The USA faces
disproportionate and increasing HIV incidence rates among Black men who have
sex with men (BMSM).
New biomedical technologies such as pre-exposure
prophylaxis (PrEP) have been developed to address their HIV risk. Very little
consideration, however, has been given to the diversity obscured by 'BMSM' as a
category, to how this diversity relates to men's sexual partnering strategies,
or to the relevance of these issues for new HIV prevention methods.
We
conducted a community-based ethnography from June 2013 to May 2014 documenting
factors that affect the acceptance of and adherence to PrEP among BMSM. We
conducted in-depth interviews with 31 BMSM and 17 community stakeholders, and
participant observation.
To demonstrate the diversity of social identities, we
present a taxonomy of indigenous categories organised along the axes of sexual
identity, sexual positioning, and gender performance. We analyse how HIV
prevention strategies, such as PrEP, may be more effective if programmes
consider how gender, sexuality, and sexual desire shape sexual partnering
strategies.
This article underlines the importance of attending to the
diversity of sexual and social subjectivities among BMSM, of bringing the study
of sexuality back into HIV prevention, and of integrating biomedical prevention
approaches into community-based programmes.
Purchase full article at:
- 1 College of Public Health and Human Sciences , Oregon State University , Corvallis , OR , USA.
- 2 Mailman School of Public Health , Columbia University , New York , NY , USA.
- 3 HIV Center for Clinical and Behavioral Studies , Columbia University , New York , NY , USA.
- Glob Public Health. 2016 Feb 1:1-23.
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