Moral barriers to HIV prevention and care for gay and bisexual men: challenges in times of conservatism in Brazil

Corinne F D V Squire; Luis Augusto  Vasconcelos Da Silva; Filipe Mateus Duarte; Laio Magno; Ines Dourado

doi:10.1111/1467-9566.13230

Moral barriers to HIV prevention and care for gay and bisexual men: challenges in times of conservatism in Brazil

Corinne F D V Squire, Luis Augusto Vasconcelos Da Silva^*, Filipe Mateus Duarte, Laio Magno, Ines Dourado

^*Corresponding author for this work

School for Policy Studies

Research output: Contribution to journal › Article (Academic Journal) › peer-review

8 Citations (Scopus)

Abstract

This article examines narratives about promiscuity that are emphasized by some gay and bisexual men who are themselves living with HIV. We used semi-structured interviews to assess the processes, outcomes, and meanings of HIV diagnosis among 10 young gay and bisexual men aged between 18 and 30 years old. Interviews were conducted in health service settings for the diagnosis and treatment of HIV and AIDS in Salvador, Brazil. Based on a socioculturally oriented approach, the narratives suggest that discourse about promiscuity seems to persist, or is even strengthened, in order to explain HIV infection among young gays/bisexual men and to emphasize a more restrained sexual life following HIV diagnosis. Despite the biotechnologies and biomedical advances, some difficulties and tensions also persist in the daily life of young people living with HIV. Difficulties in starting new relationships, dilemmas around responsibility for infection/transmission, fear and guilt are elements that stand out in these narratives, demonstrating that HIV discourses and practices may produce greater stigma and discrimination in current times, individualizing and blaming certain people for the infection/transmission of the virus, and marginalizing practices that do not conform to hegemonic heteronormativity.

Original language	English
Pages (from-to)	424-440
Number of pages	17
Journal	Sociology of Health and Illness
Volume	43
Issue number	2
Early online date	12 Jan 2021
DOIs	https://doi.org/10.1111/1467-9566.13230
Publication status	Published - Feb 2021

Bibliographical note

Funding Information:
We would like to thank the CAPES Foundation (Brazilian Federal Agency for Support and Evaluation of Graduate Education) for the first author’s post‐doctorate grant at the Centre for Narrative Research at the University of East London (Process: EST‐SENIOR—88881.120900/2016‐01). We would also like to thank the professionals and young people at the Reference Service for the diagnosis and treatment of HIV and AIDS in Salvador, where the research was conducted, as well as doctoral student Renata Lúcia e Silva e Oliveira for her support with the interviews.

Publisher Copyright:
© 2021 Foundation for the Sociology of Health & Illness

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SPS Centre for Research in Health and Social Care

UN SDGs

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title = "Moral barriers to HIV prevention and care for gay and bisexual men: challenges in times of conservatism in Brazil",

abstract = "This article examines narratives about promiscuity that are emphasized by some gay and bisexual men who are themselves living with HIV. We used semi-structured interviews to assess the processes, outcomes, and meanings of HIV diagnosis among 10 young gay and bisexual men aged between 18 and 30 years old. Interviews were conducted in health service settings for the diagnosis and treatment of HIV and AIDS in Salvador, Brazil. Based on a socioculturally oriented approach, the narratives suggest that discourse about promiscuity seems to persist, or is even strengthened, in order to explain HIV infection among young gays/bisexual men and to emphasize a more restrained sexual life following HIV diagnosis. Despite the biotechnologies and biomedical advances, some difficulties and tensions also persist in the daily life of young people living with HIV. Difficulties in starting new relationships, dilemmas around responsibility for infection/transmission, fear and guilt are elements that stand out in these narratives, demonstrating that HIV discourses and practices may produce greater stigma and discrimination in current times, individualizing and blaming certain people for the infection/transmission of the virus, and marginalizing practices that do not conform to hegemonic heteronormativity.",

author = "Squire, {Corinne F D V} and {Da Silva}, {Luis Augusto Vasconcelos} and Duarte, {Filipe Mateus} and Laio Magno and Ines Dourado",

note = "Funding Information: We would like to thank the CAPES Foundation (Brazilian Federal Agency for Support and Evaluation of Graduate Education) for the first author{\textquoteright}s post‐doctorate grant at the Centre for Narrative Research at the University of East London (Process: EST‐SENIOR—88881.120900/2016‐01). We would also like to thank the professionals and young people at the Reference Service for the diagnosis and treatment of HIV and AIDS in Salvador, where the research was conducted, as well as doctoral student Renata L{\'u}cia e Silva e Oliveira for her support with the interviews. Publisher Copyright: {\textcopyright} 2021 Foundation for the Sociology of Health & Illness",

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AU - Dourado, Ines

N1 - Funding Information: We would like to thank the CAPES Foundation (Brazilian Federal Agency for Support and Evaluation of Graduate Education) for the first author’s post‐doctorate grant at the Centre for Narrative Research at the University of East London (Process: EST‐SENIOR—88881.120900/2016‐01). We would also like to thank the professionals and young people at the Reference Service for the diagnosis and treatment of HIV and AIDS in Salvador, where the research was conducted, as well as doctoral student Renata Lúcia e Silva e Oliveira for her support with the interviews. Publisher Copyright: © 2021 Foundation for the Sociology of Health & Illness

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N2 - This article examines narratives about promiscuity that are emphasized by some gay and bisexual men who are themselves living with HIV. We used semi-structured interviews to assess the processes, outcomes, and meanings of HIV diagnosis among 10 young gay and bisexual men aged between 18 and 30 years old. Interviews were conducted in health service settings for the diagnosis and treatment of HIV and AIDS in Salvador, Brazil. Based on a socioculturally oriented approach, the narratives suggest that discourse about promiscuity seems to persist, or is even strengthened, in order to explain HIV infection among young gays/bisexual men and to emphasize a more restrained sexual life following HIV diagnosis. Despite the biotechnologies and biomedical advances, some difficulties and tensions also persist in the daily life of young people living with HIV. Difficulties in starting new relationships, dilemmas around responsibility for infection/transmission, fear and guilt are elements that stand out in these narratives, demonstrating that HIV discourses and practices may produce greater stigma and discrimination in current times, individualizing and blaming certain people for the infection/transmission of the virus, and marginalizing practices that do not conform to hegemonic heteronormativity.

AB - This article examines narratives about promiscuity that are emphasized by some gay and bisexual men who are themselves living with HIV. We used semi-structured interviews to assess the processes, outcomes, and meanings of HIV diagnosis among 10 young gay and bisexual men aged between 18 and 30 years old. Interviews were conducted in health service settings for the diagnosis and treatment of HIV and AIDS in Salvador, Brazil. Based on a socioculturally oriented approach, the narratives suggest that discourse about promiscuity seems to persist, or is even strengthened, in order to explain HIV infection among young gays/bisexual men and to emphasize a more restrained sexual life following HIV diagnosis. Despite the biotechnologies and biomedical advances, some difficulties and tensions also persist in the daily life of young people living with HIV. Difficulties in starting new relationships, dilemmas around responsibility for infection/transmission, fear and guilt are elements that stand out in these narratives, demonstrating that HIV discourses and practices may produce greater stigma and discrimination in current times, individualizing and blaming certain people for the infection/transmission of the virus, and marginalizing practices that do not conform to hegemonic heteronormativity.

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ER -

Moral barriers to HIV prevention and care for gay and bisexual men: challenges in times of conservatism in Brazil

Abstract

Bibliographical note

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UN SDGs

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