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4. Exploring the barriers, facilitators, and opportunities to enhance uptake of sexual and reproductive health, HIV and GBV services among adolescent girls and young women in Zambia: a qualitative study

Author

Ngoma-Hazemba, Alice, Chavula, Malizgani Paul, Sichula, Noah, Silumbwe, Adam, Mweemba, Oliver, Mweemba, Mable, Simpungwe, Matildah Kakungu, Phiri, Henry, Kasengele, Chowa Tembo, Halwiindi, Hikabasa, Munakampe, Margarate N., and Zulu, Joseph Mumba

Published
2024
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10. HIV, syphilis and sexual-risk behaviours’ prevalence among in-and out-of-school adolescent girls and young women in Zambia: A cross-sectional survey study

Author

Musonda, Patrick, primary, Halwiindi, Hikabasa, additional, Kaonga, Patrick, additional, Ngoma-Hazemba, Alice, additional, Simpungwe, Matildah, additional, Mweemba, Mable, additional, Tembo, Chowa, additional, Zyambo, Cosmas, additional, Chisoso, John, additional, Munakampe, Margaret, additional, Choonga, Powell, additional, Ngalamika, Owen, additional, Musukuma, Mwiche, additional, Chavula, Malizgani P., additional, Sichula, Noah, additional, Mweemba, Oliver, additional, Zulu, Joseph Mumba, additional, and Phiri, Henry, additional

Published
2024
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18. Living a private lie: intersectional stigma, depression and suicidal thoughts for selected young key populations living with HIV in Zambia.

Author

Zulu, Joseph Mumba, Budhwani, Henna, Wang, Bo, Menon, Anitha, Kim, Deogwoon, Zulu, Mirriam, Nyamaruze, Patrick, Govender, Kaymarlin, and Armstrong, Russell

Subjects
*SUICIDAL ideation, *MEN who have sex with men, *YOUNG adults, *HIV-positive men, *INTERSECTIONALITY, *LIE detectors & detection
Abstract

Background: Limited research has been conducted on the forms, manifestations and effects of intersectional stigma among young HIV-positive men who have sex with men (MSM) and transgender women (TGW) in Zambia. In this study, we aimed to address this gap by elucidating the experiences of these in a small group of young, HIV + MSM and TGW in Zambia. Methods: We applied a mixed-methods design. Data were collected from January 2022 to May 2022. Qualitative data were collected using in-depth interviews while quantitative data were collected using a questionnaire. Qualitative transcripts were coded using thematic analysis while paper-based questionnaire data were entered into Kobo Connect. Descriptive statistics, using chi-squared tests were calculated using Excel. In this paper, we provide a descriptive profile of the sample and then focus on the qualitative findings on intersectional stigma, depression, and contemplation of suicide. Results: We recruited 56 participants from three sites: Lusaka, Chipata, and Solwezi districts. Participants' mean age was 23 years. The study found that 36% of all participants had moderate to significant symptoms of depression, 7% had major depression, 30% had moderate signs of anxiety, 11% had high signs of anxiety, 4% had very high signs of anxiety and 36% had contemplated suicide at least once. A greater proportion of TGW had moderate to significant symptoms of depression (40%) or major depression (10%) compared to MSM, at 33% and 6%, respectively (X2 = 0.65; p = 0.42). Similarly, more TGW (55%) had contemplated suicide than MSM peers (36%, X2=1.87; p = 0.17). In the qualitative data, four emergent themes about the forms, manifestations, and effects of intersectional stigma were (1) HIV, sexual orientation, and gender identity disclosure; (2) Dual identity; (3) Challenges of finding and maintaining sexual partners; (4) Coping and resilience. Overall, having to hide both one's sexuality and HIV status had a compounding effect and was described as living "a private lie." Conclusion: Effectively addressing stigmas and poor mental health outcomes among young HIV-positive MSM and TGW will require adopting a socio-ecological approach that focuses on structural interventions, more trauma-informed and identity-supportive care for young people with HIV, as well as strengthening of authentic community-informed public health efforts. [ABSTRACT FROM AUTHOR]

Published
2024
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