Therapeutic Trajectories of Kenyan Queer Men with Anal Warts: Iatrogenesis in a Time of Homophobia.

IF 1.2 3区社会学 Q2 ANTHROPOLOGY

Medical Anthropology Pub Date : 2025-01-01 Epub Date: 2025-07-30 DOI:10.1080/01459740.2025.2539751

Matthew Thomann, John Maina Wambui, Pascal Macharia, Samuel Anyula Gorigo, Janvier Umira, Zipporah Mwangangi, Jedidah Ngene, John Mathenge, Sushena Reza-Paul, Lisa Lazarus, Robert Lorway

引用次数: 0

Abstract

Human papillomavirus (HPV)-related anal infection is high among African gay, bisexual, and other men who have sex with men (MSM). In Kenya, queer men living with HPV-related anal warts often avoid health facilities, fearing homophobic retaliation from providers. In this paper, we present data collected over 24 months of ethnographic research, foregrounding the therapeutic trajectories of 35 men with advanced cases of anal warts requiring surgical intervention. The therapeutic trajectories we present here help to make visible how iatrogenesis exceeds the clinic's socio-spatial, temporal, and institutional confines and spills out into the intimate, social, and political spheres of human existence.

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肯尼亚酷儿男肛疣的治疗轨迹：在同性恋恐惧症时期的医源性。

人乳头瘤病毒（HPV）相关的肛门感染在非洲男同性恋、双性恋和其他男男性行为者（MSM）中很高。在肯尼亚，患有hpv相关肛疣的酷儿男性通常会避开医疗机构，担心提供者会对同性恋进行报复。在本文中，我们展示了收集超过24个月的人种学研究数据，展望了35例晚期肛门疣患者需要手术干预的治疗轨迹。我们在这里提出的治疗轨迹有助于使医源性如何超越诊所的社会空间、时间和制度限制，并溢出到人类存在的亲密、社会和政治领域。

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

Medical Anthropology Multiple-

CiteScore

4.10

自引率

4.30%

发文量

期刊介绍： Medical Anthropology provides a global forum for scholarly articles on the social patterns of ill-health and disease transmission, and experiences of and knowledge about health, illness and wellbeing. These include the nature, organization and movement of peoples, technologies and treatments, and how inequalities pattern access to these. Articles published in the journal showcase the theoretical sophistication, methodological soundness and ethnographic richness of contemporary medical anthropology. Through the publication of empirical articles and editorials, we encourage our authors and readers to engage critically with the key debates of our time. Medical Anthropology invites manuscripts on a wide range of topics, reflecting the diversity and the expanding interests and concerns of researchers in the field.