons

Identifiers

PMID38346887
PMCPMC10862343
OpenAlexW4392571165

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.