Doing Sexual Responsibility: HIV, Risk Discourses, Trust, and Gay Men Interacting Online

Robinson, Brandon Andrew

doi:10.1177/0731121417709248

Cited by 16 publications

(6 citation statements)

References 44 publications

(107 reference statements)

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“…For many men, the empowerment and responsibility afforded by HIVST proved to be a positive force, but for others it amplified concerns about the test’s accuracy and making a mistake in its administration. The ambivalent effects of intensifying feelings of personal responsibility in this study was consistent with the discussion in previous literatures in relation to HIV testing [ 34 – 36 ]. Regarding successful scale-up of HIVST, the implementors need to consider helping or encouraging men with psychological or emotional burden for testing by themselves to seek support throughout the testing process by a trained provider.…”

Section: Discussionsupporting

confidence: 92%

Sustaining success: a qualitative study of gay and bisexual men’s experiences and perceptions of HIV self-testing in a randomized controlled trial

et al. 2021

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Background HIV self-testing was proved as an effective tool for increasing testing frequency in gay and bisexual men at high risk of infection. Questions remain about understanding why HIVST encouraged testing and how such success can be translated to programmatic implementation. Methods We conducted a qualitative investigation of how FORTH participants experienced and perceived HIVST. Stratified sampling was used to recruit gay and bisexual men participating in the FORTH HIVST intervention to take part in interviews, focusing on infrequent testers and those who had received inaccurate HIVST results. Results Our analysis identified several prominent themes organized into two overarching domains from the 15 interviews: (i) aspects of HIVST contributing to HIV testing frequency, and (ii) sustaining HIVST into the future. Participants also believed that their use of HIVST in the future would depend on the test kit’s reliability, particularly when compared with highly reliable clinic-based testing. Conclusion HIVST increases the frequency of HIV testing among gay and bisexual men due, in part, to the practical, psychological, and social benefits it offers. To capitalize fully on these benefits, however, strategies to ensure the availability of highly reliable HIVST are required to sustain benefits beyond the confines of a structured research study.

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Section: Discussionsupporting

confidence: 92%

Sustaining success: a qualitative study of gay and bisexual men’s experiences and perceptions of HIV self-testing in a randomized controlled trial

et al. 2021

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“…This parallels HIV‐related moral boundary work, as sexual minority men have been ‘othered’ by the population at large due to their associations with HIV and stigmatized sexual behaviour (Braksmajer & London, 2021). Furthermore, HIV‐positive men continue to experience stigma associated with their status within sexual minority communities, which in many cases impacts their sexual desirability (Robinson, 2018).…”

Section: Discussionmentioning

confidence: 99%

‘It's just a matter of playing the odds’: Navigating risks associated with sexual behaviour in the COVID‐19 era

Braksmajer

Cserni

2021

Sociology Health & Illness

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Since the outbreak of the COVID‐19 pandemic, scholars and popular media outlets have been speculating on the pandemic's effects on sexual relationships. While research differs as to whether COVID‐19 is associated with sexual behaviour changes, none has focused on how sexual risk‐taking during the pandemic is perceived and accomplished. Drawing on semi‐structured interview data collected from 30 sexual minority men in the US, this study explores how men make sense of and manage risk during sexual activity taking place outside the bounds of lockdown. Four themes arose from these interviews: (a) the commonality of sexual activity despite COVID‐19 risk; (b) sexual motivations rooted in emotions such as desire, longing for connection, and the wish to live fully in the face of the pandemic; (c) varied perceptions regarding the possibility of preventing COVID‐19 infection; and (d) risk assessment and management strategies that were similar to those used for HIV prevention. Assuming or calling for abstinence neglects questions of risk navigation and omits the experiences of large swaths of the population. Addressing these issues might minimize COVID‐19 transmission associated with sexual risk‐taking among sexual minority men.

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“…Within the gay community, sexualized racism and disproportionate disease burden excluded Black and Latino GBQ men as ideal partners, such that other gay men perceive them as intrinsically promiscuous and, consequently, likely to have HIV (Diaz and Ayala 1999). Concurrently, the White gay male imaginary fetishized Black and Latino GBQ men for their presumed promiscuousness, reducing them to sex objects for racialized fantasies about their bodies, masculinity, and sexual appetite (Robinson 2018).…”

Section: Community Influences On Relational Expectationsmentioning

confidence: 99%

Relational Risk: How Relationships Shape Personal Assessments of Risk and Mitigation

Urena

2022

Am Sociol Rev

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Objects of risk mitigation are typically viewed as neutral items that limit exposure to an established hazard. However, people may refuse to adopt such tools, even when they feel vulnerable. This article explores how people assess their personal risk and mitigation options by examining PrEP use for HIV prevention. Drawing on semi-structured in-depth interviews with 40 Black and Latino gay, bisexual, and queer men, I argue PrEP uptake is a socially contextualized decision influenced by relational concerns. I develop the concept of relational inoculation, wherein individuals enact a sense of protection against harm through relational work. As individuals consider PrEP, they also contemplate how it may bolster or undermine intimacy they value for reducing interpersonal HIV exposure, as well as dispelling stigmatized notions of riskiness held by their intersecting ethno-racial and sexual minority communities. I develop testable propositions about how respondents’ HIV risk assessments and PrEP use are enmeshed in a societal context of surveillance, in ongoing relations with intimate partners and socially significant others, and in navigation of community belonging within this milieu of risk. This article contributes to sociological research at the nexus of race, sexuality, and health, and offers health policy insight.

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Doing Sexual Responsibility: HIV, Risk Discourses, Trust, and Gay Men Interacting Online

Cited by 16 publications

References 44 publications

Sustaining success: a qualitative study of gay and bisexual men’s experiences and perceptions of HIV self-testing in a randomized controlled trial

Sustaining success: a qualitative study of gay and bisexual men’s experiences and perceptions of HIV self-testing in a randomized controlled trial

‘It's just a matter of playing the odds’: Navigating risks associated with sexual behaviour in the COVID‐19 era

Relational Risk: How Relationships Shape Personal Assessments of Risk and Mitigation

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