Culture, Health and Sexuality
Volume 12, Issue 7, 2010, Pages 797-812

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

Rhodes S.D. , Hergenrather K.C. , Aronson R.E. , Bloom F.R. , Felizzola J. , Wolfson M. , Vissman A.T. , Alonzo J. , Allen A.B. , Montaño J. , Mcguire J.
  • a Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, United States, Section on Infectious Diseases, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, United States, The Maya Angelou Center for Health Equity, Wake Forest University School of Medicine, Winston-Salem, United States
  • b Department of Counseling and Human and Organizational Studies, Graduate School of Education and Human Development, The George Washington University, Washington, United States
  • c Department of Public Health Education, University of North Carolina, Greensboro, United States
  • d Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, United States
  • e National Minority AIDS Education and Training Center, Washington, United States
  • f Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, United States
  • g Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, United States
  • h Family Life Council, Greensboro, United States
  • i Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC, United States
  • j Chatham Social Health Council, Siler City, United States
  • k Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, United States

Abstract

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 indepth 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 selfidentified 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. © 2010 Taylor & Francis.

Author Keywords

Latino Sexual behaviour HIV prevention Gay men USA

Index Keywords

cultural anthropology HIV Infections Human immunodeficiency virus infection psychological aspect human Health Behavior middle aged statistics rural population social support ethnology Hispanic Americans qualitative research Homosexuality, Male United States Young Adult Humans homosexuality Hispanic Adolescent male Emigrants and Immigrants Socioeconomic Factors socioeconomics Article high risk behavior disease transmission Risk-Taking adult migration politics Anthropology, Cultural Southeastern United States recording Tape Recording Culture

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-77955766965&doi=10.1080%2f13691058.2010.492432&partnerID=40&md5=fa825bd19bc18700c4d77a9356dfcd7c

DOI: 10.1080/13691058.2010.492432
ISSN: 13691058
Cited by: 41
Original Language: English