Southern African lesbian and bisexual women responses to symptoms of sexually transmitted infections

Show simple item record Wikramanayake, Radhika M. Paschen-Wolff, Margaret M. Matebeni, Zethu Reddy, Vasu Southey-Swartz, Ian Sandfort, T.G.M. (Theo) 2019-10-15T06:36:42Z 2020-08
dc.description.abstract Sexually transmitted infections (STI) in lesbian and bisexual women is a relatively unexplored topic, particularly for women from low and middle-income countries. Despite perceptions that women who have sex with women (WSW) are at negligible risk for contracting STI, existing research demonstrates that WSW do become infected with STI. Given the opposition between assumptions of invulnerability and the observed risks, we explored how WSW would respond to symptoms of STI (i.e., wait until symptoms passed, see a medical doctor, and inform sexual partners). We used data collected as part of a collaboration between academic researchers and community-based LGBTQ organizations in Botswana, Namibia, South Africa, and Zimbabwe. Chi-square tests were used to test whether participants’ responses to hypothetical STI symptoms varied in relation to several intrapersonal, interpersonal, and structural factors. Multivariable logistic regression (backward) was used to assess whether these variables were independently associated with women’s responses. Most women would be proactive in response to potential STI symptoms and would see a medical doctor. However, most women would not inform their sexual partner of symptoms of STI. Findings demonstrate several intrapersonal, interpersonal, and structural factors that influence WSW’s health agency, and show a clustering of high-risk factors among women who would not be proactive about their health. Our findings suggest the need for improved health and health care of WSW in Southern Africa. en_ZA
dc.description.department Psychology en_ZA
dc.description.embargo 2020-10-12
dc.description.librarian hj2019 en_ZA
dc.description.sponsorship The Open Society Initiative for Southern Africa (PI: Vasu Reddy, Ph.D.), with additional support from the United Nations Development Programme, and Open Society Foundations; these organizations also participated in the study. Additional support came from a NIMH-center grant (P30-MH43520; PI: Robert Remien, Ph.D.) and a NIMH-training grant (T32-MH19139; PI: Theo Sandfort, Ph.D.). en_ZA
dc.description.uri en_ZA
dc.identifier.citation Wikramanayake, R.M., Paschen-Wolff, M.M., Matebeni, Z. et al. Southern African Lesbian and Bisexual Women Responses to Symptoms of Sexually Transmitted Infections. Archives of Sexual Behavior 49, 1887–1902 (2020). en_ZA
dc.identifier.issn 0004-0002 (print)
dc.identifier.issn 1573-2800 (online)
dc.language.iso en en_ZA
dc.publisher Springer en_ZA
dc.rights © Springer Science+Business Media, LLC, part of Springer Nature 2019. The original publication is available at : en_ZA
dc.subject Sexually transmitted infections (STI) en_ZA
dc.subject Lesbian women en_ZA
dc.subject Bisexual women en_ZA
dc.subject Women who have sex with women (WSW) en_ZA
dc.subject Southern Africa en_ZA
dc.subject Health care behavior en_ZA
dc.title Southern African lesbian and bisexual women responses to symptoms of sexually transmitted infections en_ZA
dc.type Postprint Article en_ZA

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