Men And Women Living Heterosexually With Hiv

This report addresses the complex issues facing people who live heterosexually with HIV and how social and cultural contexts shape those issues. In this report, "people living heterosexually with HIV" includes HIV-positive men, HIVpositive women, HIV-negative partners, serodiscordant couples and families.

Although the first AIDS cases were attributed to men having sex with men, over 70% of HIV infections worldwide are now estimated to occur through sex between women and men. In Men at Risk, Shari L. Dworkin argues that the centrality of heterosexual relationship dynamics to the transmission of HIV means that both women and men need to be taken into account in gender-specific HIV/AIDS prevention interventions. She looks at the “costs of masculinity” that shape men’s HIV risks, such as their initiation of sex and their increased status from sex with multiple partners. Engaging with the common paradigm in HIV research that portrays only women—and not heterosexually active men—as being “vulnerable” to HIV, Dworkin examines the gaps in public health knowledge that result in substandard treatment for HIV transmission and infection among heterosexual men both domestically and globally. She examines a vast array of structural factors that shape men’s HIV transmission risks and also focuses on a relatively new category of global health programs with men known as “gender-transformative” that seeks to move men in the direction of gender equality in the name of improved health. Dworkin makes suggestions for the next generation of gender-transformative health interventions by calling for masculinities-based and structurally driven HIV prevention programming. Thoroughly researched and theoretically grounded, Men at Risk presents a unique approach to HIV prevention at the intersection of sociological and public health research.

Through the voices of people living with HIV or AIDS, this text explores the ways in which HIV affects personal, family and work relationships. It draws on the experinces of black and white, heterosexual and gay, women and men with or without symtoms who show how they work through everyday life.

In this important book, editor Michael Ross brings together the latest knowledge and research concerning the relationship between HIV and AIDS and sexual functioning. HIV/AIDS and Sexuality explores the experiences of being HIV-infected and the impact of infection on an individual's sexuality. It describes differences that may be associated with individuals who are infected or concerned about infection, and it provides new in-depth analyses of the effect of HIV on sexuality and sexual risks. The book provides clinical perspectives on sexual problems associated with HIV infection as well as some treatment approaches. Contributing authors represent the United States, Australia, and Europe and discuss heterosexual men and women, gay men, lesbians, and injecting drug users. This diversity provides a more complete picture of the experiences of people with HIV in terms of explicit and implicit sexuality. Chapters include cross-sectional and cohort study designs as well as qualitative, quantitative, and clinical approaches. Some of the topics explored are: the centrality of sexuality to equality of life and identity and the impact of HIV on sexuality in gay-identified men the psychological impact of making changes in sexual behavior on gay men with HIV infection risk behaviors in seropositive and seronegative women a study of a cohort of HIV-infected women associated with the military sexual addiction in gay men and its association with HIV risks overt and subtle communications processes that occur between health care providers and clients about sexuality and HIV stages of change in safer sexual practices in a cohort of gay men personality variables associated with risk and infection in both homosexual and heterosexual men HIV/AIDS and Sexuality opens up the area of sexuality in people living with HIV and focuses much-needed attention on the issues involved in sexual expression, HIV transmission risk, and living with HIV infection. This book is an illuminating exploration into the subject that helps professionals better understand their clients and thus provide more compassionate and effective care.

This edited volume presents a detailed portrait of couples living with mixed HIV status, where one partner is HIV-positive and the other negative. Readers will come to understand the various and complex ways in which these mixed-status, or serodiscordant couples build a life together within the shadow of HIV-related stigma. Spanning the globe, coverage explores serodiscordance as a negotiated practice and process, inseparable from the social context in which it is situated. The book shows how couples draw on diverse and sometimes contradictory cultural discourses of medicine, romance, and “normality” to make sense of and manage their mixed HIV status and any perceived risks, not uncommonly in ways that depart from prevailing HIV prevention messages. Throughout, compelling personal stories accompany the empirical research, sharing the firsthand experiences of men and women in serodiscordant relationships. Bringing together research from diverse disciplines and geographical regions, this book contributes important insights for future HIV health promotion as well as offers new knowledge to scholarship on the cultural intersections of illness and intimacy. It will appeal to a broad audience working across the fields of HIV, health, gender, sexuality, development, and human rights.

In the Caribbean sexuality has never been a topic for public discussion. Previously relegated to theatrical innuendo, musical lyrics and other popular forms of cultural expression, the HIV and AIDS pandemic have now thrown this taboo subject centrestage. The discourse on gender and sexuality is however, still being shaped and this book sets the platform for that discussion. Proceeding from a premise that gender influences sexuality and sexual behaviour, Sex, Power and Taboo provides an interdisciplinary approach to the exploration of how gender affects HIV risk and prevention. The paradigm of HIV and AIDS research is shifted by illuminating the influence of gender ideologies, norms and power relationships on sexuality, and the impact of gender to HIV risk and prevention within and outside of the Caribbean. The contributors are Caribbean and international, and discuss gender and sexuality for the academic, for those in the public health service as well as social policymakers. Sex, Power and Taboo contributes to the research-based interventions to aid the prevention of HIV and AIDS and other sexually transmitted diseases and will assist in the design, implementation and evaluation of programmes addressing the AIDS epidemic.

The term "men who have sex with men" - frequently shortened to MSM - describes a behaviour rather than a specific group of people. It includes self-identified gay, bisexual, transgendered or heterosexual men. Many men who have sex with men do not consider themselves gay or bisexual. They are often married, particularly where discriminatory laws or social stigma of male sexual relations exist. Largely because of the taboo, the female partners of men who have sex with men are often unaware of their partner's other liaisons, and the threat posed to themselves. Forced sex among men is not uncommon, especially in men-only environments such as prisons. Men who have sex with men are found in all societies, yet are largely invisible in many places. In terms of HIV, sex between men is significant because it can involve anal sex, which when unprotected carries a very high risk. Sex between men is thought to account for between 5 and 10% of global HIV infections, although the proportion of cases attributed to this mode of transmission varies considerably between countries. It is the predominant mode in much of the developed world. Globally less than one in twenty men who have sex with men have access to the HIV prevention and care services they need. Many factors contribute to this situation including denial by society and communities, stigma and discrimination, and human rights abuse. Vulnerability to HIV infection is increased where sex between men is criminalised, as men are either excluded from, or exclude themselves from, sexual health and welfare agencies out of fear. A range of interventions to reduce risk behaviours among men who have sex with men have proven successful, including: condom promotion, safer-sex campaigns and skills training; peer education with outreach programmes; and programmes tailored to subpopulations such as male sex workers and men in prisons. Specific policy measures are crucial for making prevention, care and support available to men who have sex with men. First and foremost, they must be included in national HIV programming and funding priorities. The governments must support organisations of men who have sex with men, enabling them to promote HIV prevention and care programmes and to participate in HIV planning and policymaking. Legislation should be changed, decriminalizing same-sex acts and providing protective laws against discrimination based on sexual orientation.