‘I’m more aware of my HIV risk than anything else’: syndemics of syphilis and HIV among gay men in Winnipeg
| Autor: | Robert Lorway, Andrew R. Hatala, Joss Reimer, Dorothy Yu |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Sexually Transmitted Diseases Bacterial medicine.medical_specialty Health (social science) Sexual Behavior media_common.quotation_subject Decision Making Social Stigma Human immunodeficiency virus (HIV) HIV Infections Hiv risk medicine.disease_cause Men who have sex with men Pleasure Sexual and Gender Minorities Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans Syphilis 030212 general & internal medicine Homosexuality Male Psychiatry Qualitative Research Reproductive health media_common 030505 public health business.industry Public Health Environmental and Occupational Health virus diseases Manitoba medicine.disease Syndemic Snowball sampling 0305 other medical science business Psychology Attitude to Health Qualitative research |
| Zdroj: | Culture, Health & Sexuality. 20:1036-1048 |
| ISSN: | 1464-5351 1369-1058 |
| DOI: | 10.1080/13691058.2017.1411975 |
| Popis: | Despite decreased rates of HIV infection in Winnipeg, syphilis incidence continues to rise. Communities of men who have sex with men shoulder much of this burden of illness. This qualitative study aimed to better understand the co-evolution of HIV and syphilis in Winnipeg through a series of interviews with gay men. Eighteen individuals were recruited through advertising in sexual health centres and through subsequent snowball sampling. Thematic interpretive analysis and inductive reasoning were used to find individual and shared group meanings. We found that HIV formed the contextual ground on which sexual decision-making was made, with three main themes emerging during interviews: 1) bacterial STI transience being contrasted against HIV permanence; 2) syphilis being 'dirty' versus HIV carrying significant stigma, though being spared the label of uncleanliness; and 3) the role of pleasure and intimacy in sexual health decision-making. Based on these findings, we recommend further exploration to develop more effective strategies around syphilis prevention, in particular with regards to the longer-term illness ramifications and its relationship to HIV transmission. |
| Databáze: | OpenAIRE |
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