American Indian gay, bisexual and two-spirit men: a rapid assessment of HIV/AIDS risk factors, barriers to prevention and culturally-sensitive intervention

Autor:	Jayson P. Durtschi, Derek J. Burks, Rockey Robbins
Rok vydání:	2011
Předmět:	Adult Male Gerontology Health (social science) media_common.quotation_subject HIV Infections Health Services Accessibility Indigenous Interviews as Topic Acquired immunodeficiency syndrome (AIDS) Risk Factors Health care Humans Medicine Homosexuality Cultural Competency Homosexuality Male media_common business.industry Data Collection Public Health Environmental and Occupational Health Oklahoma Focus Groups Middle Aged Service provider medicine.disease Focus group Primary Prevention Two-Spirit Indians North American Bisexuality business Cultural competence
Zdroj:	Culture, Health & Sexuality. 13:283-298
ISSN:	1464-5351 1369-1058
DOI:	10.1080/13691058.2010.525666
Popis:	Epidemiological data indicate that HIV and AIDS are disproportionately affecting American Indians. Specific to American Indian men identifying as gay, bisexual, two-spirit or who have same-sex experiences, this study assessed HIV-risk behaviours and barriers to testing, prevention and treatment efforts. A rapid assessment model was utilised as an indigenous-supporting research design. Rigour and thoroughness were achieved via multiple validation procedures. Central themes surrounding barriers to HIV prevention included social discrimination, low self-esteem and substance use. Findings suggest the underutilisation of condoms due to ineffective placement and limited availability in popular locations among gay, bisexual and two-spirit individuals. Participants indicated that HIV testing is occurring less frequently and that testing was not available after hours or weekends. Barriers to treatment included a mistrust of the current healthcare system, a perceived lack of support from the Indian Health Service for AIDS care and a lack of transportation to healthcare appointments. Lastly, participants discussed and supported culturally-sensitive treatment services. This study calls attention to the value of an American Indian-specific HIV/AIDS service organisation, the presence of indigenous service providers in the community and culturally-sensitive healthcare providers.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a2b5efd6be8967eb487e5251898e6fb1 https://doi.org/10.1080/13691058.2010.525666 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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