Show simple item record

dc.contributor.authorKokogho, A.
dc.contributor.authorCharurat, M.E.
dc.contributor.authorfor the TRUST/RV368 Study Group
dc.date.accessioned2020-04-14T14:28:52Z
dc.date.available2020-04-14T14:28:52Z
dc.date.issued2020
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85082841601&doi=10.1007%2fs10508-020-01644-8&partnerID=40&md5=e3d7c6bebebc4a1133bb8a084d3b1067
dc.identifier.urihttp://hdl.handle.net/10713/12555
dc.description.abstractDisclosure of same-sex sexual practices by men who have sex with men (MSM) and transgender women (TGW) may facilitate appropriate healthcare engagement, including risk assessment for HIV and other sexually transmitted infections (STIs), and negotiation of condom use with partners. However, disclosure may also generate stigma. In these cross-sectional analyses, MSM and TGW were categorized based on self-report of disclosure to family members and healthcare providers (HCP) at enrollment into the TRUST/RV368 study of comprehensive HIV and STI care programs in Abuja and Lagos, Nigeria. Multivariable Poisson regression models with robust error variance were used to estimate relative risk of disclosure with 95% confidence intervals. Pearson's chi-squared test was used to compare condom use and stigma indicators by disclosure status. Of 2557 participants who answered baseline questions about disclosure, 384 (15.0%) had ever disclosed to a family member and 733 (28.7%) to HCP, including 192 (7.5%) who disclosed to both. Higher education, prevalent HIV infections, and residence in Lagos were each associated with increased likelihood of disclosure to family and HCP. Older participants were more likely to disclose to HCP but not family. Participants who made a disclosure to family or HCP were more likely to report condom use during anal sex as well as perceived and experienced stigma that included healthcare avoidance, blackmail, assault, and sexual violence as compared to participants who had not disclosed. Improved disclosure practices within safe spaces may enhance engagement of MSM and TGW in healthcare and HIV prevention services. Copyright 2020, The Author(s).en_US
dc.description.sponsorshipThis work was supported by a cooperative agreement between the Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., and the U.S. Department of Defense [W81XWH-11-2-0174]; the National Institutes of Health [R01 MH099001, R01 AI120913, R01 MH110358]; Fogarty Epidemiology Research Training for Public Health Impact in Nigeria program [D43TW010051]; and the President's Emergency Plan for AIDS Relief through a cooperative agreement between the Department of Health and Human Services/Centers for Disease Control and Prevention, Global AIDS Program, and the Institute for Human Virology Nigeria [NU2GGH002099].en_US
dc.description.urihttps://doi.org/10.1007/s10508-020-01644-8en_US
dc.language.isoen_USen_US
dc.publisherSpringer Natureen_US
dc.relation.ispartofArchives of Sexual Behavior
dc.subjectAIDSen_US
dc.subjectGender and sexual minoritiesen_US
dc.subjectNigeriaen_US
dc.subjectSexual orientationen_US
dc.subjectStigmaen_US
dc.subjectTransgenderen_US
dc.titleDisclosure of Same-Sex Sexual Practices to Family and Healthcare Providers by Men Who Have Sex with Men and Transgender Women in Nigeriaen_US
dc.typeArticleen_US
dc.identifier.doi10.1007/s10508-020-01644-8


This item appears in the following Collection(s)

Show simple item record