Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to them

The current mpox outbreak has challenged previous understanding of the disease, with human-to-human transmission being a significant mode of transmission, particularly among gay, bisexual, and other men who have sex with men (GBMSM). A knowledge gap exists on MSM’s mpox experiences in Nigeria’s rest...

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Main Authors: Michael Kunnuji, Megan Schmidt-Sane, Olufunke Adegoke, Syed Abbas, Elizabeth Shoyemi, Akanni O. Lawanson, Ayodele Jegede, Hayley MacGregor
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Global Public Health
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Online Access:https://www.tandfonline.com/doi/10.1080/17441692.2024.2433725
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author Michael Kunnuji
Megan Schmidt-Sane
Olufunke Adegoke
Syed Abbas
Elizabeth Shoyemi
Akanni O. Lawanson
Ayodele Jegede
Hayley MacGregor
author_facet Michael Kunnuji
Megan Schmidt-Sane
Olufunke Adegoke
Syed Abbas
Elizabeth Shoyemi
Akanni O. Lawanson
Ayodele Jegede
Hayley MacGregor
author_sort Michael Kunnuji
collection DOAJ
description The current mpox outbreak has challenged previous understanding of the disease, with human-to-human transmission being a significant mode of transmission, particularly among gay, bisexual, and other men who have sex with men (GBMSM). A knowledge gap exists on MSM’s mpox experiences in Nigeria’s restrictive sociolegal context. This study explored mpox awareness, knowledge, and experiences among MSM in Lagos, Nigeria, through 28 in-depth interviews. We analysed the interview transcripts thematically. Findings showed low awareness and knowledge of mpox among MSM, who prefer seeking healthcare outside public health facilities due to stigma. Intimate contact during sexual intercourse is a likely source of infection among MSM. The Nigerian mpox response does not centre MSM, and centreing them may not be ideal due to potential stigma. MSM seek care through various means, including drugs, herbal remedies, and KP-friendly sexual and reproductive health (SRH) services, but face stressful care-seeking due to limited social support and stigma. The study shows that Nigeria's mpox situation differs from the situation in mpox non-endemic contexts. The homophobic legal and social environment and heterogenous spread require unique disease framing and context-sensitive response. The study concludes that further surveillance is needed to deepen understanding around mpox care seeking among MSM in Nigeria.
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spelling doaj-art-91547e3450b24aaaa3956650d1a0681b2025-01-21T04:25:57ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062025-12-0120110.1080/17441692.2024.2433725Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to themMichael Kunnuji0Megan Schmidt-Sane1Olufunke Adegoke2Syed Abbas3Elizabeth Shoyemi4Akanni O. Lawanson5Ayodele Jegede6Hayley MacGregor7Department of Sociology, University of Lagos, Lagos, NigeriaHealth & Nutrition Cluster, Institute of Development Studies, University of Sussex, Brighton, United KingdomDepartment of Sociology, University of Ibadan, Ibadan, NigeriaHealth & Nutrition Cluster, Institute of Development Studies, University of Sussex, Brighton, United KingdomCentre for Population Health Initiatives, Lagos, NigeriaDepartment of Economics, University of Ibadan, Ibadan, NigeriaDepartment of Sociology, University of Ibadan, Ibadan, NigeriaHealth & Nutrition Cluster, Institute of Development Studies, University of Sussex, Brighton, United KingdomThe current mpox outbreak has challenged previous understanding of the disease, with human-to-human transmission being a significant mode of transmission, particularly among gay, bisexual, and other men who have sex with men (GBMSM). A knowledge gap exists on MSM’s mpox experiences in Nigeria’s restrictive sociolegal context. This study explored mpox awareness, knowledge, and experiences among MSM in Lagos, Nigeria, through 28 in-depth interviews. We analysed the interview transcripts thematically. Findings showed low awareness and knowledge of mpox among MSM, who prefer seeking healthcare outside public health facilities due to stigma. Intimate contact during sexual intercourse is a likely source of infection among MSM. The Nigerian mpox response does not centre MSM, and centreing them may not be ideal due to potential stigma. MSM seek care through various means, including drugs, herbal remedies, and KP-friendly sexual and reproductive health (SRH) services, but face stressful care-seeking due to limited social support and stigma. The study shows that Nigeria's mpox situation differs from the situation in mpox non-endemic contexts. The homophobic legal and social environment and heterogenous spread require unique disease framing and context-sensitive response. The study concludes that further surveillance is needed to deepen understanding around mpox care seeking among MSM in Nigeria.https://www.tandfonline.com/doi/10.1080/17441692.2024.2433725MonkeypoxAnti-gay lawNigeriaLGBTQdisease outbreakSDG3: Good health and wellbeing
spellingShingle Michael Kunnuji
Megan Schmidt-Sane
Olufunke Adegoke
Syed Abbas
Elizabeth Shoyemi
Akanni O. Lawanson
Ayodele Jegede
Hayley MacGregor
Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to them
Global Public Health
Monkeypox
Anti-gay law
Nigeria
LGBTQ
disease outbreak
SDG3: Good health and wellbeing
title Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to them
title_full Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to them
title_fullStr Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to them
title_full_unstemmed Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to them
title_short Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to them
title_sort mpox and the men who have sex with men msm community in nigeria exploratory insights from msm and persons providing healthcare services to them
topic Monkeypox
Anti-gay law
Nigeria
LGBTQ
disease outbreak
SDG3: Good health and wellbeing
url https://www.tandfonline.com/doi/10.1080/17441692.2024.2433725
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