Abstract:
BACKGROUND:Globally, men who have sex with men (MSM) experience social marginalization and criminalization that increase HIV vulnerability by constraining access to HIV prevention and care. People who sell sex also experience criminalization, rights violations, and violence, which elevate HIV exposure. MSM who sell sex may experience intersectional stigma and intensified social marginalization, yet have largely been overlooked in epidemiological and social HIV research. In Jamaica, where same sex practices and sex work are criminalized, scant research has investigated sex selling among MSM, including associations with HIV vulnerability. OBJECTIVE:We aimed to examine social ecological factors associated with selling sex among MSM in Jamaica, including exchanging sex for money, shelter, food, transportation, or drugs/alcohol (past 12 months). METHODS:We conducted a cross-sectional survey with a peer-driven sample of MSM in Kingston, Ocho Rios, and Montego Bay. Multivariable logistic regression analyses were conducted to estimate intrapersonal/individual, interpersonal/social, and structural factors associated with selling sex. RESULTS:Among 556 MSM, one-third (n = 182; 32.7%) reported selling sex. In the final multivariable model, correlates of selling sex included: individual/intrapersonal (lower safer sex self-efficacy [AOR: 0.85, 95% CI: 0.77, 0.94]), interpersonal/social (concurrent partnerships [AOR: 5.52, 95% CI: 1.56, 19.53], a higher need for social support [AOR: 1.08, 95% CI: 1.03, 1.12], lifetime forced sex [AOR: 2.74, 95% 1.65, 4.55]) and structural-level factors (sexual stigma [AOR: 1.09, 95% CI: 1.04, 1.15], food insecurity [AOR: 2.38, 95% CI: 1.41, 4.02], housing insecurity [AOR: 1.94, 95% CI: 1.16, 3.26], no regular healthcare provider [AOR: 2.72, 95% CI: 1.60, 4.64]). CONCLUSIONS:This study highlights social ecological correlates of selling sex among MSM in Jamaica, in particular elevated stigma and economic insecurity. Findings suggest that MSM in Jamaica who sell sex experience intensified social and structural HIV vulnerabilities that should be addressed in multi-level interventions to promote health and human rights.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Logie CH,Lacombe-Duncan A,Kenny KS,Levermore K,Jones N,Baral SD,Wang Y,Marshall A,Newman PAdoi
10.1080/16549716.2018.1424614subject
Has Abstractpub_date
2018-01-01 00:00:00pages
1424614issue
1eissn
1654-9716issn
1654-9880journal_volume
11pub_type
杂志文章abstract:BACKGROUND:Early medical checkups during and after delivery are key strategies to detect, prevent and treat maternal health concerns. Knowledge of interrelationships between early Antenatal Care (ANC), skilled delivery and early postnatal care (EPNC) is essential for focused and well-targeted interventions. This paper ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1830463
更新日期:2020-12-31 00:00:00
abstract::Bangladesh has historically been cholera endemic, with seasonal cholera outbreaks occurring each year. In collaboration with the government of Bangladesh, the Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) initiated operational research to test strategies to re...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1574544
更新日期:2019-01-01 00:00:00
abstract::Background: Language and communication lie at the heart of good quality mental health care and are a vital, yet complex, part of the diagnostic and treatment process. In South African mental health care, ad hoc interpreting arrangements are the status quo. However, these can cause both clinician and patient shame and ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1684072
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Intimate partner violence by men against women has detrimental effects on equality, health and integration. Migrated and 'imported' wives experience an increased risk of intimate partner violence. OBJECTIVES:The purpose of this study was to explore Thai immigrant women's lived experiences of intimate partne...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2018.1496889
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Migration of African-trained health workers to countries with higher health care worker densities adds to the severe shortage of health personnel in many African countries. Policy initiatives to reduce migration levels are informed by many studies exploring the reasons for the original decision to migrate. I...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.26125
更新日期:2015-03-17 00:00:00
abstract::Background: Globally, opportunities to validate government reports through external audits are rare, notably in India. A cross-sectional maternal health study in Uttar Pradesh, India's most populous state, compares government administrative data and externally collected data on maternal health service indicators. Obje...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1619155
更新日期:2019-01-01 00:00:00
abstract::Community-based research on child survival in sub-Saharan Africa has focussed on the increased provision of curative health services by a formalised cadre of lay community health workers (CHWs), but we have identified a particular configuration, that deserves closer scrutiny. We identified a two-tiered CHW system, wit...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.27214
更新日期:2015-03-12 00:00:00
abstract::The objective of this study is to critically assess the possible roles of information and communications technology (ICT) in supporting global health goals. This is done by considering privilege and connectibility. In short, ICT can contribute by providing health information via four different kinds of access, each wi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1321904
更新日期:2017-06-01 00:00:00
abstract::Background: Health insurance (HI) has been introduced to achieve universal health coverage. In Viet Nam, mandatory HI for the poor and the minorities has been strengthened since 2012. Objective: The study explored affordability and healthcare-seeking behaviour for delivery and antenatal care (ANC) among the poor and e...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2018.1556573
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:China has made impressive progress towards the Millennium Development Goal (MDG) for maternal and reproductive health, but ensuring that progress reaches all segments of the population remains a challenge for policy makers. The aim of this review is to map disadvantaged populations in terms of maternal healt...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.19542
更新日期:2013-04-03 00:00:00
abstract:BACKGROUND:Many efficacious health service interventions to improve diabetes care are known. However, there is little evidence on whether such interventions are effective while delivered in real-world resource-constrained settings. OBJECTIVE:To evaluate an intervention aimed at improving diabetes care using the RE-AIM...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.28762
更新日期:2015-11-16 00:00:00
abstract:BACKGROUND:The dementia diagnosis gap in sub-Saharan Africa (SSA) is large, partly due to difficulties in assessing function, an essential step in diagnosis. OBJECTIVES:As part of the Identification and Intervention for Dementia in Elderly Africans (IDEA) study, to develop, pilot, and validate an Instrumental Activiti...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25988
更新日期:2014-12-22 00:00:00
abstract:BACKGROUND:Legal empowerment of the poor is highly relevant to public health as it aims to relieve income poverty, a main determinant of health. The Commission on Legal Empowerment of the Poor (CLEP) has proposed legal empowerment measures in the following four domains: access to justice and the rule of law, property, ...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v6i0.22854
更新日期:2013-11-15 00:00:00
abstract:BACKGROUND:As the HIV/AIDS pandemic has evolved over recent decades, Africa has been the most affected region, even though a large proportion of HIV/AIDS deaths have not been documented at the individual level. Systematic application of verbal autopsy (VA) methods in defined populations provides an opportunity to asses...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25370
更新日期:2014-10-29 00:00:00
abstract:BACKGROUND:Previous studies have reported an association between cigarette advertising and smoking behavior. Although this has been reported extensively in the West, it has been reported less in Southeast Asian countries that have not completely banned tobacco advertising promotion and sponsorship (TAPS). Indonesia is ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.30914
更新日期:2016-08-29 00:00:00
abstract::Background: Co-creation is the process of involving stakeholders in the development of interventions. Although co-creation is becoming more widespread, reports of the process and lessons learned are scarce.Objective: To describe the process and lessons learned from using the COHESION manual, a co-creation methodology ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1754016
更新日期:2020-12-31 00:00:00
abstract::Average temperatures around the world are already increasing, and climate change projections suggest that global mean temperatures will continue to rise. As the effects, and projected effects, of climate change are becoming clearer, it is more apparent that the health effects of heat exposure will need further investi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.5632
更新日期:2010-12-29 00:00:00
abstract:BACKGROUND:Low-cost mobile devices, such as mobile phones, tablets, and personal digital assistants, which can access voice and data services, have revolutionised access to information and communication technology worldwide. These devices have a major impact on many aspects of people's lives, from business and educatio...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v7.25606
更新日期:2014-10-27 00:00:00
abstract:BACKGROUND:The 4-year (2007-2011) Revitalizing Health for All international research program (http://www.globalhealthequity.ca/projects/proj_revitalizing/index.shtml) supported 20 research teams located in 15 low- and middle-income countries to explore the strengths and weaknesses of comprehensive primary health care (...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24997
更新日期:2014-08-21 00:00:00
abstract:BACKGROUND:Assessing the progress in achieving the United Nation's Millennium Development Goals in terms of population health requires consistent and reliable information on cause-specific mortality, which is often rare in resource-constrained countries. Health and demographic surveillance systems (HDSS) have largely u...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25581
更新日期:2014-10-29 00:00:00
abstract:BACKGROUND:Disease-specific costing studies can be used as input into cost-effectiveness analyses and provide important information for efficient resource allocation. However, limited data availability and limited expertise constrain such studies in low- and middle-income countries (LMICs). OBJECTIVE:To describe a ste...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23573
更新日期:2014-03-28 00:00:00
abstract:BACKGROUND:We formed a self-funded hypertension treatment group in a resource-poor community in rural Honduras. After training community health workers and creating protocols for standardized treatment, we used group membership fees to maintain the group, purchase generic medications in bulk on the local market, and hi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.28041
更新日期:2015-09-10 00:00:00
abstract:OBJECTIVE:The aim of this study was to learn about the progress of the prevention and control of major non-communicable diseases (NCDs) in China from 1990 to 2009 and to determine what prevention and control gaps remain based on the opinions of a group of panellists. DESIGN:Sixty-four panellists, who are members of th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.20004
更新日期:2013-02-12 00:00:00
abstract:BACKGROUND:Breastfeeding is important for growth, development and survival of HIV exposed infants. Exclusive breastfeeding reduces the risk of morbidity, mortality and increases HIV free survival of infants. Evidence on risk factors for inappropriate breastfeeding in Northern Uganda is limited. OBJECTIVE:This study de...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1833510
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:While there is accumulated evidence showing the rapid rise of the burden caused by non-communicable diseases (NCDs) in Vietnam, information on the extent to which households in the country suffer financial catastrophe or impoverishment caused by the diseases is still largely lacking. This paper aims to exami...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v5i0.18892
更新日期:2012-12-20 00:00:00
abstract:BACKGROUND:Women in sub-Saharan Africa bear the brunt of the human immunodeficiency virus (HIV) epidemic, and older married women and those in cohabiting relationships are regarded as the largest HIV risk group. Although preventing HIV infection in married or stable relationships is an international HIV prevention prio...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1341597
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:We have found that community health workers (CHWs) with appropriate training are able to accurately identify people at high cardiovascular disease (CVD) risk in the community who would benefit from the introduction of preventative management, in Bangladesh, Guatemala, Mexico, and South Africa. This paper exa...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.26318
更新日期:2015-04-07 00:00:00
abstract:BACKGROUND:We have recently demonstrated that an obese-years construct is a better predictor of the risk of diabetes than the severity of body weight alone. However, these risk estimates were derived from a population cohort study initiated in 1948 that might not apply to the current population. OBJECTIVE:To validate ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.30421
更新日期:2016-06-30 00:00:00
abstract:INTRODUCTION:The main cardio-metabolic diseases - mostly cardiovascular diseases such as stroke and ischemic heart disease - share common clinical markers such as raised blood pressure and blood glucose. The pathways of development of many of these conditions are also interlinked. In this regard, a higher level of co-o...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.30626
更新日期:2016-02-09 00:00:00
abstract:BACKGROUND:Job satisfaction among health workers is an important indicator in assessing the performance and efficiency of health services. OBJECTIVE:This study measured job satisfaction and determined associated factors among health workers in 38 commune health stations in an urban district and a rural district of Han...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.18619
更新日期:2013-01-30 00:00:00