slide1
Download
Skip this Video
Download Presentation
Glenn-Milo Santos, PhD, MPH Research Scientist | San Francisco Dept. Public Health

Loading in 2 Seconds...

play fullscreen
1 / 15

Glenn-Milo Santos, PhD, MPH Research Scientist | San Francisco Dept. Public Health - PowerPoint PPT Presentation


  • 70 Views
  • Uploaded on

Criminalization of same- sex behavior is harmful to public health: Significant reductions in access to HIV prevention and care services associated with arrest and convictions for sex between men. Glenn-Milo Santos, PhD, MPH Research Scientist | San Francisco Dept. Public Health

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Glenn-Milo Santos, PhD, MPH Research Scientist | San Francisco Dept. Public Health' - lara-bond


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Criminalization of same-sex behavior is harmful to public health:Significant reductions in access to HIV prevention and care services associated with arrest and convictions for sex between men

  • Glenn-Milo Santos, PhD, MPH
  • Research Scientist | San Francisco Dept. Public Health
  • Assistant Professor | University of California San Francisco
  • Co-Authors: KeletsoMakofane, Sonya Arreola, Jack Beck, Patrick Wilson,
  • Pato Hebert, Tri Do, George Ayala
background
Background
  • Men who have sex with men (MSM) disproportionately impacted by HIV worldwide
  • Scale up of evidence-based HIV prevention, treatment and care needed
  • Structural barriers and legislated discrimination impede access to these services
approach for an effective hiv response
Approach for an effective HIV response

Schwartländer et al, Lancet 2011

slide4

76+ countries

criminalize same-sex intimacy

http://en.wikipedia.org/wiki/LGBT_rights_by_country_or_territory

  • 2.79+ billion people
  • live within countries that
  • criminalize same-sex behavior
  • – International Lesbian and Gay Assoc., 2014
homophobia and access to hiv prevention and treatment
Homophobia and access to HIV prevention and treatment

greater levels of homophobia, significant reductions in:

  • Ayala G, Makofane K, Santos GM, et al.,  J Sex Trans Diseases 2013
research aims
Research Aims
  • To evaluate the prevalence of arrests/convictions for same-sex behavior among MSM
  • To assess the impact of these arrest/convictions on access to HIV prevention and care services
methods
Methods
  • Secondary Data analysis: GMHR online survey 2012
  • Self-reported measures:
      • lifetime arrests/convictions for being gay/MSM
      • levels of accessibility of HIV services
  • GEE regression models
      • robust standard errors
      • accounted for clustering by country
      • adjusted for potential confounders
slide9

1in12

MSM worldwide reported

being arrested / convicted for

same-sex behavior

slide10

Lifetime prevalence of arrests/convictions

for same-sex behavior among MSM, by region

N. America / W. Europe

2.3%

Eastern Europe/Central Asia

18.1%

Asia Pacific

4.1%

Middle East/N. Africa

13.2%

Caribbean

15%

Latin

America

9.7%

Sub-Saharan

Africa

23.6%

Oceania

2.2%

limitations
Limitations
  • Convenience sample
  • Cross sectional survey
  • Self-reported data
conclusions
Conclusions
  • Prevalence of arrests/convictions for same-sex behaviors high
  • Enforcement of punitive laws for sex between men significantly and independently associated with reduced access to HIV-prevention, treatment and care services
conclusions1
Conclusions
  • Those subjected to arrests and convictions for being gay/MSM reported significantly lower access to interventions and services
  • Decriminalization of same-sex behaviors needed to effectively address HIV among MSM and respond to the public health needs of this key population
ad