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'And Then Break the Cliché': Understanding and Addressing HIV Vulnerability Through Development of an HIV Prevention Telenovela with Men Who Have Sex with Men and Transwomen in Lima, Peru
- Source :
- Archives of Sexual Behavior, Archives of sexual behavior, vol 47, iss 7
- Publication Year :
- 2017
-
Abstract
- HIV and other sexually transmitted infections (STIs) continue to affect men who have sex with men (MSM) and transgender women (TW) in Peru at disproportionately high rates. The ineffectiveness of traditional prevention strategies may be due to the disconnect between health promotion messages and community-level understandings of sexual cultures. We conducted 15 workshops with MSM and TW to develop a community-based sexual health intervention. Intervention development consisted of focus groups and scenic improvisation to identify sexual scripts for an HIV prevention telenovela, or Spanish soap opera. Workshops were stratified by self-reported socioeconomic status, sexual orientation, and gender identity: (1) low-income MSM (n = 9); (2) middle/high-income MSM (n = 6); and (3) TW (n = 8). Employing a conceptual model based on sexual scripts and critical consciousness theories, this paper reports on three themes identified during the telenovela-development process as participants sought to "rescript" social and sexual stereotypes associated with HIV-related vulnerability: (1) management of MSM and TW social identities at the intersection of socioeconomic status, sexuality, and gender performance; (2) social constructions of gender and/or sexual role and perceived and actual HIV/STI risk(s) within sexual partnership interactions; and (3) idealized and actual sexual scripts in the negotiation of safer sex practices between MSM/TW and their partners. These findings are key to reframing existing prevention strategies that fail to effectively engage poorly defined "high-risk populations." Leveraging community-based expertise, the results provide an alternative to the static transfer of information through expert-patient interactions in didactic sessions commonly used in HIV prevention interventions among MSM and TW.
- Subjects :
- Male
Pediatric AIDS
Social Stigma
Psychological intervention
Human sexuality
HIV Infections
Other Studies in Human Society
Men who have sex with men
Health Risk Behaviors
Sexual and Gender Minorities
0302 clinical medicine
Risk Factors
Peru
Prevalence
Psychology
030212 general & internal medicine
Role Playing
General Psychology
Reproductive health
Pediatric
virus diseases
Focus Groups
Clinical Psychology
Infectious Diseases
Mental Health
Critical consciousness
Public Health and Health Services
HIV/AIDS
Female
Television
social and economic factors
Sexual Health
Infection
0305 other medical science
Clinical psychology
Adult
medicine.medical_specialty
Sexual Behavior
HIV prevention
Transgender Persons
03 medical and health sciences
Arts and Humanities (miscellaneous)
Clinical Research
2.3 Psychological
Behavioral and Social Science
medicine
Humans
Interpersonal Relations
Transgender women
Original Paper
030505 public health
business.industry
Prevention
Public health
Sexual scripts
Focus group
Health promotion
Socioeconomic Factors
Sexual orientation
Sexually Transmitted Infections
business
3.1 Primary prevention interventions to modify behaviours or promote well-being
Subjects
Details
- ISSN :
- 15732800
- Volume :
- 47
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Archives of sexual behavior
- Accession number :
- edsair.doi.dedup.....1bda1c4bbc3a77d10b5f0bbb62f0a9aa