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2013, Number 6

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Medisur 2013; 11 (6)

Identification and characterization of forms of discrimination against groups at risk for sexually transmitted diseases

Cabrera ÁEN, Cantero TEI, Suárez CI, Ramos RIA, Pacheco GJD, Morfi GIC
Full text How to cite this article

Language: Spanish
References: 7
Page: 628-637
PDF size: 190.43 Kb.


Key words:

social discrimination, risk groups, homosexuality, male, sexually transmitted diseases.

ABSTRACT

Background: stigma and discrimination against men who have sex with men are among the major obstacles to preventing new infections and providing treatment to people living with human immunodeficiency virus.
Objective: to identify and characterize levels and forms of discrimination against men who have sex with men.
Methods: a retrospective study was conducted in six municipalities of the province of Cienfuegos during 2009-2010 as a result of the Section of stigma and discrimination included in the Survey on human immunodeficiency virus/AIDS Prevention Indicators. Sociodemographic variables, discrimination index and level of discrimination were analyzed, the latter by CONSHSH and NIVELHSH constructs, respectively.
Results: acceptance of men who have sex with men predominated, although three levels of discrimination were identified in 34.5% of the respondents; medium and high levels prevailed in 98% of them. Thirty to 34% of the respondents expressed rejection, 21.5 % of them were men. Factors contributing to discrimination were related to the institutional context and the family environment.
Conclusions: a slight decrease in the percentage of cases rejecting men who have sex with men was observed in 2010 compared to 2009, therefore a trend toward increasing acceptance of these people is expected, which is consistent with the results obtained at the national level.


REFERENCES

  1. Cáceres C. Hombres que tienen relaciones sexuales con hombres y la epidemia del VIH en América Latina y el Caribe. In: Retos planteados por la epidemia del VIH en América Latina y el Caribe [Internet]. Washington DC: Organización Panamericana de la Salud; 2009. [ cited 9 Dic 2010 ] Available from: http://www.onusida-latina.org/pdf/retos-plantead os-por-latinoamerica-y-caribe.pdf.

  2. Estrada Márquez F, Magis Rodríguez C, Bravo García E. VIH/SIDA y discriminación en la población gay y otros HSH en México. In: VIH/SIDA y Salud Pública. Manual para personal de salud [Internet]. México: Centro Nacional para la Prevención y el Control del VIH/SIDA (CENSIDA); 2009. [ cited 9 Dic 2010 ] Available from: http://www.censida.salud.gob.mx/descargas/bibli oteca/manualvihsidaysaludpub.pdf.

  3. Cáceres CF, Konda K, Segura ER, Lyerla R. Epidemiology of male same-sex behaviour and associated sexual health indicators in low- and middle-income countries: 2003-2007 estimates. Sex Transm Infect. 2008 ; 84 Suppl 1: S49-56.

  4. Centro de estudios de población y desarrollo de la Oficina Nacional de Estadísticas. Informe de Resultados de la Encuesta sobre Indicadores de Prevención de Infección por el VIH/sida. La Habana: CEPDE/ONE; 2006.

  5. Hablemos claro de sexualidad. Guía para adolescentes. 2da. ed. La Habana: Centro Nacional de Prevención de las ITS/VIH/sida; 2009.

  6. Oficina Nacional de Estadística. Encuesta sobre Indicadores de Prevención de Infección por el VIH/sida, 2009 [Internet]. La Habana: ONE; 2009. [ cited 19 May 2012 ] Available from: http://www.one.cu/publicaciones/cepde/Encuesta PrevencionSida/Informe de Resultado Encuesta de Indicadores 2009.pdf.

  7. Sierra Madero A. Del otro lado del espejo. La sexualidad en la construcción de la nación cubana. La Habana: Fondo Editorial Casa de las Américas; 2006.




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Medisur. 2013;11