Latino men who have sex with men and HIV in the rural south-eastern USA: Findings from ethnographic in-depth interviews

Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA.
Culture Health & Sexuality (Impact Factor: 1.55). 10/2010; 12(7):797-812. DOI: 10.1080/13691058.2010.492432
Source: PubMed


A community-based participatory research partnership explored HIV risk and potentially effective intervention characteristics to reduce exposure and transmission among immigrant Latino men who have sex with men living in the rural south-eastern USA. Twenty-one participants enrolled and completed a total of 62 ethnographic in-depth interviews. Mean age was 31 (range 18-48) years and English-language proficiency was limited; 18 participants were from Mexico. Four participants reported having sex with men and women during the past three months; two participants self-identified as male-to-female transgender. Qualitative themes that emerged included a lack of accurate information about HIV and prevention; the influence of social-political contexts to sexual risk; and barriers to healthcare services. We also identified eight characteristics of potentially effective interventions for HIV prevention. Our findings suggest that socio-political contexts must be additional targets of change to reduce and eliminate HIV health disparities experienced by immigrant Latino men who have sex with men.

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    • "First, the partnership conducted ethnographic interviews with 21 Latino MSM 18 to 48 years old. Findings have been reported elsewhere (Rhodes, Hergenrather, et al., 2010): Analyses of these interviews suggested that Latino MSM prioritized sexual health; Latino MSM lacked accurate information about sexual health and disease prevention, social and political contexts "
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    ABSTRACT: Our community-based participatory research partnership engaged in a multistep process to refine a culturally congruent intervention that builds on existing community strengths to promote sexual health among immigrant Latino men who have sex with men (MSM). The steps were the following: (1) increase Latino MSM participation in the existing partnership, (2) establish an Intervention Team, (3) review the existing sexual health literature, (4) explore needs and priorities of Latino MSM, (5) narrow priorities based on what is important and changeable, (6) blend health behavior theory with Latino MSM's lived experiences, (7) design an intervention conceptual model, (8) develop training modules and (9) resource materials, and (10) pretest and (11) revise the intervention. The developed intervention contains four modules to train Latino MSM to serve as lay health advisors known as Navegantes. These modules synthesize locally collected data with other local and national data; blend health behavior theory, the lived experiences, and cultural values of immigrant Latino MSM; and harness the informal social support Latino MSM provide one another. This community-level intervention is designed to meet the expressed sexual health priorities of Latino MSM. It frames disease prevention within sexual health promotion.
    Health Promotion Practice 10/2012; 14(4). DOI:10.1177/1524839912462391 · 0.55 Impact Factor
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    • "such as poverty, racism and homophobia, that comprise a web of limitations and vulnerabilities (Castañeda and Zavella 2003; Consejo Nacional de Población 2005a, 2005b; Maternowska et al. 2010; Rhodes et al. 2010; Solorio, Currier, and Cunningham 2004; Zavella and Catañeda 2005). Therefore, in analysing the experiences of Mexican migrant communities in the USA, risk-laden behaviours must be understood within the cultural constructs that give them meaning, justify them and/or promote them (Díaz and Ayala 1999). "
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    ABSTRACT: This paper examines the construction of a homoerotic social scene among Mexican migrants in California. It analyses the discourses of migrant men in the cities of San Diego and Fresno who identify themselves as heterosexual and have not had sexual experiences with men and those of members of civil society organisations doing HIV prevention work with migrant men, to show how an identity-based model of sexuality used by the HIV prevention organisations is counter to the strategic, non-identity-based model constructed by migrant men. With this incongruence as its starting point, the paper offers a critique both of the epistemological factors underlying the category of 'men who have sex with men' and the logic running through HIV prevention discourses that adhere to the Foucauldian notion of the deployment of sexuality, which demands both truth and coherence in subjects' sexuality.
    Culture Health & Sexuality 04/2011; 13(4):415-28. DOI:10.1080/13691058.2010.550633 · 1.55 Impact Factor
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    • "Research also suggests that there may be a strong relationship between stigma and mental and sexual health among MSM. For example, researchers have found that stigma is associated with both psychological distress and sexual risk behaviour in Latino MSM (Diaz, Ayala, Bein, Henne and Marin, 2001; Rhodes et al. 2010; Nakamura and Zea 2010). However, little is known about how Black MSM experience multiple sources of stigma, and even less is known about what these experiences mean in terms of quality of life among older HIV-positive men. "
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    ABSTRACT: In this paper, we analyse the life history narratives of 10 poor gay and bisexual Black men over the age of 50 living with HIV/AIDS in New York City, focusing on experiences of stigma. Three overarching themes are identified. First, participants described the ways in which stigma marks them as 'just one more body' within social and medical institutions, emphasising the dehumanisation they experience in these settings. Second, respondents described the process of 'knowing your place' within social hierarchies as a means through which they are rendered tolerable. Finally, interviewees described the dynamics of stigma as all-consuming, relegating them to the 'quagmire of an HIV ghetto'. These findings emphasise that despite advances in treatment and an aging population of persons living with HIV, entrenched social stigmas continue to endanger the well-being of Black men who have sex with men.
    Culture Health & Sexuality 04/2011; 13(4):429-42. DOI:10.1080/13691058.2010.537769 · 1.55 Impact Factor
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