Stigma, Human Rights Violations, Health Care Access, and Disclosure among Men who have Sex with Men in the Gambia

2015 ◽  
Vol 7 (1) ◽  
pp. 139-152 ◽  
Author(s):  
K. Mason ◽  
S. Ketende ◽  
S. Peitzmeier ◽  
N. Ceesay ◽  
C. Logie ◽  
...  
Keyword(s):  
Health Care ◽  
Human Rights ◽  
Health Care Access ◽  
The Gambia ◽  
Human Rights Violations ◽  
Care Access ◽  
Sex With Men

Human rights-based conceptions of deservingness: health and precarity

2020 ◽  
Vol 16 (3) ◽  
pp. 279-292
Author(s):  
Sarah Marshall
Keyword(s):  
Health Care ◽  
Human Rights ◽  
Health Care Providers ◽  
Health Care Access ◽  
Migrant Health ◽  
Dominant Negative ◽  
Care Providers ◽  
Content Type ◽  
Care Access ◽  
Health Related

Purpose Ideas of health-related deservingness in theory and practise have largely been attached to humanitarian notions of compassion and care for vulnerable persons, in contrast to rights-based approaches involving a moral-legal obligation to care based on universal citizenship principles. This paper aims to provide an alternative to these frames, seeking to explore ideas of a human rights-based deservingness framework to understand health care access and entitlement amongst precarious status persons in Canada. Design/methodology/approach Drawing from theoretical conceptualizations of deservingness, this paper aims to bring deservingness frameworks into the language of human rights discourses as these ideas relate to inequalities based on noncitizenship. Findings Deservingness frameworks have been used in public discourses to both perpetuate and diminish health-related inequalities around access and entitlement. Although, movements based on human rights have the potential to be co-opted and used to re-frame precarious status migrants as “undeserving”, movements driven by frames of human rights-based deservingness can subvert these dominant, negative discourses. Originality/value To date, deservingness theory has primarily been used to speak to issues relating to deservingness to welfare services. In relation to deservingness and precarious status migrants, much of the literature focuses on humanitarian notions of the “deserving” migrant. Health-related deservingness based on human rights has been under-theorized in the literature and the authors can learn from activist movements, precarious status migrants and health care providers that have taken on this approach to mobilize for rights based on being “human”.

Stigma, Health Care Access, and HIV Knowledge Among Men Who Have Sex With Men in Malawi, Namibia, and Botswana

2010 ◽  
Vol 15 (6) ◽  
pp. 1088-1097 ◽  
Author(s):  
Heather Fay ◽  
Stefan D. Baral ◽  
Gift Trapence ◽  
Felistus Motimedi ◽  
Eric Umar ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Hiv Knowledge ◽  
Care Access ◽  
Sex With Men

scholarly journals Health Care Access and Sexually Transmitted Infection Screening Frequency Among At-Risk Massachusetts Men Who Have Sex With Men

2009 ◽  
Vol 99 (S1) ◽  
pp. S187-S192 ◽  
Author(s):  
Carey V. Johnson ◽  
Matthew J. Mimiaga ◽  
Sari L. Reisner ◽  
Ashley M. Tetu ◽  
Kevin Cranston ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Sexually Transmitted Infection ◽  
Health Care Access ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Care Access ◽  
Sex With Men ◽  
Screening Frequency

scholarly journals Black African asylum seekers’ experiences of health care access in an eastern German state

2014 ◽  
Vol 10 (3) ◽  
pp. 134-147 ◽  
Author(s):  
Penelope Scott
Keyword(s):  
Health Care ◽  
Human Rights ◽  
Health Care Access ◽  
Asylum Seekers ◽  
Care Staff ◽  
Health Staff ◽  
German State ◽  
Content Type ◽  
Black African ◽  
Care Access

Purpose – The purpose of this paper is to examine how access to health care for (rejected) asylum seekers in an eastern German state is structured and experienced and to consider the implications for their human rights. Design/methodology/approach – The paper is based on 12 in-depth interviews with rejected black African asylum seekers and also draws on ethnographic research undertaken at a grassroots refugee organisation and asylum homes. The analysis of the interview data are framed by theorisations of “everyday practices” as “tactics” of resistance to an imposed order. Findings – Accomplishing health care access involved a range of structural barriers and humiliating interactions with administrative and health care staff, which had adverse consequences for their health status and were injurious to their human rights and dignity. The study participants used a range of oppositional and discursive tactics in an effort to secure certain (health) outcomes, mediate social relations and resist their domination as asylum seekers. Research limitations/implications – Further research should focus on the cumulative micro-level effects of asylum policies on health care access and how they create health inequities and violate asylum seekers’ rights and dignity. Practical implications – Policy priorities should include the provision of human rights education as well as training and support for administrative and health staff. Originality/value – There is limited qualitative research on the health care experiences of asylum seekers in Germany. This paper makes policy recommendations and identifies areas for further research and human rights advocacy.

Health Care Access and Health Behaviors Among Men Who Have Sex With Men

2012 ◽  
Vol 40 (1) ◽  
pp. 32-41 ◽  
Author(s):  
David J. McKirnan ◽  
Steve N. Du Bois ◽  
Lisa M. Alvy ◽  
Kyle Jones
Keyword(s):  
Health Care ◽  
Health Behaviors ◽  
Health Care Access ◽  
Hiv Transmission ◽  
Transmission Risk ◽  
Medical Visit ◽  
Care Access ◽  
Limited Health ◽  
Sex With Men ◽  
Hiv Transmission Risk

Men who have sex with men (MSM) appear to experience barriers to health care compared with general population men. This report examines individual differences in health care access within a diverse sample of urban MSM ( N = 871). The authors examined demographic differences in health care access and the relation between access and health-related attitudes, health behaviors, and HIV transmission risk. They operationalized health care access in terms of three indicators: perceived barriers, insurance status, and recent medical visit. Twenty-seven percent ( n = 227) of MSM reported zero or one health care access indicator. African American and Latino race/ethnicity, lower income, and HIV-unknown status were associated with limited health care access. Limited health care access was related to health care attitudes (mistrust in the health care system and difficulty disclosing MSM status to providers), general health behaviors (smoking, never being HIV-tested, and drug abuse), and sexual risk–related variables (low self-efficacy for sexual safety, consistent drug use during sex, and HIV transmission risk). Overall, among MSM, less health care access relates to several adverse psychological constructs and health behaviors. Researchers and public health officials should address limited health care access, and its consequences, in this population.

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