2024
Qualitative description of interpersonal HIV stigma and motivations for HIV testing among gays, bisexuals, and men who have sex with men in Ghana’s slums—BSGH-005
Abu-Ba’are G, Shamrock O, Zigah E, Ogunbajo A, Dakpui H, Agbemedu G, Boyd D, Ezechi O, Nelson L, Torpey K. Qualitative description of interpersonal HIV stigma and motivations for HIV testing among gays, bisexuals, and men who have sex with men in Ghana’s slums—BSGH-005. PLOS ONE 2024, 19: e0289905. PMID: 38837972, PMCID: PMC11152275, DOI: 10.1371/journal.pone.0289905.Peer-Reviewed Original ResearchMeSH KeywordsAdultBisexualityGhanaHIV InfectionsHIV TestingHomosexuality, MaleHumansMaleMiddle AgedMotivationPoverty AreasSexual and Gender MinoritiesSocial StigmaYoung AdultConceptsHIV testingHIV stigmaHIV testing servicesLevel of stigmaFace-to-face interviewsHIV education interventionsHIV knowledge levelsSummative content analysisGBMSM livingEducational interventionHIV preventionHealthcare servicesHIV prevalenceCommunity partnersHIV responseTesting servicesHIV statusHIV vulnerabilityGBMSMSexual healthStigmaKnowledge levelContent analysisHIVSlumsMeasuring intersectional HIV, sexual diversity, and gender non-conformity stigma among healthcare workers in Ghana: scale validation and correlates of stigma
Oga E, Stockton M, Abu-Ba’are G, Vormawor R, Mankattah E, Endres-Dighe S, Richmond R, Jeon S, Logie C, Baning E, Saalim K, Torpey K, Nelson L, Nyblade L. Measuring intersectional HIV, sexual diversity, and gender non-conformity stigma among healthcare workers in Ghana: scale validation and correlates of stigma. BMC Health Services Research 2024, 24: 647. PMID: 38773589, PMCID: PMC11110277, DOI: 10.1186/s12913-024-11098-6.Peer-Reviewed Original ResearchConceptsIntersectional stigmaIntersectional identitiesHealthcare facility staffHealthcare facilitiesGender non-conformity stigmaStigmatizing beliefsGender non-conformingSame-sex relationshipsReduce intersectional stigmaSame-gender sexFactors associated with stigmaAssociated with less stigmaMethodsWe analyzed baseline dataStigma reduction interventionsGreater comfortCorrelates of stigmaMulti-level interventionsInfection control trainingSexual diversitySexual normsAssociated with greater comfortGreater religiosityHIV testingResultsFactor analysisExploratory factor analysisCommunity stigma, victimization, and coping strategies among gay, bisexual, and other cis-gender men who have sex with men in slum communities in Ghana. BSGH-003
Shamrock O, Abu-Ba’are G, Zigah E, Dakpui H, Adjaka G, LeBlanc N, Alio A, Nelson L. Community stigma, victimization, and coping strategies among gay, bisexual, and other cis-gender men who have sex with men in slum communities in Ghana. BSGH-003. BMC Public Health 2024, 24: 966. PMID: 38580970, PMCID: PMC10998418, DOI: 10.1186/s12889-024-18242-1.Peer-Reviewed Original ResearchMeSH KeywordsCrime VictimsGhanaHIV InfectionsHomosexuality, MaleHumansMalePoverty AreasSexual and Gender MinoritiesSexual BehaviorConceptsCis-gender menGBMSM livingSlum communitiesCoping strategiesExperiences of stigmaGhanaian citiesTime-location samplingStigmatizing environmentsGBMSMCommunity stigmaCombat stigmaHIV educationNegative attitudesNegative experiencesSlumsCommitment therapyGhanaIntervention approachesStigmaVictimsCommunityTime-locationMenLivingBackgroundGayScoping review of HIV-related intersectional stigma among sexual and gender minorities in sub-Saharan Africa
Dada D, Abu-Ba’are G, Turner D, Mashoud I, Owusu-Dampare F, Apreku A, Ni Z, Djiadeu P, Aidoo-Frimpong G, Zigah E, Nyhan K, Nyblade L, Nelson L. Scoping review of HIV-related intersectional stigma among sexual and gender minorities in sub-Saharan Africa. BMJ Open 2024, 14: e078794. PMID: 38346887, PMCID: PMC10862343, DOI: 10.1136/bmjopen-2023-078794.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHIV InfectionsHomosexuality, MaleHumansMaleSexual and Gender MinoritiesSexual BehaviorSocial StigmaConceptsSub-Saharan AfricaHIV-related stigmaIntersectional stigmaIntersectional lensHIV vulnerabilityIntersectional approachGender non-conformity stigmaStigma researchScoping reviewSystems of oppressionMeta-Analysis extensionWorsening mental healthGender minoritiesTransgender individualsHIV risk factorsPreferred Reporting ItemsStigmatised identitySGM populationsStigma driversHIV riskStigmatised populationsService uptakeNegative health effectsSub-SaharanSocioecological levels
2023
“For my safety and wellbeing, I always travel to seek health care in a distant facility”—the role of place and stigma in HIV testing decisions among GBMSM – BSGH 002
Zigah E, Abu-Ba'are G, Shamrock O, Dakpui H, Apreku A, Boyd D, Nelson L, Torpey K. “For my safety and wellbeing, I always travel to seek health care in a distant facility”—the role of place and stigma in HIV testing decisions among GBMSM – BSGH 002. Health & Place 2023, 83: 103076. PMID: 37423093, DOI: 10.1016/j.healthplace.2023.103076.Peer-Reviewed Original ResearchMeSH KeywordsDelivery of Health CareHIV InfectionsHIV TestingHomosexuality, MaleHumansMaleSexual and Gender MinoritiesSocial StigmaConceptsHIV testing decisionsHealth care facilitiesTesting decisionsGovernment health care facilitiesHIV testing optionsHealthcare workers' attitudesLimited health care facilitiesLow-income statusHIV testingHCWs' attitudesGeneral populationCare facilitiesHIVGBMSMHealth careTesting optionsFace interviewsPlace-based interventionsStigmaMenSummative content analysisArea 3Workers' attitudesResearch designFindingsIntegrative Antiracism and the Salience of Intersectional Assets for Black and Latinx LGBTQ Youth
Nelson L, Reeves J, Lopez D. Integrative Antiracism and the Salience of Intersectional Assets for Black and Latinx LGBTQ Youth. Journal Of Adolescent Health 2023, 72: 647-648. PMID: 37062570, DOI: 10.1016/j.jadohealth.2023.02.003.Peer-Reviewed Original ResearchMulti-level manifestations of sexual stigma among men with same-gender sexual experience in Ghana
Saalim K, Amu-Adu P, Amoh-Otu R, Akrong R, Abu-Ba’are G, Stockton M, Vormawor R, Torpey K, Nyblade L, Nelson L. Multi-level manifestations of sexual stigma among men with same-gender sexual experience in Ghana. BMC Public Health 2023, 23: 166. PMID: 36694150, PMCID: PMC9872747, DOI: 10.1186/s12889-023-15087-y.Peer-Reviewed Original ResearchMeSH KeywordsGhanaHIV InfectionsHomosexuality, MaleHumansMaleSexual and Gender MinoritiesSexual BehaviorSocial StigmaConceptsSame-gender sexual experienceFocus group discussionsSexual stigmaSocioecological levelsSexual experienceStigma manifestationsRole of familyPoor quality servicesQualitative content analysisInternal ambivalenceReligious institutionsSuch stigmaLegal processVerbal abuseInterpersonal levelNational lawStigma researchGroup discussionsConstant fearStigma reduction interventionsPhysical abuseSocial aspectsStigma experiencesContent analysisForeign cultureAwareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004
Abu-Ba’are G, Shamrock O, Apreku A, Agbemedu G, Zigah E, Ezechi O, Nelson L, Torpey K. Awareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004. Journal Of The International Association Of Providers Of AIDS Care (JIAPAC) 2023, 22: 23259582231209649. PMID: 37933162, PMCID: PMC10631318, DOI: 10.1177/23259582231209649.Peer-Reviewed Original ResearchMeSH KeywordsCondomsGhanaHIV InfectionsHomosexuality, MaleHumansMalePoverty AreasPre-Exposure ProphylaxisSexual and Gender MinoritiesSexual BehaviorConceptsHIV prevention strategiesSlum communitiesPrevention strategiesPreexposure prophylaxisHuman immunodeficiency virus (HIV) prevention strategiesNegative HIV statusPrevention of HIVConsistent condom useRisk of infectionImproved health outcomesSummative content analysisAntiretroviral therapyPrEP accessGhanaian contextHIV statusLimited accessStructural barriersDepth faceHealth facilitiesHIV awarenessAnal sexHealth outcomesGBMSMCondom useQualitative studyExamining the Role of Autonomy Support, Goal Setting, and Care Coordination Quality on HIV PrEP Adherence in Black Men Who Have Sex with Men: HPTN 073
Boyd D, Nelson L, Hill M, Whitfield D, Ramos S, Akyirem S, Emel L, Wilton L, Hightow-Weidman L, Shoptaw S, Magnus M, Mayer K, Piwowar-Manning E, Wallace S, Fields S, Wheeler D. Examining the Role of Autonomy Support, Goal Setting, and Care Coordination Quality on HIV PrEP Adherence in Black Men Who Have Sex with Men: HPTN 073. AIDS Patient Care And STDs 2023, 37: 22-30. PMID: 36626154, PMCID: PMC10024067, DOI: 10.1089/apc.2022.0139.Peer-Reviewed Original ResearchAnti-HIV AgentsGoalsHIV InfectionsHomosexuality, MaleHumansInfantMalePre-Exposure ProphylaxisSexual and Gender MinoritiesUnited States
2022
An Innovative Adaptation of an HIV Status-Neutral, Community-Informed, Socioemotional Asset-Building Intervention With the House Ball Community
Hirshfield S, Birnbaum J, Turner D, Roberson M, Bailey M, Smith M, Nelson L. An Innovative Adaptation of an HIV Status-Neutral, Community-Informed, Socioemotional Asset-Building Intervention With the House Ball Community. Health Promotion Practice 2022, 24: 398-400. PMID: 36524579, DOI: 10.1177/15248399221140794.Peer-Reviewed Original ResearchMeSH KeywordsBlack or African AmericanFemaleHIV InfectionsHomosexuality, MaleHumansMaleSexual and Gender MinoritiesSexual BehaviorConceptsHouse Ball CommunityBall CommunityRisk reduction interventionsBlack lesbiansGender minoritiesMultiple stigmasFamily unitYoung blacksHIV-negative Black MSMBlack menCommunity expertsInnovative adaptationNew HIV diagnosesHIV preventionHealth-promoting behaviorsEvidence-based interventionsNational networkHIV diagnosisPriority populationsCommunity modelCritical gapAdaptation processCommunityHigh incidenceBlack MSM
2020
Latent Profile Analysis of a Syndemic of Vulnerability Factors on Incident Sexually Transmitted Infection in a Cohort of Black Men Who Have Sex With Men Only and Black Men Who Have Sex With Men and Women in the HIV Prevention Trials Network 061 Study.
Dyer TV, Turpin RE, Stall R, Khan MR, Nelson L, Brewer R, Friedman MR, Mimiaga MJ, Cook RL, O'Cleirigh C, Mayer KH. Latent Profile Analysis of a Syndemic of Vulnerability Factors on Incident Sexually Transmitted Infection in a Cohort of Black Men Who Have Sex With Men Only and Black Men Who Have Sex With Men and Women in the HIV Prevention Trials Network 061 Study. Sexually Transmitted Diseases 2020, 47: 571-579. PMID: 32496390, PMCID: PMC7442627, DOI: 10.1097/olq.0000000000001208.Peer-Reviewed Original ResearchMeSH KeywordsBayes TheoremBlack or African AmericanFemaleHIV InfectionsHomosexuality, MaleHumansMaleRisk FactorsSexual and Gender MinoritiesSexual BehaviorSexually Transmitted DiseasesSyndemicConceptsHIV Prevention Trials Network 061 studySexual risk profilesSyndemic factorsRisk profileBlack menImportant public health concernHIV/STI riskHigh-risk sexual behaviorPublic health concernExperience elevated levelsIncident STIsRisk factorsSTI riskVulnerability factorsSexual riskHealth concernElevated levelsBMSMWInfectionSyndemicIntimate partner violenceMenSexSexual behaviorRisk