Emotions and emotion work before, during and after HIV disclosure among Black gay and bisexual men living with HIV

Author(s):  
Chadwick K. Campbell
2020 ◽  
pp. 1-15
Author(s):  
Willa Dong ◽  
Kathryn E. Muessig ◽  
Kelly A. Knudtson ◽  
Adam Gilbertson ◽  
Stuart Rennie ◽  
...  

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S461-S461
Author(s):  
Meredith E Clement ◽  
Rick Zimmerman ◽  
Josh Grimm ◽  
Joseph Schwartz

Abstract Background The “Undetectable = Untransmittable” (“U=U”) campaign is gaining traction, but prior studies from 2012–2017 have shown that the proportion of gay and bisexual men who have sex with men (GBMSM) who are aware of or have perceived accuracy of U=U is low. We report findings from a survey administered to GBMSM in 2018 to understand whether the landscape is changing with respect to U=U message dissemination. Methods GBMSM were recruited on gay dating apps to complete a 96 question survey. Survey data were collected in April-August of 2018. Collected data elements included demographic information, HIV status, ART and PrEP use, and beliefs and opinions regarding HIV transmission. Results 969 GBMSM completed the survey; of whom, 678 had analyzable data (241 had never had anal sex with a man and 54 were missing ≥1 of the variables used in the analysis). Average age was 43 years, 65% were white, 15% black, 15% white, and 15% were HIV-infected (of whom 92% were on anti-retrovirals). Of the 85% who were HIV-uninfected, 39% were on PrEP. In response to the statement that a person with an undetectable viral load cannot transmit HIV to an HIV-uninfected person, 24% strongly agreed. Among HIV-negative GBMSM, 33% of those on PrEP agreed and 12% of those not on PrEP agreed. Among those living with HIV, 42% agreed. A multivariable logistic regression was run to explain correlates of strong agreement with U=U, using the following variables: age, education, being Black, being Hispanic, relationship status, number of lifetime male sexual partners, condom use with most recent anal sex, HIV status, PrEP use, and attitudes about living with HIV. Variables associated with strong agreement with U=U were living with HIV (AOR = 1.63, P < 0.001), taking PrEP (AOR = 2.85, P < 0.001), most recent encounter’s condom use (AOR = 2.22, P = 0.003), and having positive attitudes about living with HIV (AOR= 1.93, P < 0.001). Table 1 shows percentages for each of these variables (bivariate relationships) strongly agreeing with U=U. Conclusion Now that U=U has been scientifically proven, the challenge is public awareness. U=U awareness seems to be improving among GBMSM, with HIV-negative GBMSM making the greatest strides. Education around U=U and PrEP efficacy may help reduce guilt around HIV transmission and alleviate HIV stigma. Disclosures All authors: No reported disclosures.


2016 ◽  
Vol 34 (3) ◽  
pp. 376-396 ◽  
Author(s):  
Gibran Rodríguez de los Reyes ◽  
Karla Urriola González

Advancements in antiretroviral treatment and a greater access to medication have contributed to an increased life expectancy for people who live with HIV/AIDS. As a result, new psychosocial goals in the treatment of HIV, such as improving the quality of life and levels of well-being of those who are infected, have become increasingly relevant. Since men who have sex with men, particularly those who identify as gay and bisexual, continue to be a group of primary concern within the HIV-affected population, new interventions to help them reach the aforementioned goals must be developed. Considering HIV stigma represents a paramount psychosocial threat for individual’s psychological and physical well-being, the authors embrace a resilience-oriented perspective and propose a relational approach to helping gay and bisexual men living with HIV/AIDS better face social stigma. Through an integrative literature review that discusses scholarly works published in the past 15 years on the topics of HIV stigma, relationship quality, and interventions with couples dealing with chronic illness, the authors suggest several couple-oriented interventions as promising strategies to help gay and bisexual men living with HIV/AIDS cope with the social stigma. Future directions in research and plausible components for interventions with these HIV-affected male couples are also discussed.


AIDS ◽  
2005 ◽  
Vol 19 (Supplement 1) ◽  
pp. S1-S11 ◽  
Author(s):  
Richard J Wolitski ◽  
Jeffrey T Parsons ◽  
Cynthia A Gómez ◽  
David W Purcell ◽  
Colleen C Hoff ◽  
...  

2006 ◽  
Vol 17 (5) ◽  
pp. 315-318 ◽  
Author(s):  
C Dodds ◽  
P Keogh

This paper presents an analysis of responses to the first criminal convictions for HIV transmission in England and Wales within a sample of people living with HIV. These findings represent an important contribution to the development of well-informed prosecution policy. The responses were collected during 20 focused group discussions with a community and web-recruited sample of heterosexual African men and women, and gay and bisexual men ( n = 125) living with diagnosed HIV in London, Manchester and Brighton. The vast majority (90%) of comments made were critical of the implementation and impact of criminalization. In particular, respondents expressed concern about the way in which criminal convictions conflict with messages about shared responsibility for 'safer sex', and the extent to which such cases will exacerbate existing stigma and discrimination related to HIV. Most felt that the successes achieved by human rights approaches to HIV prevention, treatment, and care were placed under threat by the growing culture of blame encouraged by criminal prosecutions.


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