'It kills the freedom or the spirit of people being who they are': impact of sexuality-based stigma and discrimination on the lives of gay and bisexual men in Kenya.

IF 2.1 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-14 DOI:10.1080/17441692.2025.2489713

Juan C Jauregui, Katherine A Lewis, Darius M Moore, Adedotun Ogunbajo, Wilson W Odero, Jeffrey Wambaya, Daniel P Onyango, Laura Jadwin-Cakmak, Gary W Harper

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引用次数: 0

Abstract

Gay and bisexual men (GBM) in Kenya are subjected to frequent experiences of sexuality-based stigma and discrimination, yet how GBM navigate these experiences and their impact on mental health has remained understudied. The aim of this study was to understand how GBM in Kenya respond to everyday experiences of sexuality-based stressors. We conducted 60 individual in-depth interviews with GBM between the ages of 20-46 residing in Kisumu and Nairobi. The following four key themes regarding how GBM in Kenya respond to sexuality-based stressors emerged: enacting identity protection strategies, using alcohol and other substances, avoiding healthcare providers and services, and being hypervigilant to avoid violence. These findings highlight the urgent need for interventions that reduce sexuality-based stigma and improve access to safer social and healthcare spaces for GBM in Kisumu and Nairobi.

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“它扼杀了人们做自己的自由或精神”：基于性的耻辱和歧视对肯尼亚同性恋和双性恋男性生活的影响。

肯尼亚的同性恋和双性恋男性（GBM）经常遭受基于性的耻辱和歧视，但GBM如何应对这些经历及其对心理健康的影响仍未得到充分研究。本研究的目的是了解肯尼亚的GBM如何应对基于性的压力源的日常经历。我们对居住在基苏木和内罗毕的年龄在20-46岁之间的GBM患者进行了60次个人深度访谈。关于肯尼亚GBM如何应对基于性的压力源，出现了以下四个关键主题：制定身份保护战略，使用酒精和其他物质，避开医疗保健提供者和服务，以及高度警惕以避免暴力。这些发现突出表明，在基苏木和内罗毕，迫切需要采取干预措施，减少基于性的耻辱，并改善GBM获得更安全的社会和医疗空间的机会。

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.