Table 4: Literature on HIV risk and gay, bisexual, and other MSM in South Africa: stigma, mental health, and drug use (N=8).

Source Sample size Age range Study site Study year Study design Study methods Key findings
Rispel et al. (2011)bb 156 MSM (FGDs), 285 MSM (survey) Johannesburg, Cape Town, Durban and Pietermaritzburg n.d. RDS Survey & FGDs MSM experienced stigma from health workers. Targeted health programs for MSM were limited. 57.0% used public health services in the past year, 69.0% did not have private health insurance.
Tucker et al. (2014)cc
(“Ukwazana”)
316 MSM 18+ Peri-urban townships, Cape Town July-October 2010 Purposive sampling Survey There was an association found between homophobia and risk of UAI for township MSM.
Tucker et al. (2013)dd
("Ukwazana")
316 MSM 18+ Peri-urban townships, Cape Town July-October 2010 Purposive sampling Survey Depression and self-efficacy predicted UAI.
Vu et al. (2012)ee 324 MSM 18+ Urban and peri-urban Pretoria February -August 2009 RDS Survey High levels of internalized homophobia were found (10.0-20.0%). Low levels of education, high levels of HIV misinformation, bisexuality, and HIV-related conspiracy beliefs predicted internalized homophobia.
Lane et al. (2008)ff 47 MSM
.
18+ Soweto April 2006 -March 2007 Purposive sampling In-depth interviews and FGDs MSM reported experiencing stigma from health care workers. Non-gay identified MSM hid their sexuality from health care workers & presented heterosexual.
Cloete et al. (2008)gg 92 MSM & 330 MSW, all PLHIV 18+ Urban, Cape Town 2006 Purposive sampling Survey 57.0% internalized HIV-related stigma was found. No differences were found between MSM and men who have sex with women only.
Parry et al. (2008)hh 109 drug users (78 MSM) 18+ Durban, Cape Town, Pretoria October-November 2005 Snowball sampling Observation, mapping & FGDs HIV prevalence was found to be 35.0% among MSM drug users.
Parry et al.
(2008)ii
78 MSM 18+ Durban, Cape Town, Pretoria Oct-Nov 2005 Snowball sampling Interviews and FGDs Drug use facilitated sexual encounters & led to risky sex for MSM (including inconsistent condom use).

bb[88], cc[87], dd[86], ee[84], ff[17], gg[85], hh[89], ii[90]