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    Metrics details. In the context of a generalized epidemic and criminalization of homosexuality, men who have sex with men MSM in Malawi have a disproportionate burden of HIV compared to other adults. Past research has documented low uptake of HIV prevention and health services among MSM, self-reported fear of seeking health services, and concerns of disclosure of sexual orientation and discrimination in health settings. Qualitative research was conducted among MSM and health service providers in Blantyre, Malawi to understand underlying factors related to disclosure and health seeking behaviors and inform the development of a community-based comprehensive HIV prevention intervention. Using peer recruitment, eight MSM participants representing a range of ages, orientations, and social and behavioral characteristics were enrolled for in-depth interviews. Five service providers were recruited from the district hospital, local health and STI clinics, and a HIV prevention service organization. We use the Health Belief Model as a framework to interpret the influential factors on 1 health seeking and uptake among MSM, and 2 influences on provision of services by healthcare providers for MSM.
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    Nevertheless, the clustering of highly diverse populations under the LGBT umbrella has tended to depict their health needs as homogeneous. This situation is concerning given the epidemiological evidence regarding transgender persons. Herbst et al. The lack of research on the social contexts that contribute to these health disparities among transgender populations limits our ability to design policies and programs that would be effective in addressing their overall health and well-being. In this regard, a unique dimension of transgender health not shared by other sexual minorities, and on which little ethnographic research has been conducted, involves the set of deeply meaningful cultural beliefs and practices that motivate personal quests for gender transformation and bodily self-realization, including a wide array of biomedical and lay medical procedures.
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    After five years in Chile, I firmly believe that the best thing a Chilean can do to better his or her life is to leave Chile. Traveling is ok, but to get the full benefit, a Chilean should live and work abroad, ideally for at least a year. Working in another Latin American country is ok, but to get the full benefit, a Chilean should try to live and work in the US, Europe, China, Japan, Korea, Australia, New Zealand or another well developed country with a completely different culture and set of values. Both upper class Chileans and non upper class Chileans should leave Chile, but for different reasons. They instantly have more opportunity, are more likely to get evaluated for who they are, how smart they are and not their skin color, where they went to school or their last name.
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