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God | Prayer Haven | Page 12

Published on Authors of this article:. Background: There has been increased attention for the need to reduce stigma related to sexual behaviors among gay men and other men who have sex with men MSM as part of comprehensive human immunodeficiency virus HIV prevention and treatment programming. However, most studies focused on measuring and mitigating stigma have been in high-income settings, challenging the ability to characterize the transferability of these findings because of lack of consistent metrics across settings.

Objective: The objective of these analyses is to describe the prevalence of sexual behavior stigma in the United States, and to compare the prevalence of sexual behavior stigma between MSM in Southern and Western Africa and in the United States using consistent metrics.

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We limited the study sample to men who reported anal sex with a man at least once in the past 12 months and men who were aged 18 years and older. Unadjusted and adjusted prevalence ratios were used to compare the prevalence of stigma between groups. The prevalence of all other types of stigma was not found to be statistically significantly different across settings. Conclusions: The prevalence of sexual behavior stigma among MSM in the United States appears to have a high absolute burden and similar pattern as the same forms of stigma reported by MSM in Sub-Saharan Africa, although results may be influenced by differences in sampling methodology across regions.

The disproportionate burden of HIV is consistent among MSM across Sub-Saharan Africa and the United States, suggesting the need in all contexts for stigma mitigation interventions to optimize existing evidence-based and human-rights affirming HIV prevention and treatment interventions. In this context, gay men and other men who have sex with men MSM continue to be among the populations at highest risk for HIV infection worldwide [ 4 , 5 ].

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In low- and middle-income countries, MSM are estimated to have at least 19 times the odds of living with HIV compared with other reproductive-aged adults [ 7 ]. And in Sub-Saharan Africa, even in regions commonly characterized as generalized epidemics, the prevalence and incidence of HIV among MSM is consistently higher than that of age-matched men in all settings [ 8 , 9 ].

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