HIV Stigma, Homophobia, Sexual and Gender Minority Community Connectedness and HIV Testing Among Gay, Bisexual, and Other Men and Transgender People Who Have Sex with Men in Kazakhstan
Although HIV incidence is rising among gay, bisexual, and other men (MSM) and transgender people who have sex with men (TSM) in Kazakhstan, whether stigmatizing attitudes and connectedness are associated with HIV testing in this region is not known. We analyzed data from one-time interviews with 304...
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creator | Paine, Emily Allen Lee, Yong Gun Vinogradov, Vitaliy Zhakupova, Gulnara Hunt, Timothy Primbetova, Sholpan Terlikbayeva, Assel El-Bassel, Nabila Wu, Elwin |
description | Although HIV incidence is rising among gay, bisexual, and other men (MSM) and transgender people who have sex with men (TSM) in Kazakhstan, whether stigmatizing attitudes and connectedness are associated with HIV testing in this region is not known. We analyzed data from one-time interviews with 304 adult MSM and TSM conducted 2018–2019 in three cities in Kazakhstan. Logistic regression determined whether HIV stigma, internalized homophobia, sexual and gender minority (SGM) connectedness predicted HIV testing (within the lifetime, past year, and past 6 months) before and after adjustment for sociodemographic characteristics. 80% of participants reported ever receiving an HIV test. Gay-identified participants reported less HIV stigma and internalized homophobia as well as greater connectedness relative to those with bisexual or other identities. In adjusted models, those who had ever tested reported lower HIV stigma (aOR 0.83, 95% CI 0.76–0.91,
P
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doi_str_mv | 10.1007/s10461-021-03217-9 |
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P
< .001) and higher connectedness (aOR 1.17, 95% CI 1.06–1.29,
P
= .003) than those who had not; those who had ever tested reported lower internalized homophobia in the unadjusted model only (OR 0.95, 95% CI 0.91–0.99,
P
= .01). Similar differences and trends were found in models examining testing in the past year and past 6 months. Addressing stigmatizing attitudes and connectedness may improve uptake of HIV testing among MSM and TSM in Kazakhstan.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-021-03217-9</identifier><identifier>PMID: 33743115</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Attitudes ; Bisexuality ; Gays & lesbians ; Gender ; Health behavior ; Health Psychology ; HIV ; HIV Infections - diagnosis ; HIV Testing ; Homophobia ; Homosexuality ; Homosexuality, Male ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Kazakhstan ; Male ; Medical tests ; Medicine ; Medicine & Public Health ; Men ; Men who have sex with men ; Mens health ; Minority & ethnic groups ; Original Paper ; Public Health ; Sex ; Sexual and Gender Minorities ; Sexual Behavior ; Sexually transmitted diseases ; Social Stigma ; STD ; Stigma ; Transgender Persons</subject><ispartof>AIDS and behavior, 2021-08, Vol.25 (8), p.2568-2577</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-4c6d6e3125a8c2b40b5fdc30c606e09b9d06a4c14301e00747ede1c234d6d5aa3</citedby><cites>FETCH-LOGICAL-c474t-4c6d6e3125a8c2b40b5fdc30c606e09b9d06a4c14301e00747ede1c234d6d5aa3</cites><orcidid>0000-0002-6177-2835</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-021-03217-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-021-03217-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27344,27924,27925,33774,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33743115$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paine, Emily Allen</creatorcontrib><creatorcontrib>Lee, Yong Gun</creatorcontrib><creatorcontrib>Vinogradov, Vitaliy</creatorcontrib><creatorcontrib>Zhakupova, Gulnara</creatorcontrib><creatorcontrib>Hunt, Timothy</creatorcontrib><creatorcontrib>Primbetova, Sholpan</creatorcontrib><creatorcontrib>Terlikbayeva, Assel</creatorcontrib><creatorcontrib>El-Bassel, Nabila</creatorcontrib><creatorcontrib>Wu, Elwin</creatorcontrib><title>HIV Stigma, Homophobia, Sexual and Gender Minority Community Connectedness and HIV Testing Among Gay, Bisexual, and Other Men and Transgender People Who Have Sex with Men in Kazakhstan</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>Although HIV incidence is rising among gay, bisexual, and other men (MSM) and transgender people who have sex with men (TSM) in Kazakhstan, whether stigmatizing attitudes and connectedness are associated with HIV testing in this region is not known. We analyzed data from one-time interviews with 304 adult MSM and TSM conducted 2018–2019 in three cities in Kazakhstan. Logistic regression determined whether HIV stigma, internalized homophobia, sexual and gender minority (SGM) connectedness predicted HIV testing (within the lifetime, past year, and past 6 months) before and after adjustment for sociodemographic characteristics. 80% of participants reported ever receiving an HIV test. Gay-identified participants reported less HIV stigma and internalized homophobia as well as greater connectedness relative to those with bisexual or other identities. In adjusted models, those who had ever tested reported lower HIV stigma (aOR 0.83, 95% CI 0.76–0.91,
P
< .001) and higher connectedness (aOR 1.17, 95% CI 1.06–1.29,
P
= .003) than those who had not; those who had ever tested reported lower internalized homophobia in the unadjusted model only (OR 0.95, 95% CI 0.91–0.99,
P
= .01). Similar differences and trends were found in models examining testing in the past year and past 6 months. Addressing stigmatizing attitudes and connectedness may improve uptake of HIV testing among MSM and TSM in Kazakhstan.</description><subject>Adult</subject><subject>Attitudes</subject><subject>Bisexuality</subject><subject>Gays & lesbians</subject><subject>Gender</subject><subject>Health behavior</subject><subject>Health Psychology</subject><subject>HIV</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Testing</subject><subject>Homophobia</subject><subject>Homosexuality</subject><subject>Homosexuality, Male</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Kazakhstan</subject><subject>Male</subject><subject>Medical tests</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Men</subject><subject>Men who have sex with men</subject><subject>Mens health</subject><subject>Minority & ethnic groups</subject><subject>Original Paper</subject><subject>Public Health</subject><subject>Sex</subject><subject>Sexual and Gender Minorities</subject><subject>Sexual Behavior</subject><subject>Sexually transmitted diseases</subject><subject>Social Stigma</subject><subject>STD</subject><subject>Stigma</subject><subject>Transgender Persons</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kstu1DAUhiMEohd4ARbIEhsWE_AtTrNBKiOYqSgqUgdYWo59ZuKS2IOdtAxPxuPhSUq5LFjYPtb5_Pucoz_LnhD8gmBcvowEc0FyTNNilJR5dS87JEXJckYLfj_FuMJ5SURxkB3FeIUxrkRZPcwOGCs5I6Q4zH4szz6hy95uOjVDS9_5beNrm-JL-DaoFiln0AKcgYDeW-eD7Xdo7rtucFPkHOgejIMYR3Yvt4LYW7dBp51P-0LtZui1jaPebIQu-mavB268rYJycTP98QH8tgX0ufFoqa5hXwW6sX0zwtahd-q7-tLEXrlH2YO1aiM8vj2Ps49v36zmy_z8YnE2Pz3PNS95n3MtjABGaKFONK05rou10QxrgQXgqq4MFoprwhkmkIbKSzBANGXcCFMoxY6zV5Pudqg7MBpcH1Qrt8F2KuykV1b-nXG2kRt_LU845aKgSeD5rUDwX4c0GtnZqKFtlQM_REkLzDgTJRMJffYPeuWH4FJ7ieKcUUYEThSdKB18jAHWd8UQLPfGkJMxZDKGHI0hq_To6Z9t3D355YQEsAmIKeU2EH7__R_ZnxcpxOM</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Paine, Emily Allen</creator><creator>Lee, Yong Gun</creator><creator>Vinogradov, Vitaliy</creator><creator>Zhakupova, Gulnara</creator><creator>Hunt, Timothy</creator><creator>Primbetova, Sholpan</creator><creator>Terlikbayeva, Assel</creator><creator>El-Bassel, Nabila</creator><creator>Wu, Elwin</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7U3</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHHNA</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HEHIP</scope><scope>K7.</scope><scope>K9.</scope><scope>KB0</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6177-2835</orcidid></search><sort><creationdate>20210801</creationdate><title>HIV Stigma, Homophobia, Sexual and Gender Minority Community Connectedness and HIV Testing Among Gay, Bisexual, and Other Men and Transgender People Who Have Sex with Men in Kazakhstan</title><author>Paine, Emily Allen ; Lee, Yong Gun ; Vinogradov, Vitaliy ; Zhakupova, Gulnara ; Hunt, Timothy ; Primbetova, Sholpan ; Terlikbayeva, Assel ; El-Bassel, Nabila ; Wu, Elwin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-4c6d6e3125a8c2b40b5fdc30c606e09b9d06a4c14301e00747ede1c234d6d5aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Attitudes</topic><topic>Bisexuality</topic><topic>Gays & lesbians</topic><topic>Gender</topic><topic>Health behavior</topic><topic>Health Psychology</topic><topic>HIV</topic><topic>HIV Infections - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paine, Emily Allen</au><au>Lee, Yong Gun</au><au>Vinogradov, Vitaliy</au><au>Zhakupova, Gulnara</au><au>Hunt, Timothy</au><au>Primbetova, Sholpan</au><au>Terlikbayeva, Assel</au><au>El-Bassel, Nabila</au><au>Wu, Elwin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HIV Stigma, Homophobia, Sexual and Gender Minority Community Connectedness and HIV Testing Among Gay, Bisexual, and Other Men and Transgender People Who Have Sex with Men in Kazakhstan</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>25</volume><issue>8</issue><spage>2568</spage><epage>2577</epage><pages>2568-2577</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>Although HIV incidence is rising among gay, bisexual, and other men (MSM) and transgender people who have sex with men (TSM) in Kazakhstan, whether stigmatizing attitudes and connectedness are associated with HIV testing in this region is not known. We analyzed data from one-time interviews with 304 adult MSM and TSM conducted 2018–2019 in three cities in Kazakhstan. Logistic regression determined whether HIV stigma, internalized homophobia, sexual and gender minority (SGM) connectedness predicted HIV testing (within the lifetime, past year, and past 6 months) before and after adjustment for sociodemographic characteristics. 80% of participants reported ever receiving an HIV test. Gay-identified participants reported less HIV stigma and internalized homophobia as well as greater connectedness relative to those with bisexual or other identities. In adjusted models, those who had ever tested reported lower HIV stigma (aOR 0.83, 95% CI 0.76–0.91,
P
< .001) and higher connectedness (aOR 1.17, 95% CI 1.06–1.29,
P
= .003) than those who had not; those who had ever tested reported lower internalized homophobia in the unadjusted model only (OR 0.95, 95% CI 0.91–0.99,
P
= .01). Similar differences and trends were found in models examining testing in the past year and past 6 months. Addressing stigmatizing attitudes and connectedness may improve uptake of HIV testing among MSM and TSM in Kazakhstan.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33743115</pmid><doi>10.1007/s10461-021-03217-9</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-6177-2835</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adult Attitudes Bisexuality Gays & lesbians Gender Health behavior Health Psychology HIV HIV Infections - diagnosis HIV Testing Homophobia Homosexuality Homosexuality, Male Human immunodeficiency virus Humans Infectious Diseases Kazakhstan Male Medical tests Medicine Medicine & Public Health Men Men who have sex with men Mens health Minority & ethnic groups Original Paper Public Health Sex Sexual and Gender Minorities Sexual Behavior Sexually transmitted diseases Social Stigma STD Stigma Transgender Persons |
title | HIV Stigma, Homophobia, Sexual and Gender Minority Community Connectedness and HIV Testing Among Gay, Bisexual, and Other Men and Transgender People Who Have Sex with Men in Kazakhstan |
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