AI Article Synopsis

  • Men who have sex with men (MSM) in Kenya are recognized as a vulnerable group at high risk for HIV due to social stigma and limited access to sexual health services.
  • A study involving 26 self-identified MSM in Malindi revealed four main themes influencing their sexual identities and decision-making: conflict between the concepts of 'homosexuality' and 'African identity,' gender stereotypes regarding sexual roles, socioeconomic constraints on personal choices, and the commercialization of non-normative sexualities.
  • The findings suggest that addressing LGBTQ+ sexual health and HIV risks requires a deeper understanding of the sociocultural factors impacting this community, which should inform future health interventions and public health programs.

Article Abstract

Men who have sex with men are increasingly recognised as one of the most vulnerable HIV risk groups in Kenya. Sex between men is highly stigmatised in Kenya, and efforts to provide sexual health services to men who have sex with men require a deeper understanding of their lived experiences; this includes how such men in Kenya construct their sexual identities and how these constructions affect sexual decision-making. Adult self-identified men who have sex with men (n = 26) in Malindi, Kenya, participated in individual interviews to examine sociocultural processes influencing sexual identity construction and decision-making. Four key themes were identified: (1) tensions between perceptions of 'homosexuality' versus being 'African', (2) gender-stereotyped beliefs about sexual positioning, (3) socioeconomic status and limitations to personal agency and (4) objectification and commodification of non-normative sexualities. Findings from this analysis emphasise the need to conceive of same-sex sexuality and HIV risk as context-dependent social phenomena. Multiple sociocultural axes were found to converge and shape sexual identity and sexual decision-making among this population. These axes and their interactive effects should be considered in the design of future interventions and other public health programmes for men who have sex with men in this region.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4837057PMC
http://dx.doi.org/10.1080/13691058.2015.1102326DOI Listing

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