Dying for Money: The Effects of Global Health Initiatives on NGOs Working with Gay Men and HIV/AIDS in Northwest China

Miller, Casey

doi:10.1111/maq.12300

Cited by 14 publications

(20 citation statements)

References 21 publications

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“…In addition to the neoliberal belief that individuals were responsible for maintaining their own health ( Hathaway, 2014 ; Miller, 2016 ), individualization emerged in our interviews through discussions of personal cost-benefit analysis. Beneath collective acts of compliance with strict pandemic control measures lay individuals calculating whether health and financial gains for themselves and their families outweighed the costs and sacrifices associated with compliance.…”

Section: Discussionmentioning

confidence: 99%

Why they willingly complied: Ordinary people, the big environment, and the control of COVID-19 in China

Cai¹,

Mason²

2022

Social Science & Medicine

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Section: Discussionmentioning

confidence: 99%

Why they willingly complied: Ordinary people, the big environment, and the control of COVID-19 in China

Cai¹,

Mason²

2022

Social Science & Medicine

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“…Sometimes, public health authorities would also cooperate with other government agencies to repress NGOs and use the control of their funding to ensure their obedience (Liu and Meyers, 2019;Miller, 2016). For example, Dan-Dan, a Changsha gay men's NGO leader said that they cannot even promote their monthly book club activity on their social media platform now:…”

Section: Methodsmentioning

confidence: 99%

“Red is not the only color of a rainbow”: The making and resistance of the “MSM” subject among gay men in China

Liu

2020

Social Science & Medicine

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Public health scholars classify gay men as "men who have sex with men (MSM)" in their studies and interventions. Debates have been raised about the MSM classification for decades. However, we know little about how people who are classified as MSM perceive and respond to this classification, particularly in the authoritarian context where the biopower interacts with the repressive state power. Drawing upon Ian Hacking's dynamic nominalism theory, this study tries to fill these gaps with interviews of 40 gay men in three Chinese cities about their interactions with public health education materials. I examined their perceptions of MSM knowledge and discourses associated with the classification, as well as their identifications to the MSM subject. I found that, on the one hand, many gay men had internalized the MSM subjectivity and considered themselves essentially at high risk of HIV infection. This compliance was constructed through various biopower techniques with the support of the state's repressive power, as the Chinese state censored almost all public representations of gay men except the HIV/AIDS subject MSM. On the other hand, some of my interviewees were resistant to be part of the MSM classification. I showed how this failure is an unintended consequence of the hegemonic MSM discourse and the authoritarian regime's institutional exclusion of the gay men's community's engagement in the expertise network that develops intervention materials and strategies. At last, I proposed to move beyond the debate around the name and representational character of the MSM by moving toward a more reflexive public health.

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“…DOI seeks to understand how and at what rate an innovation spreads among members of a social system over a period of time [21,26]. The focus on lay HIV workers is particularly appropriate in China because HIV-related services have been supported or delivered through a large cadre of lay HIV workers employed at community-based organizations (CBOs) since the early 2000s [27,28]. Such lay HIV workers, many of them who are GBM themselves, remain the primary source of HIV prevention services for GBM in China, a group hardest-hit by the epidemic with an estimated incidence over 5.5 per 100 person years [29,30].…”

Section: Introductionmentioning

confidence: 99%

Acceptability, Appropriateness, and Preliminary Effects of the PrEP Diffusion Training for Lay HIV Workers: Increased PrEP Knowledge, Decreased Stigma, and Diffusion of Innovation

Yang²,

Meyers

2021

AIDS Behav

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Background Training lay health workers is a critical strategy for HIV pre-exposure prophylaxis (PrEP) implementation, but little is known about effective approaches to conducting and evaluating such trainings. We evaluated the effect of the PrEP Diffusion Training, a one-day participatory training informed by the Diffusion of Innovation theory, on knowledge, PrEP stigma, implementation behavior, and diffusion of PrEP innovation among lay HIV workers in China. Methods Nine PrEP Diffusion Trainings were delivered to 220 lay HIV workers. We conducted multi-timepoint surveys to assess acceptability, appropriateness, and preliminary effects of the training on participants' knowledge, PrEP stigma, determinants of implementation behavior, and diffusion of PrEP information. We used an observation-based checklist to evaluate implementation delity. Results All trainings were delivered with high delity to the standardized manual, with little variability across sites. Acceptability and appropriateness of training were high. PrEP knowledge score signi cantly increased by 65% from pre-training to post-training, and remained high one month after the training. We observed a signi cant decrease in PrEP stigma and a positive in uence on determinants of implementation behaviors. All participants surveyed one-month after the training reported having shared PrEP information in their social networks, and 43% reported integrating PrEP education into their routine HIV prevention work on a regular basis. Conclusions The PrEP Diffusion Training is a practical and effective strategy to build lay HIV workers' capacity to participate in PrEP implementation. Longer-term follow up post training would be ideal to further assess actual PrEP uptake and sustained effects of intervention on PrEP implementation.

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Dying for Money: The Effects of Global Health Initiatives on NGOs Working with Gay Men and HIV/AIDS in Northwest China

Cited by 14 publications

References 21 publications

Why they willingly complied: Ordinary people, the big environment, and the control of COVID-19 in China

Why they willingly complied: Ordinary people, the big environment, and the control of COVID-19 in China

“Red is not the only color of a rainbow”: The making and resistance of the “MSM” subject among gay men in China

Acceptability, Appropriateness, and Preliminary Effects of the PrEP Diffusion Training for Lay HIV Workers: Increased PrEP Knowledge, Decreased Stigma, and Diffusion of Innovation

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