Beyond biomedical and comorbidity approaches: Exploring associations between affinity group membership, health and health seeking behaviour among MSM/MSW in Nairobi, Kenya.

Journal: Global public health

Volume: 15

Issue: 7

Year of Publication: 2021

Affiliated Institutions:  Department of Health Behavior & Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan, USA. Health Options for Young Men on HIV/AIDS/STI (HOYMAS), Nairobi, Kenya. National AIDS and STI Control Programme, Ministry of Health, Government of Kenya, Nairobi, Kenya. The Centre for Global Public Health, Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada. Department of Medical Microbiology, University of Manitoba, Winnipeg, Canada.

Abstract summary 

We explored general health and psychosocial characteristics among male sex workers and other men who have sex with men in Nairobi, Kenya. A total of 595 MSM/MSW were recruited into the study. We assessed group differences among those who self-reported HIV positive (SR-HIVP) and those who self-reported HIV negative (SR-HIVN) and by affinity group membership. Quality of life among SR-HIVP participants was significantly worse compared to SR-HIVN participants. Independent of HIV status and affinity group membership, participants reported high levels of hazardous alcohol use, harmful substance use, recent trauma and childhood abuse. The overall sample exhibited higher prevalence of moderate to severe depressive symptoms compared to the general population. Quality of life among participants who did not report affinity group membership (AGN) was significantly worse compared to participants who reported affinity group membership (AGP). AGN participants also reported significantly lower levels of social support. Membership in affinity groups was found to influence health seeking behaviour. Our findings suggest that we need to expand the mainstay biomedical and comorbidity focused research currently associated with MSM/MSW. Moreover, there are benefits to being part of MSM/MSW organisations and these organisations can potentially play a vital role in the health and well-being of MSM/MSW.

Authors & Co-authors:  Doshi Macharia Mathenge Musyoki Amico Battacharjee Blanchard Reza-Paul McKinnon Kimani Lorway

Study Outcome 

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Statistics
Citations : 
Authors :  11
Identifiers
Doi : 10.1080/17441692.2020.1739729
SSN : 1744-1706
Study Population
Men,Male
Mesh Terms
Group Processes
Other Terms
Kenya, quantitative;Men who have sex with men (MSM);affinity groups;male sex worker (MSW);mental health
Study Design
Study Approach
Country of Study
Kenya
Publication Country
England