'It kills the freedom or the spirit of people being who they are': impact of sexuality-based stigma and discrimination on the lives of gay and bisexual men in Kenya

被引:0
作者
Jauregui, Juan C. [1 ]
Lewis, Katherine A. [2 ]
Moore, Darius M. [3 ]
Ogunbajo, Adedotun [4 ]
Odero, Wilson W. [5 ]
Wambaya, Jeffrey [6 ]
Onyango, Daniel P. [7 ]
Jadwin-Cakmak, Laura [3 ]
Harper, Gary W. [3 ]
机构
[1] UCLA, Luskin Sch Publ Affairs, Dept Social Welf, 3250 Publ Affairs Bldg, Box 951656, Los Angeles, CA 90095 USA
[2] Univ Southern Calif, Keck Sch Med, Dept Populat & Publ Hlth Sci, Los Angeles, CA USA
[3] Univ Michigan, Sch Publ Hlth, Dept Hlth Behav & Hlth Equ, Ann Arbor, MI USA
[4] RAND Corp, Arlington, VA USA
[5] Maseno Univ, Sch Med, Dept Family Med & Community Hlth, Kisumu, Kenya
[6] Ishtar MSM, Nairobi, Kenya
[7] Nyanza Rift Valley & Western Kenya NYARWEK LGBTI C, Kisumu, Kenya
关键词
Kenya; gay and bisexual men; stigma; discrimination; mental health; MINORITY STRESS; SUBSTANCE USE; STRUCTURAL STIGMA; ORIENTATION CONCEALMENT; HEALTH; HIV; SEX; VICTIMIZATION; ADOLESCENTS; HIDDEN;
D O I
10.1080/17441692.2025.2489713
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Gay and bisexual men (GBM) in Kenya are subjected to frequent experiences of sexuality-based stigma and discrimination, yet how GBM navigate these experiences and their impact on mental health has remained understudied. The aim of this study was to understand how GBM in Kenya respond to everyday experiences of sexuality-based stressors. We conducted 60 individual in-depth interviews with GBM between the ages of 20-46 residing in Kisumu and Nairobi. The following four key themes regarding how GBM in Kenya respond to sexuality-based stressors emerged: enacting identity protection strategies, using alcohol and other substances, avoiding healthcare providers and services, and being hypervigilant to avoid violence. These findings highlight the urgent need for interventions that reduce sexuality-based stigma and improve access to safer social and healthcare spaces for GBM in Kisumu and Nairobi.
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页数:15
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