scholarly journals Biopolitics, citizenship, and inequalities in HIV assemblages

2021 ◽  
pp. 204382062110545
Author(s):  
Ingrid Young

Di Feliciantonio and Brown offer an important overview of key research areas for the geographies of PrEP, TasP, and undetectabitily, and they consider what matters for the lives of gay and bisexual men. I offer two areas of further consideration. Firstly, I suggest that rather than setting the biopolitical critiques of PrEP and TasP as at odds with grassroots activism, sexual pleasure, and subjectivities, that these particular forms of biosexual activism are indeed central to subject formation and sexual practices and are constitutive of the other within HIV assemblages. Secondly, I highlight the need to consider inequalities more directly both within the context of national borders in relation to jurisdictional health policy, implementation, and access, and within gay communities themselves in relation to intersectional and embodied identities.

2021 ◽  
pp. 204382062198957
Author(s):  
Gavin Brown ◽  
Cesare Di Feliciantonio

Recent biomedical innovations in the field of HIV prevention and treatment – namely PrEP, TasP, and ‘undetectability’ – have completely reshaped the experience of living with HIV, as well as the meanings of ‘risk’ and ‘safety’ in relation to sexual practices, leading to new forms of pleasure and sociality for gay and bisexual men in the Minority World. While human geographers have been slow to engage with the changing social dimensions brought by these innovations, scholars across the whole spectrum of the social sciences have been far more creative and responsive contributing to a critical understanding of what these processes entail in terms of subject formation as well as social and communal relations. This article proposes a distinctly geographical contribution to analysing and interpreting these biomedical technologies, exploring the ways that new spatialities and spatial relations emerge from their use and circulation. Our approach is based on provisional assemblage thinking as it offers the possibility to think the complex connections between biomedical innovations in the field of HIV, sexual practices, subjectivity, pleasure, spaces, and technologies, going beyond the subdisciplinary preoccupations and methodological reflexes of geographers focused primarily on either health or sexuality.


2021 ◽  
pp. 141-157
Author(s):  
Tony Silva

The men interviewed interpreted sex with men as compatible with heterosexuality and masculinity. What the author calls “bud-sex” is the way rural and small-town, white, straight men interpret or engage in sex in ways that reinforce their heterosexuality and masculinity. While the sex these men have with other men involves acts similar to those between gay and bisexual men, the meanings they attach to these acts differ greatly. Bud-sex has three components. First is hooking up with other masculine, white, and straight or bisexual men. Second is having secretive, nonromantic sex. And third is interpreting male-male sex as largely unthreatening to masculinity, heterosexuality, or marriage. Bud-sex, with its unique understandings of gender and sexual identity, reflects and reinforces the men’s embeddedness in straight culture. Sexual identity and masculinity depend on what sex acts mean, rather than on mere mechanics. Consequently, interpretations of sexual practices, not sexual practices in and of themselves, are crucially important. For the straight men interviewed, their interpretations both reflected and reinforced their embeddedness in straight culture. Bud-sex allows straight men to enjoy male-male sex without threatening either their heterosexuality or their masculinity.


2019 ◽  
Author(s):  
Alex Kilner ◽  
Christopher Fairley ◽  
Sam Burrell ◽  
Catriona Bradshaw ◽  
Marcus Chen ◽  
...  

Sexual Health ◽  
2018 ◽  
Vol 15 (2) ◽  
pp. 179 ◽  
Author(s):  
Zahra Stardust ◽  
Johann Kolstee ◽  
Stefan Joksic ◽  
James Gray ◽  
Siobhan Hannan

Rates of drug use remain substantially higher among gay and bisexual men (GBM) and people living with HIV (PLHIV) in Sydney, New South Wales, Australia. The use of drugs to enhance sexual pleasure within cultures of Party and Play creates opportunities to discuss sexual health, mental health, consent and wellbeing. Community organisations with a history of HIV prevention, care, treatment are well-placed to respond. ACON’s (formerly the AIDS Council of New South Wales) multi-dimensional response to ‘chemsex’ includes: direct client services support for individuals seeking to manage or reduce their use; health promotion activities that support peer education; partnerships with research institutions to better understand cultures of chemsex; and policy submissions that call for drug use to be approached as a health, rather than a criminal, issue. The approach speaks the language of Party and Play subcultures; employs culturally relevant terminology and imagery; uses content designed, created and delivered by peers; and operates within a pleasure-positive, harm-reduction and community-led framework. These interventions have led to increased service uptake, strong community engagement, robust research partnerships and the recognition of GBM as a priority population in relevant strategies.


2021 ◽  
pp. 204382062110545
Author(s):  
Eileen Y.H. Tsang

Pre-Exposure Prophylaxis (PrEP), Treatment as Prevention (TasP), and undetectability affect the experience of gay and bisexual men living with HIV. They also link ‘risk’ and ‘safety’ to raw sex and the use of recreational drugs as they relate to sexual practices among gay and bisexual men. From these insights, we can think about the complex connections between biomedical innovations in the field of HIV, sexual practices, subjectivity, pleasure, spaces, and technologies. This commentary offers a sociocultural perspective based on a study with 28 male sex workers (hereafter MSWs) on gay and bisexual men—mainly male sex workers— and their wives (Tongqi) in China.


2004 ◽  
Vol 29 (5) ◽  
pp. 1045-1051 ◽  
Author(s):  
Jeffrey T Parsons ◽  
Kalil Vicioso ◽  
Alexandra Kutnick ◽  
Joseph C Punzalan ◽  
Perry N Halkitis ◽  
...  

2021 ◽  
Author(s):  
Matthew Curtis Brown

Traditional models of public sex among men continue to construct public sex sites as anonymous and impersonal. Humphreys's (1970) work established public sex sites as settings for quick, emotionally detached sex among men. According to his findings, most of the men do not identify as gay or bisexual. Recently, social historians argue that these sites provided for gay and bisexual men settings that promoted the recognition of their emerging sexual identities and communities prior to the Stonewall Riots. In this dissertation, I problematize the anonymous and impersonal assumptions of the earlier models and argue that public sex sites continue to serve gay and bisexual men by allowing these men a place to congregate with others like themselves. In face-to-face interviews with 30 gay, queer, and bisexually identified men, I ask questions that explore the interpersonal relationships that originated in public sex sites. I explore the ways that men who use public sex sites establish an ethic of caring and create a sense of community among one another. In my methods chapter, I continue the discussion addressing the role that sexual identity and “erotic subjectivity” of the researcher functions in research. Also, I address how relying on institutional review board's approval affects sexually charged research and maintains the silence surrounding sexuality.


Sexual Health ◽  
2013 ◽  
Vol 10 (3) ◽  
pp. 268 ◽  
Author(s):  
Loren Brener ◽  
Jeanne Ellard ◽  
Dean Murphy ◽  
Denton Callander

Background Research indicates that the incidence of hepatitis C (HCV) among HIV-positive men who have sex with men (MSM) is increasing. Although injecting drug use remains the predominant means of transmission of HCV in the developed world, there is evidence of sexual transmission of HCV among MSM. Stigma associated with HCV has been shown to negatively impact HCV testing and health-seeking behaviour. There is little research that addresses attitudes towards HCV testing among this population. Methods: The current exploratory study focussed on HCV knowledge, HCV testing, sexual practices, perceptions of HCV risk and attitudes towards people with HCV among Australian MSM. The sample consisted of 590 men who completed an online survey. Results: The findings suggest that attitudinal factors related to HCV were associated with HCV testing behaviour. The more negatively respondents felt about people with HCV, the less likely they were to have ever had an HCV test. Behavioural risk factors related to sexual practices (i.e. is condom use and sexual risk activities) were not associated with HCV testing. Testing for HCV was associated with HIV-positive status, more knowledge about HCV and a greater likelihood of ever having injected drugs. Conclusions: The attitudes of MSM towards those who inject drugs are negative, mirroring that of society more generally. Furthermore, these attitudes, coupled with a lack of knowledge of the risk of sexual transmission of HCV among gay men, especially those who are HIV-positive, may act to prevent routine HCV testing among some MSM at potential risk of acquiring HCV.


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