scholarly journals Forging Resilience to HIV/AIDS: Personal Strengths of Middle-aged and Older Gay, Bisexual, and Other Men Who Have Sex With Men Living With HIV/AIDS

2021 ◽  
Vol 15 (5) ◽  
pp. 155798832110490
Author(s):  
R. Liboro ◽  
J. Despres ◽  
B. Ranuschio ◽  
S. Bell ◽  
L Barnes

HIV-positive gay, bisexual, two-spirit, and other men who have sex with men (MSM) have exhibited significant resilience to HIV/AIDS in Canada since the start of the epidemic. Since 2012, most of the research that has been conducted on resilience to HIV/AIDS has utilized quantitative methods and deficits-based approaches, with a preferential focus on the plight of young MSM. In order to address apparent gaps in research on HIV/AIDS resilience, we conducted a community-based participatory research qualitative study that utilized a strengths-based approach to examine the perspectives and lived experiences of HIV-positive, middle-aged and older MSM on their individual attributes that helped forge their HIV/AIDS resilience. We conducted 41 semistructured interviews with diverse, HIV-positive, middle-aged and older MSM from Central and Southwestern Ontario, Canada. From our thematic analysis of our interviews, we identified four themes, which represented personal strengths that fostered resilience to HIV/AIDS: (a) proactiveness, (b) perseverance, (c) having the right mindset, and (d) self-awareness with self-control. This article discusses the importance of these personal strengths to fostering HIV/AIDS resilience, and how community-based resources could potentially lessen the need to muster such personal strengths, or alternatively, cultivate them.

Author(s):  
Renato M. Liboro ◽  
Sherry Bell ◽  
Brandon Ranuschio ◽  
Lianne Barnes ◽  
Jenna Despres ◽  
...  

Evidence-based research has highlighted the need for exploring factors that support the mental health of men who have sex with men living with HIV/AIDS (MSMLWH), and environmental influences that promote their resilience to HIV/AIDS. This exploratory study utilized a community-based participatory research approach to investigate barriers and facilitators to promoting resilience to HIV/AIDS, specifically among racial and ethnic minority, middle-aged and older MSMLWH, a population that continues to be significantly impacted by HIV/AIDS today. This collaborative, qualitative study recruited participants who identified as racial or ethnic minority MSMLWH, were aged 40 or older, and resided in Ontario, Canada. Participants (n = 24) discussed in their interviews barriers and facilitators to promoting resilience to HIV/AIDS, which they recognized from their lived experiences. Utilizing thematic analysis, themes related to barriers and facilitators to promoting resilience to HIV/AIDS were identified. Themes related to identified barriers included: (1) language proficiency, (2) racism, (3) pernicious norms in North American gay culture, and (4) HIV stigma. Themes related to identified facilitators included: (1) compartmentalization, (2) perseverance, and (3) community-based health and social services. This article discusses the implications of the study’s findings, particularly on how they may influence the development of future services for racial and ethnic minority, middle-aged and older MSMLWH.


Author(s):  
Christine M. Porter ◽  
Hank Herrera ◽  
Daryl Marshall ◽  
Gayle M. Woodsum

Diversity of perspective makes for greater depth when painting a portrait of community life. But embracing the idea of representing true diversity in a formal research project is a whole lot easier than putting it into practice. The three dozen members of the Food Dignity action research team, now entering the fourth year of a five-year project, are intimately familiar with this challenge. In this article, four of the collaborators explore the intricacies of navigating what it means to bring together a genuine cross-section of community-based activists and academics in an effort to draw on one another’s professional and personal strengths to collect and disseminate research findings that represent the truth of a community’s experiences, and are ultimately disseminated in a way that brings tangible benefit to the heart and soul of that community. The authors include Food Dignity’s principal investigator (Porter) and three community organisers (Marshall, Herrera and Woodsum) in organisations that have partnered with Food Dignity. Two of the organisers (Herrera and Woodsum) also serve project-wide roles. These collaborators share their personal and professional hopes, struggles, concerns, successes and failures as participants in this cutting-edge effort to equalise community and university partnerships in research. Keywords: community-based participatory research (CBPR), food justice, equitable community-campus partnerships, food sovereignty, case study, action research


10.2196/29427 ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. e29427
Author(s):  
Ijeoma Opara ◽  
Noelle R Leonard ◽  
Daneele Thorpe ◽  
Trace Kershaw

Background Substance use among youth is a major public health concern. Of note, substance use among youth is increasing in prevalence, and the incidence of substance use at earlier ages is rising. Given the long-term consequences of early substance use, it is important to identify factors that increase youth vulnerability to drug use, as they may be important targets for future interventions. Objective This study aims to use innovative methods, such as venue-based sampling, to recruit youth who are disconnected from school and use community-based participatory research to gain a better understanding of the prevalence of substance use and important correlates among youth aged between 13 and 21 years in Paterson, New Jersey, a low-income, urban community. The study will use a convergent, mixed methods design involving multiple data collection components and the analysis of a ministrative data source, designed with the strengths of complex intervention frameworks in mind. The overall aims of the study are to identify the prevalence of substance use among youth who are engaged in school and not engaged in school; to understand important antecedents and correlates of substance use; and to use this information to inform social, environmental, and culturally appropriate interventions to address substance use and its correlates among youths in a lower-resourced urban community. Methods This study will use both qualitative and quantitative methods to address important questions. Specifically, semistructured interviews using focus group and interview methodologies will be used to assess youths’ lived experiences and will account for specific details that quantitative methods may not be able to attain. In addition, quantitative methods will be used to examine direct and multilevel associations between neighborhood factors and youth substance use and mental health outcomes. Results A previous analysis from a substance use initiative in Paterson, New Jersey found that youth who use substances such as marijuana and alcohol are more likely to have higher rates of depression and anxiety. On the basis of the research questions, this study will examine the association between neighborhood characteristics, substance use, and mental health symptoms among youth in Paterson by using quantitative and qualitative methods and will use these findings to inform the adaptation of a community- and evidence-based substance use prevention intervention for these youths. Conclusions The findings of this study will provide an important contribution to understanding the role of socioecological factors in predicting substance use and mental health outcomes among youth in a lower-resourced, urban community. Furthermore, these findings will serve as evidence for the development of a culturally informed, community-based prevention program to address substance use disparities for youth, including those who are truant in Paterson, New Jersey. International Registered Report Identifier (IRRID) PRR1-10.2196/29427


2021 ◽  
pp. 361-371
Author(s):  
Holger Nordstr⊘m Munck ◽  
Tavs Qvist ◽  
Marie Helleberg ◽  
Per Slaaen Kaye ◽  
Francois Pichon ◽  
...  

This study evaluates whether the community-based HIV testing clinic Checkpoint could reach at-risk groups of men who have sex with men (MSM) and link patients to care. A prospective observational study of all Checkpoint visits during 2013–2016 and a retrospective registry study of all MSM diagnosed with HIV in Denmark during the same period were conducted. One percent of the 9,074 tests in Checkpoint were HIV-positive, accounting for 19% of all new HIV diagnoses among MSM in Denmark. Checkpoint testers reported frequent condomless anal sex. Two percent of migrant Checkpoint testers were HIV-positive compared to 1% among Danish MSM. HIV-positive MSM identified through Checkpoint were significantly younger, more of them were migrant, and a smaller proportion were late testers compared to those testing through the conventional health care system. Checkpoint reaches at-risk populations of MSM and links patients successfully to care.


2016 ◽  
Vol 43 (6) ◽  
pp. 360-364 ◽  
Author(s):  
Lisa A. Eaton ◽  
Jessica L. Maksut ◽  
Kristi E. Gamarel ◽  
Elizabeth J. Siembida ◽  
Daniel D. Driffin ◽  
...  

2021 ◽  
Vol 33 (5) ◽  
pp. 439-449
Author(s):  
Holger Nordstrom Munck ◽  
Tavs Qvist ◽  
Marie Helleberg ◽  
Per Slaaen Kaye ◽  
Francois Pichon ◽  
...  

This study evaluates whether the community-based HIV testing clinic Checkpoint could reach at-risk groups of men who have sex with men (MSM) and link patients to care. A prospective observational study of all Checkpoint visits during 2013–2016 and a retrospective registry study of all MSM diagnosed with HIV in Denmark during the same period were conducted. One percent of the 9,074 tests in Checkpoint were HIV-positive, accounting for 19% of all new HIV diagnoses among MSM in Denmark. Checkpoint testers reported frequent condomless anal sex. Two percent of migrant Checkpoint testers were HIV-positive compared to 1 % among Danish MSM. HIV-positive MSM identified through Checkpoint were significantly younger, more of them were migrant, and a smaller proportion were late testers compared to those testing through the conventional health care system. Checkpoint reaches at-risk populations of MSM and links patients successfully to care.


2011 ◽  
Vol 87 (6) ◽  
pp. 501-502 ◽  
Author(s):  
D. J. Templeton ◽  
J. Twin ◽  
F. Jin ◽  
A. E. Grulich ◽  
S. M. Garland ◽  
...  

2003 ◽  
Vol 30 (1) ◽  
pp. 179
Author(s):  
Tabitha T. Langeni

Using primary data and a combination of qualitative and quantitative methods the study looks into ramifications of ostracism as a factor influencing people’s behavior towards the spread of HIV/AIDS, which have devastating effects on the structure and composition of the family in Botswana. The study showed that the highest proportion of respondents who would abandon an HIV positive partner (58.4%) occurs among young people aged 15 to 19 years; and that the propensity to abandon an HIV positive partner diminishes with advancement in age. In-depth inquiries on why HIV positive partners would be abandoned produced responses that revolved around fear of exposure, vulnerability and association with an HIV positive individual. The study showed that the highest proportion of respondents who would not reveal their HIV positive status occurs among those who have lost a relative or a friend to AIDS. Fear of being isolated, rejected, stigmatized and unwanted featured among the top reasons why respondents would not reveal their HIV positive status. Society’s reaction towards HIV positive individuals and families with HIV/AIDS patients appeared strong enough to drive individuals to hide their positive status and to go ahead and take the risk of onward transmission of the virus.


Sign in / Sign up

Export Citation Format

Share Document