The Relationship Between Sexual Behavior Stigma and Depression Among Men Who have Sex with Men and Transgender Women in Kigali, Rwanda: a Cross-sectional Study

To evaluate the role of sexual behavior stigma as a determinant of depressive symptoms among men who have sex with men (MSM) and transgender women (TGW) in Kigali, Rwanda. MSM/TGW aged ≥ 18 years were recruited using respondent-driven sampling (RDS) between March–August, 2018. Mental health was asse...

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Published in:International journal of mental health and addiction 2022-12, Vol.20 (6), p.3228-3243
Main Authors: Okonkwo, Nneoma, Rwema, Jean Olivier Twahirwa, Lyons, Carrie, Liestman, Benjamin, Nyombayire, Julien, Olawore, Oluwasolape, Nsanzimana, Sabin, Mugwaneza, Placidie, Kagaba, Aflodis, Sullivan, Patrick, Allen, Susan, Karita, Etienne, Baral, Stefan
Format: Article
Language:English
Subjects:
Community and Environmental Psychology
Cross-sectional studies
Health Psychology
Medicine
Medicine & Public Health
Mental depression
Mental health
Original Article
Psychiatry
Psychology
Public Health
Rehabilitation
Sexual behavior
Stigma
Transgender persons
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Summary:To evaluate the role of sexual behavior stigma as a determinant of depressive symptoms among men who have sex with men (MSM) and transgender women (TGW) in Kigali, Rwanda. MSM/TGW aged ≥ 18 years were recruited using respondent-driven sampling (RDS) between March–August, 2018. Mental health was assessed using the Patient Health Questionnaire (PHQ-9). Sexual behavior stigma from friends and family, healthcare workers, and community members was assessed using a validated instrument. Multinomial logistic regression models were used to determine the association between sexual behavior stigma and depressive symptoms and depression. Secondary analyses further compared depression and depressive symptoms among MSM and TGW. Among the 736 participants included, 14% (106/736) identified as TGW. Depression 8.9% (RDS-adjusted, 7.6%; 95% CI, 4.6–10.6) and mild/moderate symptoms of depression 26.4% (RDS-adjusted, 24.1%; 95% CI, 19.4–28.7) were common and higher among TGW compared to MSM ( p  
ISSN:1557-1874
1557-1882
DOI:10.1007/s11469-021-00699-5