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American Indian gay, bisexual and two-spirit men

A rapid assessment of HIV/Aids risk factors, barriers to prevention and culturally-sensitive intervention

Datos Bibliográficos

ID15099503
AutoresDerek J Burks (Mental Illness Research, Education, and Clinical Centre, autor de correspondencia), R Robbins (0000-0002-7875-9645, University of Oklahoma), Jayson P Durtschi (Portland Community College)
Año2011
Volumen13
Número3
Páginas283-298
Fecha de publicación2011-03-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaCulture Health & Sexuality (JOURNAL)
Identificadores de la revistaISSN: 1369-1058 • E-ISSN: 1464-5351
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2010.525666
PMID21049311
OpenAlexW2042718531
IdiomaEN
Citas recibidas13
Referencias citadas28

Epidemiological data indicate that HIV and AIDS are disproportionately affecting American Indians. Specific to American Indian men identifying as gay, bisexual, two-spirit or who have same-sex experiences, this study assessed HIV-risk behaviours and barriers to testing, prevention and treatment efforts. A rapid assessment model was utilised as an indigenous-supporting research design. Rigour and thoroughness were achieved via multiple validation procedures. Central themes surrounding barriers to HIV prevention included social discrimination, low self-esteem and substance use. Findings suggest the underutilisation of condoms due to ineffective placement and limited availability in popular locations among gay, bisexual and two-spirit individuals. Participants indicated that HIV testing is occurring less frequently and that testing was not available after hours or weekends. Barriers to treatment included a mistrust of the current healthcare system, a perceived lack of support from the Indian Health Service for AIDS care and a lack of transportation to healthcare appointments. Lastly, participants discussed and supported culturally-sensitive treatment services. This study calls attention to the value of an American Indian-specific HIV/AIDS service organisation, the presence of indigenous service providers in the community and culturally-sensitive healthcare providers

Family medicine · Health care · Indigenous · Political science · Rigour · Service provider · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology · Gerontology

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Obras citantes distintas13
Citas por año0,87
Intervalo de citas2011 - 2024 (14)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 10
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