Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to them.

IF 2.3 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-20 DOI:10.1080/17441692.2024.2433725

Michael Kunnuji, Megan Schmidt-Sane, Olufunke Adegoke, Syed Abbas, Elizabeth Shoyemi, Akanni O Lawanson, Ayodele Jegede, Hayley MacGregor

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引用次数: 0

Abstract

The current mpox outbreak has challenged previous understanding of the disease, with human-to-human transmission being a significant mode of transmission, particularly among gay, bisexual, and other men who have sex with men (GBMSM). A knowledge gap exists on MSM's mpox experiences in Nigeria's restrictive sociolegal context. This study explored mpox awareness, knowledge, and experiences among MSM in Lagos, Nigeria, through 28 in-depth interviews. We analysed the interview transcripts thematically. Findings showed low awareness and knowledge of mpox among MSM, who prefer seeking healthcare outside public health facilities due to stigma. Intimate contact during sexual intercourse is a likely source of infection among MSM. The Nigerian mpox response does not centre MSM, and centreing them may not be ideal due to potential stigma. MSM seek care through various means, including drugs, herbal remedies, and KP-friendly sexual and reproductive health (SRH) services, but face stressful care-seeking due to limited social support and stigma. The study shows that Nigeria's mpox situation differs from the situation in mpox non-endemic contexts. The homophobic legal and social environment and heterogenous spread require unique disease framing and context-sensitive response. The study concludes that further surveillance is needed to deepen understanding around mpox care seeking among MSM in Nigeria.

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尼日利亚的Mpox和男男性行为者社区：来自男男性行为者和向他们提供保健服务的人的探索性见解。

目前的麻疹疫情挑战了以前对该疾病的认识，人与人之间的传播是一种重要的传播方式，特别是在同性恋、双性恋和其他男男性行为者（GBMSM）之间。在尼日利亚严格的社会法律背景下，男同性恋者的mpox经历存在知识缺口。本研究通过28次深度访谈探讨了尼日利亚拉各斯男同性恋者的麻疹意识、知识和经历。我们按主题分析了采访记录。调查结果显示，男男性行为者对m痘的认识和知识较低，由于耻辱感，他们更愿意在公共卫生机构以外寻求医疗保健。性交过程中的亲密接触是男男性接触者中可能的感染源。尼日利亚的麻疹防治工作没有把男同性恋者作为中心，而且由于潜在的污名化，把他们作为中心可能并不理想。男男性行为者通过各种手段寻求治疗，包括药物、草药和对kp友好的性健康和生殖健康（SRH）服务，但由于社会支持有限和污名化，他们在寻求治疗时面临压力。这项研究表明，尼日利亚的m痘情况不同于m痘非流行地区的情况。仇视同性恋的法律和社会环境以及异质传播需要独特的疾病框架和对具体情况敏感的反应。该研究的结论是，需要进一步监测，以加深对尼日利亚男男性行为者寻求m痘护理的了解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Global Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.50

自引率

3.00%

发文量

120

期刊介绍： Global Public Health is an essential peer-reviewed journal that energetically engages with key public health issues that have come to the fore in the global environment — mounting inequalities between rich and poor; the globalization of trade; new patterns of travel and migration; epidemics of newly-emerging and re-emerging infectious diseases; the HIV/AIDS pandemic; the increase in chronic illnesses; escalating pressure on public health infrastructures around the world; and the growing range and scale of conflict situations, terrorist threats, environmental pressures, natural and human-made disasters.