Views about HIV and sexual health among gay and bisexual Filipino men living in New Zealand

Adams, John S.; Coquilla, Rommel; Montayre, Jed; Manalastas, Eric Julian; Neville, Stephen

doi:10.1080/14635240.2020.1766993

Cited by 9 publications

(27 citation statements)

References 47 publications

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“…Aside from one previous study finding that syphilis coinfection and history of STI were associated with increased likelihood of ART initiation, 47 to our knowledge, the influence of STI on ART initiation has been unexplored. In the Philippine context, STI as a barrier to treatment access may be explained by poor health-seeking behaviors among cis-MSM, 42,47 secondary to sociocultural factors, [14][15][16] and the lack of awareness. 48 We speculate that STI diagnosis adds to the stigma compared to being diagnosed with HIV alone.…”

Section: Discussionmentioning

confidence: 99%

“…However, while engagement seems achievable, it has long been challenged by structural, upstream elements. Filipino sociocultural factors, [14][15][16] including the strong religious underpinning, collectivist foundation, and fatalistic 17 and machismo attitudes, 18 are known to perpetuate stigmatization and act as barriers to accessing sexual health services, especially among sexual and gender minorities, to the point that cis-MSM tend to self-medicate. 16 Moreover, although VL testing has been deemed vital in HIV control in both the individual 19 and population levels, [20][21][22] it continues to be inaccessible in the Philippines, 11 due to expensive costs and clinical and system incapacity.…”

Section: Introductionmentioning

confidence: 99%

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HIV care cascade among cisgender men who have sex with men in a key population-led community center in the Philippines

Eustaquio¹,

Docken

Leyritana³

et al. 2021

Int J STD AIDS

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The HIV epidemic in the Philippines is the fastest growing globally, and disproportionately affects cisgender men who have sex with men (cis-MSM) demanding effective strategies for this key population (KP) group. KP-specific and community-based (CB) interventions have improved the HIV response elsewhere, but these have yet to be evaluated locally. We analyzed the HIV care cascade outcomes in a KP-led, CB HIV test-and-treat center and determined factors that affect these by performing a retrospective study of medical records of 3137 patients diagnosed from January 2016 to March 2019 in LoveYourself in Manila, Philippines. Multivariate logistic regression was performed to determine predictors affecting the likelihood of antiretroviral therapy (ART) initiation and viral load (VL) suppression. As to UNAIDS 90–90–90 targets, LoveYourself had higher rates than national outcomes with 78% initiated ART and 84% achieved VL suppression. Such satisfactory performance is consistent with other studies exploring CB, KP-led approaches among cis-MSM. Patients who presented with WHO Stages 2–4 and those with sexually transmitted infections were less likely to initiate ART. Patients who presented with WHO Stages 2–4 and those whose ART was started late were less likely to be virally suppressed. These findings suggest the need to develop responsive interventions to reach the UNAIDS targets.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

HIV care cascade among cisgender men who have sex with men in a key population-led community center in the Philippines

Eustaquio¹,

Docken

Leyritana³

et al. 2021

Int J STD AIDS

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“…Chiang et al, 2021; Montayre & Ho, 2021; Scragg, 2016; A. Wong, 2015), and Filipino people in particular (Adams et al, 2021; Montayre et al, 2017), is hampered by lack of knowledge about the local services and poor provider engagement with them. For Filipino people, this neglect by health services may be because of the high levels of acculturation assumed by health providers based on the comparatively good English language skills among Filipino migrants (Maneze et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Exploring Understandings of Sexuality Among “Gay” Migrant Filipinos Living in New Zealand

et al. 2022

Self Cite

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Ethnicity, sexuality, and health are inextricably linked. This study reports on individual interviews carried out with 21 “gay” migrant Filipinos living in New Zealand to understand sexual identity and identify how they manage the disclosure of their identity. The participants provided both simple and complex accounts of sexuality. For many, these aligned with Western notions of how gay and bisexual are understood as categories; but for others, their understandings and use of such terms was influenced by Filipino cultural and contextual meanings. This included the use of “gay” as a catch-all category, including for those who identify as transgender. Active and careful management of their diverse identities was reported by participants. While disclosure to family was reasonably common, this was couched in terms of sexuality being tolerated rather than fully accepted. Disclosing identity was comparatively easier in New Zealand, but nonetheless there was active control over disclosure in some work and medical situations. Such findings add a degree of complexity within health promotion and public health, as identity cannot be regarded as static and common understandings do not exist. However, the strong community orientation and relative openness of “gay” Filipinos in relation to sexuality and gender afford opportunities for targeted interventions among this group.

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“…7 Other research has demonstrated that even within a more defined group -Asian gay and bisexual men -sexual health knowledge varies between those born in New Zealand and those born overseas, as well as between Chinese, South Asian and Filipino men. [22][23][24] Health inequity for Rainbow people is often impacted by other identities they hold -such as age (including younger and older), 18,[25][26][27][28][29] ethnicity, 9,19,30,31 migrant status, 22,23 disability, 32 or involvement with social care agencies. 33 Understanding how these identities intersect and how they are negotiated and managed by individuals is necessary, as this may contribute to additional social marginalisation and negatively influence health outcomes.…”

Section: A Diverse Rainbow Community Must Be Accounted Formentioning

confidence: 99%

Rainbow health in Aotearoa New Zealand – finally getting the attention it deserves?

Adams

Neville²

2023

J. Prim. Health Care

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Views about HIV and sexual health among gay and bisexual Filipino men living in New Zealand

Cited by 9 publications

References 47 publications

HIV care cascade among cisgender men who have sex with men in a key population-led community center in the Philippines

HIV care cascade among cisgender men who have sex with men in a key population-led community center in the Philippines

Exploring Understandings of Sexuality Among “Gay” Migrant Filipinos Living in New Zealand

Rainbow health in Aotearoa New Zealand – finally getting the attention it deserves?

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