scholarly journals Context Within Which Female Same-Sex Develops and Practiced in Tanzania: Qualitative Study among Women Who Have Sex with Women in Dar-es-Salaam City

Author(s):  
Jackline V. Mbishi ◽  
Switbert R. Kamazima ◽  
Happiness P. Saronga ◽  
Saidah M. Bakari

Background: Homosexual identification among women as lesbian, bisexual or transgender does not encompass the whole pool of women who practice same-sex behavior. Straight women especially youths are more increasingly willing to have sex with fellow women. This article establishes the reasons that influence same-sex orientation and behaviors among women in Tanzania. It explores the self-reported push/pull reasons that ultimately leads women to same-sex behavior among sampled through individuals. Method: This is a cross-sectional descriptive and retrospective study which was conducted in Dar es Salaam between January and February, 2021. The participants of the study were WSW, proxy WSW, and women who at one time had female same-sex relationships. The study also used community members aged 18 years and above but only those who met the inclusion criteria. Data were collected through qualitative in-depth interviews, focus group discussions, interviews, and life stories. All the data generated through the study were analyzed thematically. Results: The findings indicate that women who practice same-sex behavior believe that their behavior occurs naturally through biological reasons. Some of them attribute earlier negative experiences with men as a trigger to opt out of heterosexual sex. Most participants also cited past unpleasant sexual experiences with men such as rape, being emotionally detached from men as factors that lead to developing desires to have sex with fellow women. Conclusion: There are biological and social-economic factors that lead women to practice same-sex behaviors. Women, who are born with male attributes become sexually unattracted to males, opt to engage in same-sex practices because of displeasure from having sex with men. Further, economic hardships in societies force women to engage in same-sex practices through peers who are financially well-off and are searching for peers to exploit sexually. Research should focus on investigating peer influence and social media’s effects on women’s decision to engage in same sex practices.

Contexts ◽  
2021 ◽  
Vol 20 (3) ◽  
pp. 46-51
Author(s):  
Tony Silva

In this article, the author addresses why some straight-identified men are primarily attracted to women, but have sex with men. This typically happens because they think that extramarital sex with men is less threatening to their marriages than extramarital sex with women. Additionally, many live what they consider a “straight life” and believe that sex with men is irrelevant to their identities.


2020 ◽  
Vol 15 (2) ◽  
pp. 75-79
Author(s):  
Very Retnowati

Background: Premarital sex is a reproductive health problem that has a potential risk in adolescence. Sexual behavior in adolescents is influenced by various aspects, including peers, school environment, society, and socio-cultural aspects. Peers have an important role in social life and adolescent development. Friends who behave negatively are likely to have a negative influence on adolescents. This study aims to determine premarital sex behavior associated with the role of peers and adolescent dating style based on data analysis of the 2017 IDHS.Method: The population and sample are adolescents aged 14-24 years male and not married or living together. The dependent variable is young men who have had premarital sex and the independent variables are dating status, peer influence, and dating style. The design of this study is cross-sectional with logistic regression analysis model to see how much influence the dependent variable has on the independent variable.Results: The results showed an increased risk of premarital sex, including dating status (OR = 0.56; 95% CI 0.48-0.66; p = 0.000), friend motivation (OR = 2.92; 95% CI 2.48-3.43; p = 0.000), influence friends (OR = 1.44; 95% CI 1.12-1.85; p = 0.004), hand grip (OR = 0.45; 95% CI 0.22-0.93: p = 0.032), hugging (OR = 1.87; 95% CI 1.04-3.36: p = 0.035), kissing lips (OR = 3.54; 95% CI 2.41-5.20: p = 0.000), touching sensitive parts (OR = 21.90; 95% CI 16.42-29.20; p = 0.000). Peer motivation and peer influence of dating style such as kissing the lips and touching sensitive parts increase the risk of premarital sex.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e036460
Author(s):  
Mwijage Alexander Ishungisa ◽  
Kare Moen ◽  
Germana Leyna ◽  
Neema Makyao ◽  
Angela Ramadhan ◽  
...  

ObjectivesTo estimate HIV prevalence and associated risk factors among men who have sex with men (MSM) in Dar es Salaam, Tanzania following the implementation of the national comprehensive package of HIV interventions for key population (CHIP).DesignA cross-sectional survey using respondent-driven sampling.SettingDar es Salaam, Tanzania’s largest city.ParticipantsMen who occasionally or regularly have sex with another man, aged 18 years and above and living in Dar es Salaam city at least 6 months preceding the study.Primary outcome measureHIV prevalence was the primary outcome. Independent risk factors for HIV infection were examined using weighted logistics regression modelling.ResultsA total of 777 MSM with a mean age of 26 years took part in the study. The weighted HIV prevalence was 8.3% (95% CI: 6.3%–10.9%) as compared with 22.3% (95% CI: 18.7%–26.4%) observed in a similar survey in 2014. Half of the participants had had sex with more than two partners in the month preceding the survey. Among those who had engaged in transactional sex, 80% had used a condom during last anal sex with a paying partner. Participants aged 25 and above had four times higher odds of being infected than those aged 15–19 years. HIV infection was associated with multiple sexual partnerships (adjusted OR/AOR, 3.0; 95% CI: 1.8–12.0), not having used condom during last sex with non-paying partner (AOR, 4.1; 95% CI: 1.4–7.8) and ever having engaged in group sex (AOR, 3.4; 95% CI: 1.7–3.6).ConclusionHIV prevalence among MSM in Dar es Salaam has decreased by more than a half over the past 5 years, coinciding with implementation of the CHIP. It is nonetheless two times as high as that of men in the general population. To achieve the 2030 goal, behavioural change interventions and roll out of new intervention measures such as pre-exposure prophylaxis are urgently needed.


2019 ◽  
Author(s):  
Alex De Voux ◽  
Kyle Bernstein ◽  
Robert Kirkcaldy ◽  
Maria Zlotorzynska ◽  
Travis Sanchez

Phronimon ◽  
2017 ◽  
Vol 18 ◽  
pp. 59-78 ◽  
Author(s):  
Bernard Matolino

In recent times there has been an upsurge in the rejection of gay orientation. A number of African countries have openly legislated against homosexual acts to undergird the belief that such orientation is alien to being African. The vitriol directed at gay people does not make much sense apart from displaying either a deep-seated resentment for the persons or their orientation. What seems valuable and worth of engagement is the claim that being gay or upholding same-sex orientation, is essentially un-African. By setting up a charitable interpretation of what opponents of same-sex relations could possibly take African reality to be, I chart a way that seeks to establish whether their interpretation of that reality is philosophically sound. What could be the basis of objections to homosexuality? What values do they articulate? Crucial to this consideration is the idea of harm. While societies are entitled to protecting themselves (through legislation and other actions if need be) from threats both from within and without, are there good grounds to think that same-sex practices pose an authentic form of harm to warrant taking the steps that some African nations have taken against their gay citizens?


2020 ◽  
Vol 32 (4) ◽  
pp. 624-630
Author(s):  
Iqbal Aqeel Khan ◽  
Shailendra Singh Chaudhary ◽  
Sunil Kumar Misra ◽  
Geetu Singh ◽  
Tej Pal Singh ◽  
...  

Background: Men who have sex with men (MSM) refer to all males (of any age) who engage in sexual relations with other males. The gross stigmatization and discrimination of homosexuals have affected the life and health of MSM. Aims & objective: To get an insight on circumstances of initiation and continuation of same sex behavior among MSM. Material & Methods: This qualitative study was conducted in MSM population in Agra district in India. Audio recorded in-depth interviews were transcribed into verbatim. Potential themes were extracted as a part of analysis as per relevant experiences of the participants. Data saturation achieved after 13 In-depth interviews. Results: The initiation of same sex behavior among MSM was at a young age and was mostly without their consent. Almost all participants were below the legal age of giving consent for sex and their first homosexual partner was a familiar, elderly in position of authority. They played a passive role in their initial sexual encounter and none of them was able to discuss it freely with their family members or friends. They mostly felt depressed after their first homosexual encounter. They had continued this sexual behavior as they have accepted their attraction towards same sex. Conclusion: There is a need to include concepts of sexuality in education curriculum and sensitize parents also and counseling of those exposed to homosexuality at a tender age is imperative.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Rong Fu ◽  
Bryan A. Kutner ◽  
Yumeng Wu ◽  
Lu Xie ◽  
Siyan Meng ◽  
...  

Abstract Background In China, addressing disparities in the HIV epidemic among men who have sex with men (MSM) requires targeted efforts to increase their engagement and retention in prevention. In an effort to advance MSM-friendly HIV services within China, and informed by community-based partnerships, we tested whether MSM who have ever versus never disclosed their same-sex behavior to healthcare providers (HCP) differ in sociodemographic and behavioral characteristics as well as the qualities of sexual health services each group would prefer to access. Methods We conducted a cross-sectional survey among HIV-negative MSM who went to MSM-focused voluntary counseling and testing clinics in four cities in China. The survey was anonymous and collected information on sociodemographic characteristics, testing behaviors, sexual-health related behavior, and sexual health service model preferences. Results Of 357 respondents, 68.1% participants had ever disclosed same-sex behavior to HCPs when seeking advice for sexual health. Younger age (aOR = 1.04; 95% CI: 1.01-1.08), and worry of HIV acquisition (aOR = 1.39; 95% CI: 1.05–1.84) were associated with higher odds of past disclosure. The availability of comprehensive sexual health services was one of the most valued characteristics of the ideal sexual health clinic. Those who ever disclosed and never disclosed differed significantly in their ranking of the importance of three out of ten dimensions: sexual health counseling services available (M = 3.99 vs. M = 3.65, p = .002), gay identity support available (M = 3.91 vs. M = 3.62, p = .016) and clinic collaborates with a gay CBO (M = 3.81 vs. M = 3.56, p = .036). Conclusions Our hypothesis that MSM who had disclosed versus never disclosed same-sex behavior would differ in the value they placed on different dimensions of sexual health service was partially borne out. As health authorities in China decide on implementation models for pre-exposure prophylaxis (PrEP) delivery and specifically within which institutions to integrate PrEP services, the preferences of target populations should be considered to develop comprehensive, patient-centric and LGBT-friendly services.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
John Mark Wiginton ◽  
Sarah M. Murray ◽  
Ohemaa Poku ◽  
Jura Augustinavicius ◽  
Kevon-Mark Phillip Jackman ◽  
...  

An amendment to this paper has been published and can be accessed via the original article.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
John Mark Wiginton ◽  
Sarah M. Murray ◽  
Ohemaa Poku ◽  
Jura Augustinavicius ◽  
Kevon-Mark Phillip Jackman ◽  
...  

Abstract Background For men who have sex with men (MSM) across sub-Saharan Africa (SSA), disclosure of same-sex practices to family and healthcare workers (HCWs) can facilitate access to HIV prevention services and support, but can also lead to experiences of stigma. Methods We performed mixed-effects regressions on pooled data from MSM in Cameroon, Senegal, Côte d’Ivoire, Lesotho, and eSwatini to assess associations between disclosure and sexual behavior stigma in healthcare contexts; we used logistic regressions to analyze country-specific data. Results Compared to participants who had not disclosed to either family or HCWs, those who had disclosed only to family were more likely to have been gossiped about by HCWs (aOR = 1.70, CI = 1.18, 2.45); the association between having disclosed to family and having felt mistreated in a health center approached, but did not achieve, statistical significance (aOR = 1.56, CI = 0.94, 2.59). Those who had disclosed only to HCWs were more likely to have feared to seek health services (aOR = 1.60, CI = 1.14, 2.25), avoided health services (aOR = 1.74, CI = 1.22, 2.50), and felt mistreated in a health center (aOR = 2.62, CI = 1.43, 4.81). Those who had disclosed to both were more likely to have feared to seek health services (aOR = 1.71, CI = 1.16, 2.52), avoided health services (aOR = 1.59, CI = 1.04, 2.42), been gossiped about by HCWs (aOR = 3.78, CI = 2.38, 5.99), and felt mistreated in a health center (aOR = 3.39, CI = 1.86, 6.20). Country-specific analyses suggested that data from Cameroon drove several of these associations. Conclusions Research to determine the factors driving disclosure’s differential effect on healthcare stigma across contexts is needed. Ultimately, supportive environments enabling safe disclosure is critical to understanding HIV-acquisition risks and informing differentiated HIV-prevention, treatment, and testing services for MSM across SSA.


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