| Title |
“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
|
|---|---|
| Published in |
Archives of Sexual Behavior, February 2018
|
| DOI | 10.1007/s10508-017-1119-x |
| Pubmed ID | |
| Authors |
Jonathan Garcia, Amaya G. Perez-Brumer, Robinson Cabello, Jesse L. Clark |
| 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. |
X Demographics
The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 3 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 67% |
| Practitioners (doctors, other healthcare professionals) | 1 | 33% |
Mendeley readers
The data shown below were compiled from readership statistics for 128 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 128 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 18 | 14% |
| Researcher | 15 | 12% |
| Student > Ph. D. Student | 12 | 9% |
| Student > Master | 12 | 9% |
| Student > Doctoral Student | 11 | 9% |
| Other | 20 | 16% |
| Unknown | 40 | 31% |
| Readers by discipline | Count | As % |
|---|---|---|
| Social Sciences | 21 | 16% |
| Nursing and Health Professions | 19 | 15% |
| Psychology | 16 | 13% |
| Medicine and Dentistry | 10 | 8% |
| Agricultural and Biological Sciences | 6 | 5% |
| Other | 12 | 9% |
| Unknown | 44 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 March 2018.
All research outputs
#14,967,526
of 23,025,074 outputs
Outputs from Archives of Sexual Behavior
#2,908
of 3,482 outputs
Outputs of similar age
#200,342
of 331,055 outputs
Outputs of similar age from Archives of Sexual Behavior
#53
of 62 outputs
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