Coming Out, Going Home

Despite the historical centrality of Western cities as sites of queer cultural settlement, larger global economic and political forces have vociferously shaped, dispersed, and altered dreams of mobility for gay Taiwanese millennials in the age of globalization. While Taiwanese gay millennials follow a seemingly universal “rural-to-urban,” “East-to-West” movement trajectory, this study also explicates local nuanced ramifications running against the common trend. Drawn upon five-year ethnographic studies in Taiwan, this study examines how parents could to some extent conform to societal pressures by co-creating a life narrative to the society. Parents/family appear to contribute to how participants' decision on spatial movement but gay male millennials with supportive parents are eventually “going home.” However, the concept of home is configured by multiple economic and social forces involving (1) the optimal distance with the biological family and (2) the proper performances of consumption policed and imposed by the gay community in the neoliberal Taiwanese society.

Perilaku Beresiko di Komunitas Gay

Background: This study aims to describe how the efforts implemented by PKBI Semarang City and how the analysis of Islamic Guidance and counselling on PKBI Semarang City in overcoming the dangers of risky behavior in the gay community. Method: This study is a descriptive qualitative study that aims to find out the efforts made by PKBI Semarang City in overcoming the dangers of risky behavior in the gay community, which is then described in the form of a description of words or writings. The data collection techniques used in this study are with observations, interviews, and documentation. Results: PKBI Semarang City has several programs to prevent HIV / AIDS transmission, namely, outreach and assistance, especially key populations such as: WPS, WPS Customers, gay, and Transvestites with preventive materials including (condoms, pelican, KIE). Conducting socialization activities to increase knowledge about STIs and HIV / AIDS Information needs to be done continuously, for example by using the mechanism of weekly meetings. Clinics, to prevent the transmission of HIV / AIDS and detect the presence of HIV / AIDS early, by empowering to always live healthy. PKBI Semarang City has not implemented any full Islamic extension guidance but seen from the form of extension and coaching activities carried out both individually and in groups. In the extension of PKBI Semarang city has a significant influence on the gay community, this is seen from the number of people with HIV / AIDS which decreased compared to the previous year.

Development and Validation of Two Abbreviated Intraminority Gay Community Stress Scales

Social stressors stemming from within the gay community might render gay and bisexual men vulnerable to mental health problems. The 20-item intraminority Gay Community Stress Scale (GCSS) is a reliable measure of gay community stress, but the scale’s length limits its widespread use in sexual minority mental health research. Using three independent samples of gay and bisexual men, the present research developed two abbreviated versions of the GCSS using nonparametric item response modeling and validated them. Results indicated that eight items provided maximal information about the gay community stress construct; these items were selected to form the eight-item GCSS. The eight-item GCSS reproduced the factor structure of the parent scale, and gay community stress scores obtained from it correlated with other identity-specific social stress constructs and mental health symptoms. Associations between gay community stress and mental health symptoms remained significant even after controlling for related identity-specific stressors, general life stress, and relevant demographics. A four-item version was also developed and assessed, showing good structural, convergent, criterion, and incremental validity and adequate reliability. The eight- and four-item versions of the GCSS offer efficient measures of gay community stress, an increasingly recognized source of stress for gay and bisexual men.

‘Responsible, effective and caring’: Gay Health Action, AIDS Activism and Sexual Health in the Republic of Ireland, 1985–1989

This article explores the role and impact of Gay Health Action (GHA), a voluntary AIDS organisation that operated in the Republic of Ireland between 1985 and 1989. Drawing on their publications and media engagement, it argues that GHA played a significant role in educating the general public about AIDS, while this group also challenged ideas about sexual health and dispelled negative stereotypes associated with homosexuality. In doing so, the activities of GHA begin to outline the initial public response to HIV/AIDS during the 1980s, while also contributing towards an emergent body of research on the changing nature of Irish society during the late-twentieth century. It suggests ways in which attitudes to the gay community were evolving and highlights the need for further research on AIDS, examinations of which can contribute towards the emergent histories of social change and health policy in this period.

Longitudinal uptake of the human papillomavirus vaccine among gay, bisexual and other men who have sex with men in British Columbia, Canada 2012–2019

ObjectivesIn 2015, a publicly funded human papillomavirus (HPV) vaccination programme was implemented for gay, bisexual and other men who have sex with men (gbMSM) up to age 26 years in British Columbia, Canada. We assessed trends and correlates of HPV vaccine uptake from 2012 to 2019 in a cohort of gbMSM in Vancouver.MethodsWe recruited sexually active gbMSM aged ≥16 years using respondent-driven sampling from February 2012 to February 2015 and followed them until July 2019. We evaluated self-reported HPV vaccine trends using mixed-effects logistic regression and identified factors associated with uptake using multivariable mixed-effects Poisson regression.ResultsA total of 719 participants were recruited and completed the baseline visit, of whom 549 were unvaccinated with at least one follow-up visit. The median age was 33 years and 23% were living with HIV. HPV vaccination increased from 4% in 2012 to 28% in 2019 (p<0.001) among gbMSM >26 years, and from 9% in 2012 to 20% in 2017 (p<0.001) among gbMSM ≤26 years. Vaccination uptake increased after September 2015, following vaccination policy expansion (adjusted rate ratio (aRR)=1.82, 95% CI 1.06 to 3.12). In multivariable models, increased vaccination was associated with age ≤26 years vs ≥45 years (aRR=3.90; 95% CI 1.75 to 8.70), age 27–44 vs ≥45 years (aRR=2.86; 95% CI 1.46 to 5.62), involvement in gay community sports teams (aRR=2.31; 95% CI 1.15 to 4.64) and other groups (aRR=1.71; 95% CI 1.04 to 2.79), awareness of HIV-postexposure prophylaxis (aRR=5.50; 95% CI 1.31 to 23.09), recent sexually transmitted infection testing (aRR=2.72; 95% CI 1.60 to 4.60) and recent sex-work (aRR=2.59; 95% CI 1.08 to 6.19).ConclusionsAlthough we observed increases in HPV vaccination uptake from 2012, by 2019 HPV vaccination still remained below 30% among gbMSM in Vancouver, BC. Additional interventions are needed to increase vaccine uptake.

AIDS symptoms in America: Close-ups from the underground

After the explosion of the AIDS epidemic in the United States was virtually ignored because it was mostly hitting the gay community, gay authors started to employ their work for two main purposes: to protest the situation and, particularly in the beginning, to spread information about the virus. The portrayal of physical details is one of the most interesting devices employed in AIDS texts. In the early AIDS years, when the cause of the epidemic was unknown, literary tools such as the list of symptoms were widely used: authors were addressing their own community, and gave people a way to recognize the early signs of illness, such as the night sweats and the Kaposi’s sarcoma lesions. Even after the discovery of HIV, when there was not a cure yet, AIDS texts represented a crucial source of information: the first official leaflet was provided by Surgeon General Koop in 1986. The act of incorporating medical information in literary texts was considered an act of service within the community: authors such as Paul Monette and Larry Kramer regarded the gay underground as a more credible source of information, since in the beginning people who had gotten through it often knew more than the doctors. Later on, as information became more available, the display of those same physical manifestations of the disease and of AIDS-ridden bodies became an effective way to denounce the persisting silence from the government, with works such as Kushner’s Angels in America and Wojnarowicz’s portraits of Peter Hujar’s body. This article focuses on how the display of symptoms and other physical manifestations of the epidemic turned the cultural production into a key element in shaping the discourse around AIDS, highlighting the evolution in the use of physical medical evidence – from information to outcry.

Is Gay Tourism More Than Tourism? A Case Study of Puerto Vallarta, MX

The reasons gay men seek out gay travel destinations has been well established in the literature. However, less research has been published on the consequences of that travel on the destinations themselves and the effect of gay tourism on the LGBTQ+ community as a whole. I use ethnographic research in Puerto Vallarta, Mexico, a popular international gay tourist destinations for American and Canadian gay men. I focus on how gay destinations are constructed as sites where members of the gay community can experience acceptance and inclusion and I ask the following questions, is this acceptance and inclusion dependent upon consumption? Are the tourist site and expectations for behavior in those sites oppressively normal? That is, does the site create a normative standard of behavior for gay tourists? Furthermore, while gay tourists may experience inclusion and a level of acceptance, how does gay tourism affect the destination site itself? Is this acceptance and inclusion problematized by larger systems of inequality such as class, gender, and race? Lastly, as members of a historically oppressed group, does and should gay tourism rise above its commodification to produce just, equitable relationships within and beyond the LGBTQ+ community including the environment?