Market and risk: stages of HIV transmission among men with homosexual behaviors. Medellín 1993-2006

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1. Verfasser: Isabel Cristina Posada
Format: Artículo científico
Sprache:en
Veröffentlicht: Universidad del Valle 2007
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author Isabel Cristina Posada
author_facet Isabel Cristina Posada
contents Market and risk: stages of HIV transmission among men with homosexual behaviors. Medellín 1993-2006 Isabel Cristina Posada Rubén Darío Gómez-Arias Medicina HIV Risk Life style Homosexuality Harm reduction Background: People’s different responses to HIV prevention programs have been related to collective patterns of significancethat are imposed to their behaviors, and affect the success of health interventions.Objective: To understand the social conditions by which men who have sex with men (MSM) face their risks.Methodology: A qualitative study based on the symbolic interactionism was carried out in Medellín between 1993 and 2006.The places where MSM meet were identified and visited. Focus groups with key informants and 100 in-depth interviews wereconducted, of which 39 of them were conducted with MSM.Results: The study identified and studied seven scenarios where MSM face the risk of HIV. In the region, homosexualitycontinues to be object of social stigma and MSM must create for themselves special stages, where sexual activity can be less difficult.These conditions have been exploited by the market, which perceives MSM as consumers with payment capacity, and it hasgenerated an expansive offer of stages where MSM act out several of their fundamental needs but, at the same time, are also exposedto different risks. The scenarios are built as normative systems generated by the market whose structure is imposed to the individualbehaviors, frequently restricting their capacity to be protected from the risk of infection.Conclusion: The findings illustrate the complexity of the subjective decisions involved with the personal protection and themanagement of the risks; and they question the paradigm of the rational consumer. On the contrary, the conjunction of the structuralvulnerability and the individual vulnerability, in a context of social exclusion, conform an intricate net that should be assumed inits complexity and integrity by health policies. 2007 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28338308 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.38
format Artículo científico
id redalyc_28338308
institution Redalyc
language en
publishDate 2007
publisher Universidad del Valle
spellingShingle Market and risk: stages of HIV transmission among men with homosexual behaviors. Medellín 1993-2006
Isabel Cristina Posada
Medicina
HIV
Risk
Life style
Homosexuality
Harm reduction
Market and risk: stages of HIV transmission among men with homosexual behaviors. Medellín 1993-2006 Isabel Cristina Posada Rubén Darío Gómez-Arias Medicina HIV Risk Life style Homosexuality Harm reduction Background: People’s different responses to HIV prevention programs have been related to collective patterns of significancethat are imposed to their behaviors, and affect the success of health interventions.Objective: To understand the social conditions by which men who have sex with men (MSM) face their risks.Methodology: A qualitative study based on the symbolic interactionism was carried out in Medellín between 1993 and 2006.The places where MSM meet were identified and visited. Focus groups with key informants and 100 in-depth interviews wereconducted, of which 39 of them were conducted with MSM.Results: The study identified and studied seven scenarios where MSM face the risk of HIV. In the region, homosexualitycontinues to be object of social stigma and MSM must create for themselves special stages, where sexual activity can be less difficult.These conditions have been exploited by the market, which perceives MSM as consumers with payment capacity, and it hasgenerated an expansive offer of stages where MSM act out several of their fundamental needs but, at the same time, are also exposedto different risks. The scenarios are built as normative systems generated by the market whose structure is imposed to the individualbehaviors, frequently restricting their capacity to be protected from the risk of infection.Conclusion: The findings illustrate the complexity of the subjective decisions involved with the personal protection and themanagement of the risks; and they question the paradigm of the rational consumer. On the contrary, the conjunction of the structuralvulnerability and the individual vulnerability, in a context of social exclusion, conform an intricate net that should be assumed inits complexity and integrity by health policies. 2007 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28338308 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.38
title Market and risk: stages of HIV transmission among men with homosexual behaviors. Medellín 1993-2006
topic Medicina
HIV
Risk
Life style
Homosexuality
Harm reduction
url https://www.redalyc.org/articulo.oa?id=28338308