1
|
Andrade CAAD, Aquino RLD, Souza KRFD, Melo GBD, Costa AMD, Abrão FMDS. Vulnerability of lesbian and bisexual women to HIV: a qualitative meta-synthesis. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2023; 69:e20220988. [PMID: 37075439 PMCID: PMC10176635 DOI: 10.1590/1806-9282.20220988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 01/21/2023] [Indexed: 04/21/2023]
|
2
|
Silva ADN, Gomes R. Access to health services for lesbian women: a literature review. CIENCIA & SAUDE COLETIVA 2021; 26:5351-5360. [PMID: 34787224 DOI: 10.1590/1413-812320212611.3.34542019] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Accepted: 12/04/2019] [Indexed: 11/21/2022] Open
Abstract
This study explores access to health services for lesbians in the light of current literature. A literature search was conducted using various databases and an interpretive synthesis of the findings of the selected articles was produced anchored in the concepts of habitus and symbolic violence developed by Pierre Bourdieu. Two main themes and their respective units of meaning were identified: (a) barriers and difficulties experienced by lesbians in accessing healthcare (issues related to coming out as a lesbian and difficulties experienced by health services and professionals in dealing with lesbian women); and (b) lesbian women's experiences in health services (unequal care, invisibility, and feeling uncomfortable). We conclude that, despite advances in policy and care protocols, sexual and gender diversity needs to be widely discussed in social, educational, and health settings.
Collapse
Affiliation(s)
- Adriane das Neves Silva
- Instituto Fernandes Figueira, Fundação Oswaldo Cruz. Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
| | - Romeu Gomes
- Instituto Fernandes Figueira, Fundação Oswaldo Cruz. Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
| |
Collapse
|
3
|
Burton CW, Gilpin CE, Draughon Moret J. Structural violence: A concept analysis to inform nursing science and practice. Nurs Forum 2020; 56:382-388. [PMID: 33355920 DOI: 10.1111/nuf.12535] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 10/30/2020] [Accepted: 12/02/2020] [Indexed: 11/28/2022]
Abstract
This analysis is meant to elucidate the concept of structural violence and its implications for nursing science and practice. The concept of structural violence, also known as indirect violence, was first identified in the literature by peace researcher Johan Galtung. According to Galtung, structural violence broadly represents harm done to persons and groups through inequitable social, political, or economic structures. Such inequitable structures, such as systemic discrimination based on race, ethnicity, religion, gender, sexual orientation, etc. create conditions within society that directly disadvantage and oppress members of certain groups. This oppression can inflict profound physical, psychological, and socioeconomic harm on individuals, leading to disparate health outcomes. Using techniques for developing conceptual meaning as outlined in Chinn and Kramer (2018), our analysis seeks to specify meanings and applications of structural violence for application to nursing. This analysis draws on literature from clinical, historical, and other social sciences. Databases including CINAHL, PubMed, JSTOR, and PsychInfo were explored for references to structural violence. Structural violence is readily identified in specific contexts where individuals or groups are disadvantaged by socially constructed systems, such as those of race, gender, and economic privilege. Structural violence can result in health disparities and the development of conditions that predispose individuals to health risks. Nurses must be familiar with the concept to address these issues with patients.
Collapse
Affiliation(s)
- Candace W Burton
- Sue and Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA
| | - Claire E Gilpin
- Sue and Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA
| | - Jessica Draughon Moret
- Betty Irene Moore School of Nursing, University of California Davis, Davis, California, USA
| |
Collapse
|
4
|
Wikramanayake RM, Paschen-Wolff MM, Matebeni Z, Reddy V, Southey-Swartz I, Sandfort TGM. Southern African Lesbian and Bisexual Women Responses to Symptoms of Sexually Transmitted Infections. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:1887-1902. [PMID: 31950379 PMCID: PMC7321908 DOI: 10.1007/s10508-019-01581-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 10/11/2019] [Accepted: 10/31/2019] [Indexed: 06/10/2023]
Abstract
Sexually transmitted infection (STI) in lesbian and bisexual women is a relatively unexplored topic, particularly for women from low- and middle-income countries. Despite perceptions that women who have sex with women (WSW) are at negligible risk of contracting STI, existing research demonstrates that WSW do become infected with STI. Given the opposition between assumptions of invulnerability and the observed risks, we explored how WSW would respond to symptoms of STI (i.e., wait until symptoms passed, see a medical doctor, and inform sexual partners). We used data collected as part of a collaboration between academic researchers and community-based LGBTQ organizations in Botswana, Namibia, South Africa, and Zimbabwe. Chi-squared tests were used to test whether participants' responses to hypothetical STI symptoms varied in relation to several intrapersonal, interpersonal, and structural factors. Multivariable logistic regression (backward) was used to assess whether these variables were independently associated with women's responses. Most women would be proactive in response to potential STI symptoms and would see a medical doctor. However, most women would not inform their sexual partner of symptoms of STI. Findings demonstrate several intrapersonal, interpersonal, and structural factors that influence WSW's health agency, and show a clustering of high-risk factors among women who would not be proactive about their health. Our findings suggest the need for improved health and health care of WSW in Southern Africa.
Collapse
Affiliation(s)
- Radhika M Wikramanayake
- HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA
| | - Margaret M Paschen-Wolff
- Department of Psychiatry, Division on Substance Use Disorders, New York State Psychiatric Institute, Columbia University Irving Medical Center, New York, USA
| | - Zethu Matebeni
- Department of Sociology, University of the Western Cape, Cape Town, South Africa
| | - Vasu Reddy
- Faculty of the Humanities, University of Pretoria, Pretoria, South Africa
| | | | - Theo G M Sandfort
- HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA.
- Department of Psychology, University of Pretoria, Pretoria, South Africa.
| |
Collapse
|
5
|
Paschen-Wolff MM, Reddy V, Matebeni Z, Southey-Swartz I, Sandfort T. HIV and sexually transmitted infection knowledge among women who have sex with women in four Southern African countries. CULTURE, HEALTH & SEXUALITY 2020; 22:705-721. [PMID: 31345116 PMCID: PMC6982583 DOI: 10.1080/13691058.2019.1629627] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Accepted: 06/05/2019] [Indexed: 06/10/2023]
Abstract
Women who have sex with women in Southern Africa, where HIV prevalence is high, are often presumed to have minimal risk for sexually transmitted infections (STI) and HIV despite research documenting female-to-female transmission. This study examined the demographic and social factors contributing to female-to-female STI/HIV transmission knowledge among Southern African women who have sex with women using an integrated model of health literacy. In collaboration with community-based organisations in Botswana, Namibia, South Africa and Zimbabwe, data were collected through anonymous surveys (N = 591). Multivariable stepwise forward logistic regression assessed independent associations between participant characteristics and high vs. low knowledge using five items. Overall, 64.4% (n = 362) of women had high knowledge; 35.6% (n = 200) had low knowledge. Higher education (adjusted odds ratio [aOR]: 2.24, 95% confidence interval [CI]: 1.48, 3.40), regular income (aOR: 2.14, 95% CI: 1.43, 3.21), residence in Botswana (aOR: 3.12, 95% CI: 1.15, 8.48) and having ever received tailored STI/HIV information (aOR: 2.17, 95% CI: 1.41, 3.32) predicted significantly higher odds of high knowledge in the final multivariable model. Results suggest opportunities for peer-led sexual health programming and expanded HIV prevention campaigns addressing women who have sex with women.
Collapse
Affiliation(s)
- Margaret M. Paschen-Wolff
- HIV Center for Clinical and Behavioral Studies at the NY State Psychiatric Institute and Columbia University, Department of Psychiatry, Division of Gender, Sexuality, and Health, New York, NY, USA
| | - Vasu Reddy
- Faculty of Humanities, University of Pretoria, Hatfield, South Africa
| | - Zethu Matebeni
- Department of Anthropology and Sociology, University of the Western Cape, Bellville, South Africa
| | | | - Theodorus Sandfort
- HIV Center for Clinical and Behavioral Studies at the NY State Psychiatric Institute and Columbia University, Department of Psychiatry, Division of Gender, Sexuality, and Health, New York, NY, USA
- Department of Psychology, University of Pretoria, Hatfield, South Africa
| |
Collapse
|
6
|
Montenegro Martínez G, Carmona Montoya A, Franco-Giraldo Á. [Models for public health policy analysis reported in scientific publications]. GACETA SANITARIA 2020; 35:270-281. [PMID: 31982213 DOI: 10.1016/j.gaceta.2019.11.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Revised: 10/27/2019] [Accepted: 11/22/2019] [Indexed: 10/25/2022]
Abstract
OBJECTIVE To summarize public health policy models reported in studies published between 2002-2017. METHOD Using MesH vocabulary, we systematically searched articles in English, Spanish and Portuguese in the PubMed, Scielo, Jstor, ProQuest and Google Scholar data-bases. The quality of the articles was assessed using the tool for understanding a qualitative study by CASPe. RESULTS A higher proportion of scientific studies were conducted in the African continent. The policies relating to health care were most frequently investigated. Walt and Gilson's model and Kingdon's multiple streams framework were more frequently reported. CONCLUSIONS The articles set out the public policy analysis model, but not the approach to guide it. A more robust theoretical body needs to be built to enable discussion about the approaches and models for the analysis of public policies. Its distinction is relevant, since it can order methodological proposals for the study of policies.
Collapse
Affiliation(s)
| | | | - Álvaro Franco-Giraldo
- Grupo de Investigación GISCO, Fundación Universitaria Autónoma de las Américas, Medellín
| |
Collapse
|
7
|
Logie CH, Marcus N, Wang Y, Lacombe-Duncan A, Levermore K, Jones N, Bryan N, Back R, Marshall A. Contextualising sexual health practices among lesbian and bisexual women in Jamaica: a multi-methods study. REPRODUCTIVE HEALTH MATTERS 2018; 26:1517543. [DOI: 10.1080/09688080.2018.1517543] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Affiliation(s)
- Carmen H. Logie
- Associate Professor, Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada
- Adjunct Scientist, Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada
| | - Natania Marcus
- Doctoral Candidate, Applied Psychology and Human Development, University of Toronto, Toronto, Canada
| | - Ying Wang
- Doctoral Candidate, Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada
| | - Ashley Lacombe-Duncan
- Transitional Postdoctoral Research Fellow, School of Social Work, University of Michigan, Ann Arbor, MI, United States
| | - Kandasi Levermore
- Executive Director, Jamaica AIDS Support for Life, Kingston, Jamaica
| | - Nicolette Jones
- Research Coordinator, Jamaica AIDS Support for Life, Kingston, Jamaica
| | - Nicolette Bryan
- Executive Director, WE-Change, Kingston, Jamaica
- Research Assistant, Jamaica AIDS Support for Life, Kingston, Jamaica
| | - Robin Back
- Research Assistant, Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada
| | - Annecka Marshall
- Lecturer, Institute for Gender and Development Studies, Mona Campus, University of the West Indies, Kingston, Jamaica
| |
Collapse
|
8
|
Makofane K, Spire B, Mtetwa P. Tackling global health inequities in the HIV response. Lancet 2018; 392:263-264. [PMID: 30032980 DOI: 10.1016/s0140-6736(18)31441-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Accepted: 06/18/2018] [Indexed: 10/28/2022]
Affiliation(s)
- Keletso Makofane
- Harvard T H Chan School of Public Health, Harvard University, Boston, MA 02115, USA; Masithandane End Hate Crimes Collective, Johannesburg, South Africa.
| | - Bruno Spire
- Aix Marseille University, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France
| | - Phumi Mtetwa
- Masithandane End Hate Crimes Collective, Johannesburg, South Africa; Social Change Initiative, Johannesburg, South Africa
| |
Collapse
|
9
|
Setting Targets for HIV: An Evaluation of Indicator Quality and Target Achievement in National Strategic Plans. J Acquir Immune Defic Syndr 2018; 76:348-355. [PMID: 29077672 PMCID: PMC5662168 DOI: 10.1097/qai.0000000000001529] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND National Strategic Plans (NSPs) for HIV have become foundational documents that frame responses to HIV. Both Global Fund and PEPFAR require coordination with NSPs as a component of their operations. Despite the role of NSPs in country planning, no rigorous assessment of NSP targets and performance outcomes exists. We performed a quantitative analysis of the quality of NSP indicators and targets and assessed whether historical NSP targets had been achieved. METHODS All targets and indicators from publicly available NSPs from 35 countries are coded as structural, input, output, or impact indicators. Targets were evaluated for specificity, measurability, achievability, relevance, and being time-bound. In addition, progress toward achieving targets was evaluated using historical NSPs from 4 countries. RESULTS NSPs emphasized output indicators, but inclusion of structural, input, or impact indicators was highly variable. Most targets lack specificity in target population, numeric baselines or targets, and a data source for monitoring. Targets were, on average, 205% increases or decreases relative to baselines. Alignment with international indicators was variable. Metrics of indicator quality were not associated with NSP funding needs. Monitoring of historical NSP targets was limited by a lack of defined targets and available data. CONCLUSIONS Country NSPs are limited by a lack of specific, measurable, and achievable targets. The low achievement of targets in historical NSPs corroborates that targets are often poorly defined and aspirational, and not linked to available data sources. NSP quality may be improved through better use of programmatic data and greater inclusion of targets for process measures.
Collapse
|