The social and sexual lives of Black sexual minority men 30 years of age and older in South Africa

Abstract Background Black sexual minority men (SMM) ages 30 and older are under-represented in HIV studies in sub-Saharan Africa, despite being at increased risk of HIV infection and contributing to potential onward HIV transmission. To better understand the social and sexual lives of older Black So...

Full description

Bibliographic Details
Main Authors: Amy Crandall, Happy Phaleng, Jagadīśa-devaśrī Dacus, Oshin Bista, Pierre Brouard, Dawie Nel, Vasu Reddy, Theo Sandfort, Justin Knox
Format: Article
Language:English
Published: BMC 2022-10-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-14303-5
_version_ 1811182346716577792
author Amy Crandall
Happy Phaleng
Jagadīśa-devaśrī Dacus
Oshin Bista
Pierre Brouard
Dawie Nel
Vasu Reddy
Theo Sandfort
Justin Knox
author_facet Amy Crandall
Happy Phaleng
Jagadīśa-devaśrī Dacus
Oshin Bista
Pierre Brouard
Dawie Nel
Vasu Reddy
Theo Sandfort
Justin Knox
author_sort Amy Crandall
collection DOAJ
description Abstract Background Black sexual minority men (SMM) ages 30 and older are under-represented in HIV studies in sub-Saharan Africa, despite being at increased risk of HIV infection and contributing to potential onward HIV transmission. To better understand the social and sexual lives of older Black South African SMM, we conducted in-depth interviews with SMM who were > 30 years old. Methods From March–September 2016, we recruited a convenience sample of 37 SMM ages 30 and older by partnering with an LGBTQ+ organization in Tshwane, Pretoria. Men were interviewed about various aspects of their lives, including their sexual orientation, social connectedness, experiences with stigma and perspectives on participating in research. Results Participants described their experiences with their sexual identities, cultural and social implications of disclosure, and their perspective on South Africa’s political perspectives on the LGBTQ+ community. Men described how these experiences influence their trust in research and comfort participating in studies. Conclusions Inferences drawn from these findings provide direction on how to improve middle-aged SMM’s representation in research, such as recruiting a higher proportion of older and middle-aged SMM to serve as seed participants and building stronger community partnerships to disseminate study findings to settings where data collection is conducted.
first_indexed 2024-04-11T09:29:52Z
format Article
id doaj.art-29856cc384cf445494b158b421183dc5
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-04-11T09:29:52Z
publishDate 2022-10-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-29856cc384cf445494b158b421183dc52022-12-22T04:31:54ZengBMCBMC Public Health1471-24582022-10-0122111310.1186/s12889-022-14303-5The social and sexual lives of Black sexual minority men 30 years of age and older in South AfricaAmy Crandall0Happy Phaleng1Jagadīśa-devaśrī Dacus2Oshin Bista3Pierre Brouard4Dawie Nel5Vasu Reddy6Theo Sandfort7Justin Knox8Mailman School of Public Health, Department of Sociomedical Sciences, Columbia UniversityOUT LGBT Well-BeingInstitute for Sexual and Gender Minority Health and Wellbeing at Northwestern UniversityNew York State Psychiatric Institute, HIV Center for Clinical and Behavioral StudiesDepartment of Sociology, Faculty of Humanities, University of PretoriaOUT LGBT Well-BeingDepartment of Sociology, Faculty of Humanities, University of PretoriaMailman School of Public Health, Department of Sociomedical Sciences, Columbia UniversityMailman School of Public Health, Department of Sociomedical Sciences, Columbia UniversityAbstract Background Black sexual minority men (SMM) ages 30 and older are under-represented in HIV studies in sub-Saharan Africa, despite being at increased risk of HIV infection and contributing to potential onward HIV transmission. To better understand the social and sexual lives of older Black South African SMM, we conducted in-depth interviews with SMM who were > 30 years old. Methods From March–September 2016, we recruited a convenience sample of 37 SMM ages 30 and older by partnering with an LGBTQ+ organization in Tshwane, Pretoria. Men were interviewed about various aspects of their lives, including their sexual orientation, social connectedness, experiences with stigma and perspectives on participating in research. Results Participants described their experiences with their sexual identities, cultural and social implications of disclosure, and their perspective on South Africa’s political perspectives on the LGBTQ+ community. Men described how these experiences influence their trust in research and comfort participating in studies. Conclusions Inferences drawn from these findings provide direction on how to improve middle-aged SMM’s representation in research, such as recruiting a higher proportion of older and middle-aged SMM to serve as seed participants and building stronger community partnerships to disseminate study findings to settings where data collection is conducted.https://doi.org/10.1186/s12889-022-14303-5Sexual minority menSouth AfricaStigmaSexual orientationAging
spellingShingle Amy Crandall
Happy Phaleng
Jagadīśa-devaśrī Dacus
Oshin Bista
Pierre Brouard
Dawie Nel
Vasu Reddy
Theo Sandfort
Justin Knox
The social and sexual lives of Black sexual minority men 30 years of age and older in South Africa
BMC Public Health
Sexual minority men
South Africa
Stigma
Sexual orientation
Aging
title The social and sexual lives of Black sexual minority men 30 years of age and older in South Africa
title_full The social and sexual lives of Black sexual minority men 30 years of age and older in South Africa
title_fullStr The social and sexual lives of Black sexual minority men 30 years of age and older in South Africa
title_full_unstemmed The social and sexual lives of Black sexual minority men 30 years of age and older in South Africa
title_short The social and sexual lives of Black sexual minority men 30 years of age and older in South Africa
title_sort social and sexual lives of black sexual minority men 30 years of age and older in south africa
topic Sexual minority men
South Africa
Stigma
Sexual orientation
Aging
url https://doi.org/10.1186/s12889-022-14303-5
work_keys_str_mv AT amycrandall thesocialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT happyphaleng thesocialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT jagadisadevasridacus thesocialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT oshinbista thesocialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT pierrebrouard thesocialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT dawienel thesocialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT vasureddy thesocialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT theosandfort thesocialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT justinknox thesocialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT amycrandall socialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT happyphaleng socialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT jagadisadevasridacus socialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT oshinbista socialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT pierrebrouard socialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT dawienel socialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT vasureddy socialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT theosandfort socialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica
AT justinknox socialandsexuallivesofblacksexualminoritymen30yearsofageandolderinsouthafrica