A review of HIV testing strategies among MSM (2005–2015): Changes and continuities due to the biomedicalization of responses to AIDS

Monteiro, Simone; Brigeiro, Mauro; Mora, Claudia; Vilella, Wilza Vieira; Parker, Richard

doi:10.1080/17441692.2018.1545038

Cited by 8 publications

(8 citation statements)

References 17 publications

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“…; Brault et al, 2019 ). Scholars have noted that regular and mass HIV testing plus early ART treatment ( Ambrosioni et al, 2011 ) are essential to achieve TasP ( Lui et al, 2018 ; Monteiro et al, 2019 ; Patton, 2011 ; WHO, 2012 ). Considering that HIV testing plays a significant role in early HIV/AIDS treatment and prevention, Fan (2014) critically rephrased “HIV treatment as prevention” to “HIV testing as prevention.”…”

Section: Introductionmentioning

confidence: 99%

“…While the biomedical approach, including mass HIV testing ( Giami & Perrey, 2012 ), is increasingly dominant in global HIV/AIDS prevention, concerns about the (over)dominance of this approach have been raised by numerous social scientists over the past years ( Aggleton & Parker, 2015 ; de Wit et al, 2011 ; Giami & Perrey, 2012 ; Kippax, Holt, & Friedman, 2011 ; Kippax & Stephenson, 2012 ; Monteiro et al, 2019 ; Moyer, 2015 ; Nguyen et al, 2011 ; Parker, 2009 ; Young et al, 2016 ). HIV/AIDS has long been deeply recognized as a “social disease” ( Kippax, Holt, & Friedman, 2011 ; Kippax, Reis, & de Wit, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

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Are All Gay Men at Risk of Developing HIV/AIDS? Why China’s Mass HIV Testing Has Majorly Targeted Gay Men in the Era of Biomedicalization

Yang,

Sun

2024

Am J Mens Health

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Global HIV/AIDS responses have been increasingly biomedically dominated over the past years. In line with this shifting paradigm, China has prioritized mass HIV testing as a practical approach to controlling its HIV/AIDS epidemics among at-risk populations, especially gay men and other men who have sex with men (MSM). This study analyzed why China’s mass HIV testing mainly targeted gay men by understanding the perspectives of public health professionals, community-based organization (CBO) workers, and gay men. In addition, this study revealed the tensions and unintended consequences of HIV/AIDS prevention and the representation of gay men in China. The study involved fieldwork conducted in a major city in Eastern China from 2015 to 2019. Semi-structured interviews were held with participants from the three abovementioned groups ( N = 25). The study identified four processes concerning why gay men are mainly targeted for HIV testing. Some public health professionals believe that being a gay man is equivalent to having HIV/AIDS risks. In addition, this study particularly noted tensions between public health professionals and gay men, including gay men–identified CBO workers, over whether mass HIV testing should target gay men or anyone who engaged in sexual risk behaviors. This study argued that a particular focus on gay men due to pursuing biomedical advances in HIV/AIDS prevention seems to have unintendedly stereotyped gay men based on the presumptions that they are at risk of developing HIV/AIDS. In addition, this study corresponded to the broader social scientific discussion concerning whether HIV/AIDS intervention should target specific sexual risk practices or sexual identity/population.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Are All Gay Men at Risk of Developing HIV/AIDS? Why China’s Mass HIV Testing Has Majorly Targeted Gay Men in the Era of Biomedicalization

Yang,

Sun

2024

Am J Mens Health

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“…7 Based on that assumption, a major shift has taken place in HIV-infection prevention policies, characterised by growing investments in the implementation of ARV-based prevention methods. 8 As funding for AIDS programmes has decreased globally 9 and there is increasing conservatism in many parts of the world, including in Brazil, 10 such a shift may result in diminished investment in structural interventions, meaning those aiming to address socio-cultural, political, legal and economic factors that enhance vulnerability to HIV infection. 8 , 11 In light of this, critical views have emphasised the need to continue investing in structural interventions, as cultural, political, legal and economic barriers may result in underutilisation of preventive methods.…”

Section: Introductionmentioning

confidence: 99%

“… 8 As funding for AIDS programmes has decreased globally 9 and there is increasing conservatism in many parts of the world, including in Brazil, 10 such a shift may result in diminished investment in structural interventions, meaning those aiming to address socio-cultural, political, legal and economic factors that enhance vulnerability to HIV infection. 8 , 11 In light of this, critical views have emphasised the need to continue investing in structural interventions, as cultural, political, legal and economic barriers may result in underutilisation of preventive methods. 8 , 11 , 12 As with any other HIV prevention method available, the effectiveness of methods based on the use of ARVs depends on people engaging with them, and such engagement is dependent on the broader environment in which those methods are made available.…”

Section: Introductionmentioning

confidence: 99%

“… 8 , 11 In light of this, critical views have emphasised the need to continue investing in structural interventions, as cultural, political, legal and economic barriers may result in underutilisation of preventive methods. 8 , 11 , 12 As with any other HIV prevention method available, the effectiveness of methods based on the use of ARVs depends on people engaging with them, and such engagement is dependent on the broader environment in which those methods are made available. 12 Stigmas associated with living with HIV, with belonging to a sexual minority, 13 and with sex work 14 are recognised as playing a major role in the engagement process.…”

Section: Introductionmentioning

confidence: 99%

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AIDS- and sexuality-related stigmas underlying the use of post-exposure prophylaxis for HIV in Brazil: findings from a multicentric study

Ferraz

Couto

Zucchi

et al. 2019

Sexual and Reproductive Health Matters

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AIDS-related stigma is a major hurdle to care and it hinders people from accessing HIV prevention methods, such as post-exposure prophylaxis. This study was designed to explore how AIDS-related stigma impacts the experience of using non-occupational post-exposure prophylaxis (nPEP) for HIV after sexual contact. Data were gathered in in-depth interviews with 59 people who voluntarily sought out nPEP in five public healthcare facilities in Brazil between 2015 and 2016. Data were analysed into three thematic categories: fear of being mistaken for a person living with HIV and AIDS (PLWHA); desire to hide particular features of one’s sexual life; and experiences of stigmatising behaviour due to nPEP use. Based on the Health Stigma and Discrimination Framework, predominant manifestations of AIDS-related stigma in each category were analysed, as well as their intersections with gender- and sexuality-related stigmas. Results show that experiences of using nPEP are permeated by AIDS-related stigma, intersecting with sexuality- and gender-related stigmas. Stigma experiences are mainly perceived, anticipated and internalised; stigma practices include prejudice and stigmatising behaviours. Taking antiretrovirals (ARVs) led participants to the fear of being discriminated against as a PLWHA and having particular features of their sexual identities disclosed. Thus, hiding nPEP was strategic to protect from stigmatising behaviour. As ARV-based prevention technologies are scaled-up, interventions designed to tackle AIDS- and sexuality-related stigmas must be expanded in Brazil. Required interventions include public campaigns about nPEP, educational programmes in healthcare settings to offer adequate support to nPEP users and investments in stigma research and monitoring.

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Men who have sex with men were more depressed than their counterparts because of lower social support and higher loneliness: A comparative survey among Chinese university students

Xie,

Mo,

Wang

et al. 2024

Journal of Affective Disorders

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A review of HIV testing strategies among MSM (2005–2015): Changes and continuities due to the biomedicalization of responses to AIDS

Cited by 8 publications

References 17 publications

Are All Gay Men at Risk of Developing HIV/AIDS? Why China’s Mass HIV Testing Has Majorly Targeted Gay Men in the Era of Biomedicalization

Are All Gay Men at Risk of Developing HIV/AIDS? Why China’s Mass HIV Testing Has Majorly Targeted Gay Men in the Era of Biomedicalization

AIDS- and sexuality-related stigmas underlying the use of post-exposure prophylaxis for HIV in Brazil: findings from a multicentric study

Men who have sex with men were more depressed than their counterparts because of lower social support and higher loneliness: A comparative survey among Chinese university students

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