Sean Slavin
Dados Biográficos
| ID | 122435 |
|---|---|
| NOME | Sean Slavin |
| PRENOMES | Sean |
| SOBRENOME | Slavin |
| ASSINATURA | SLAVIN S |
| AFILIAÇÕES | UNSW Sydney |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 21 |
| TOTAL DE CITAÇÕES | 93 |
| TOTAL COMO AUTOR | 21 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2003 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2018 |
| ÍNDICE H | 5 |
Negotiating trust and struggling for control
Despite the frequent occurrence of unwanted disclosure of HIV status in Australia, there is little understanding of its determinants and consequences. This paper offers an analysis of lived experiences of unwanted disclosure amongst 28 people with HIV in urban settings in Australia. Of the 28 individuals interviewed, 17 men and 8 women had experienced unwanted disclosure of their HIV status by other people in work, health, social and other settin…
The relationship between negative responses to HIV status disclosure and psychosocial outcomes among people living with HIV
This report examines rates of HIV status disclosure and negative responses to disclosure among people living with HIV in Australia. Among 697 people living with HIV, most (>90%) had disclosed their status to friends, sexual partners and health providers. Almost a third had not disclosed to family, and half had not told any work colleagues. Negative responses to disclosure (e.g. blame, rejection) by all groups were associated with increased HIV-re…
HIV Treatment as Prevention
Evidence has been accumulating in recent years that individuals with HIV who are effectively treated with antiretroviral drugs are highly unlikely to transmit the virus to their sexual partners. This approach has great potential to contribute to ongoing prevention efforts and has been termed 'treatment as prevention'. International political momentum has been building in recent years to attempt to significantly reduce new HIV infections globally …
The Positive Outlook Study
Beliefs in Antiretroviral Treatment and Self-Efficacy in HIV Management are Associated with Distinctive HIV Treatment Trajectories
Chronic Disease Self-Management by People With HIV
As HIV has transitioned into a chronic disease, reappraisal of clinical management has occurred with chronic disease self-management (CDSM) as one possibility. However, despite extensive work on CDSM across a range of diseases, little attention has focused on psychosocial contexts of the lives of people for whom programs are intended. This article reports semi-structured interviews used to explore health practices and motivations of 33 people wit…
The impact of HIV treatment-related stigma on uptake of antiretroviral therapy
HIV-related stigma has been linked to avoidance of health care services and suboptimal adherence to antiretroviral therapy (ART). However, less is known about concerns of stigma related specifically to the taking of ART in uptake of treatment. This study examines experiences of HIV treatment-related stigma and assesses if these experiences are associated with ART uptake, independent of general HIV-related stigma. People living with HIV (PLHIV; n …
Informing the development of an online self-management program for men living with HIV
The findings from this needs assessment highlight the need to target socio-emotional contexts of HIV positive men's daily lives to improve quality of life and well-being. Intervention priorities for the proposed online self-management program include: (1) managing the emotional impact of HIV; (2) disclosing HIV status to family and friends; (3) maintaining social connectedness; (4) managing HIV within intimate relationships; and (5) disclosure of…
The positive outlook study- a randomised controlled trial evaluating the effectiveness of an online self-management program targeting psychosocial issues for men living with HIV
ACTRN12612000642886
Understanding Concerns About Treatment-as-Prevention Among People with HIV who are not Using Antiretroviral Therapy
Advancing Sexuality Studies
Critical Sexuality Studies is an emerging field of academic enquiry linked to an international network of advocacy agencies, activists, and political issues. This paper reports on the development of an advanced short course in sexuality theory and research, drawing on Critical Sexuality Studies and aiming directly at academics in developing countries working in sexuality issues. Over a three-year period, a new curriculum was developed by an inter…
Australian prescribers' perspectives on ART initiation in the era of “treatment as prevention”
This study explores Australian prescribers' attitudes towards Treatment as Prevention (TasP) and their practices around initiating combination antiretroviral treatment (cART) for HIV. A brief online survey was conducted nationally amongst antiretroviral treatment (ART) prescribers in Australia. The sample broadly represented ART prescribers in Australia (N = 108), with 40.7% general practitioners (GPs), 25.9% sexual health clinic-based physicians…
Experiences of HIV stigma
For many people living with HIV (PLHIV), disclosure or concealment of their HIV status may be under their personal control; however, for PLHIV with visible symptoms of their illness, disclosure may no longer be a choice. Previous research suggests that those with visible HIV symptoms have poorer mental and physical health than those without visible HIV symptoms. This study aimed to extend these findings and assess the role of perceived centrality…
My body, my life, my choice
In this study we examine the sociocultural meaning and use of complementary and alternative medicine (CAM) by nine people living with HIV/AIDS (PLWHA) and four CAM practitioners. Analysis revealed five themes: focus on health not illness; resistance to antiretroviral therapy and adherence; allopathic medicine as narrow; difficulty disclosing to doctors; and a continuum of CAM that sometimes included conventional medicine and sometimes excluded it…
Instinctively, I'm Not Just a Sexual Beast
This article reports on findings from a participatory research study that aimed to ask gay men about the things they valued in relation to sex, in order to better frame HIV prevention efforts around pleasure rather than risk. Participants responded by insisting that they could not discuss their sexual behaviours without also discussing relationships, intimacy, love and romance. However, in the context of heteronormative ideals for relationships, …
Fear appeals and treatment side-effects
Recent rises in the incidence of HIV infections among gay men in Australia have produced widespread discussion about appropriate health promotion responses. This has sometimes included calls for a return to fear-based campaigns, exemplified by the Grim Reaper advertisements in HIV. This paper discusses results from four focus groups that tested mock campaign material based on an appeal to fear. Five different poster images were tested among group…
Understandings of risk among HIV seroconverters in Sydney
This paper examines the risk discourses of Sydney gay men who had recently become HIV positive. 92 in depth interviews were conducted eliciting narratives about the incident in which they believed they became infected. The veracity of this narrative was negotiated between the interviewer and participant. Qualitative analysis was performed in order to distinguish different styles of thinking and acting in relation to risk. Two overarching discours…
Crystal Methamphetamine use among Gay Men in Sydney
Crystal methamphetamine is used by gay men in Sydney in a variety of social and sexual contexts and by various means including injection. This paper presents detailed ethnographic data that explore some of the social and cultural characteristics of Sydney gay men's crystal use and other associated practices. The meaning of these practices is explored through a discussion of cultural boundaries and social exchange that traverses them. These bounda…
Drugs, Space, and Sociality in a Gay Nightclub in Sydney
Based on fieldwork in Sydney, Australia, this article presents an ethnographic account of a night out in a gay nightclub. Detailed description covers recreational injecting drug use, sex and dancing, the club itself, and the surrounding area. From this, a concept of social or tribal space is developed that takes account of multiplicity and flux. This enables the exploration of drug use as one element within an environment that produces and is pro…
Seroconversion in context
This paper describes the accounts that homosexually active men give of their HIV seroconversion and interrogates these accounts for risk discourses. In particular, this paper asks whether the risk discourses of HIV researchers and educators are present in the men's narratives of their own seroconversion. Such discourses make reference to 'unsafe' sex--particularly the practice of unprotected anal intercourse, numbers of sexual partners or 'promis…
Walking as Spiritual Practice
This article examines the experiences of pilgrims walking to the shrine of St James in Santiago de Compostela, Spain. It argues that walking is a social practice operating at the nexus between body and self. Pilgrims do not generally regard walking as a spiritual practice at the journey's outset. They do, however, develop a deep awareness of the multiple effects of walking as they progress along the route. Pilgrims report a variety of techniques …
Walking as Spiritual Practice
This article examines the experiences of pilgrims walking to the shrine of St James in Santiago de Compostela, Spain. It argues that walking is a social practice operating at the nexus between body and self. Pilgrims do not generally regard walking as a spiritual practice at the journey's outset. They do, however, develop a deep awareness of the multiple effects of walking as they progress along the route. Pilgrims report a variety of techniques …
Instinctively, I'm Not Just a Sexual Beast
This article reports on findings from a participatory research study that aimed to ask gay men about the things they valued in relation to sex, in order to better frame HIV prevention efforts around pleasure rather than risk. Participants responded by insisting that they could not discuss their sexual behaviours without also discussing relationships, intimacy, love and romance. However, in the context of heteronormative ideals for relationships, …
Drugs, Space, and Sociality in a Gay Nightclub in Sydney
Based on fieldwork in Sydney, Australia, this article presents an ethnographic account of a night out in a gay nightclub. Detailed description covers recreational injecting drug use, sex and dancing, the club itself, and the surrounding area. From this, a concept of social or tribal space is developed that takes account of multiplicity and flux. This enables the exploration of drug use as one element within an environment that produces and is pro…
Chronic Disease Self-Management by People With HIV
As HIV has transitioned into a chronic disease, reappraisal of clinical management has occurred with chronic disease self-management (CDSM) as one possibility. However, despite extensive work on CDSM across a range of diseases, little attention has focused on psychosocial contexts of the lives of people for whom programs are intended. This article reports semi-structured interviews used to explore health practices and motivations of 33 people wit…
Crystal Methamphetamine use among Gay Men in Sydney
Crystal methamphetamine is used by gay men in Sydney in a variety of social and sexual contexts and by various means including injection. This paper presents detailed ethnographic data that explore some of the social and cultural characteristics of Sydney gay men's crystal use and other associated practices. The meaning of these practices is explored through a discussion of cultural boundaries and social exchange that traverses them. These bounda…
Negotiating trust and struggling for control
Despite the frequent occurrence of unwanted disclosure of HIV status in Australia, there is little understanding of its determinants and consequences. This paper offers an analysis of lived experiences of unwanted disclosure amongst 28 people with HIV in urban settings in Australia. Of the 28 individuals interviewed, 17 men and 8 women had experienced unwanted disclosure of their HIV status by other people in work, health, social and other settin…
The relationship between negative responses to HIV status disclosure and psychosocial outcomes among people living with HIV
This report examines rates of HIV status disclosure and negative responses to disclosure among people living with HIV in Australia. Among 697 people living with HIV, most (>90%) had disclosed their status to friends, sexual partners and health providers. Almost a third had not disclosed to family, and half had not told any work colleagues. Negative responses to disclosure (e.g. blame, rejection) by all groups were associated with increased HIV-re…
Seroconversion in context
This paper describes the accounts that homosexually active men give of their HIV seroconversion and interrogates these accounts for risk discourses. In particular, this paper asks whether the risk discourses of HIV researchers and educators are present in the men's narratives of their own seroconversion. Such discourses make reference to 'unsafe' sex--particularly the practice of unprotected anal intercourse, numbers of sexual partners or 'promis…
Walking as Spiritual Practice
This article examines the experiences of pilgrims walking to the shrine of St James in Santiago de Compostela, Spain. It argues that walking is a social practice operating at the nexus between body and self. Pilgrims do not generally regard walking as a spiritual practice at the journey's outset. They do, however, develop a deep awareness of the multiple effects of walking as they progress along the route. Pilgrims report a variety of techniques …
Understandings of risk among HIV seroconverters in Sydney
This paper examines the risk discourses of Sydney gay men who had recently become HIV positive. 92 in depth interviews were conducted eliciting narratives about the incident in which they believed they became infected. The veracity of this narrative was negotiated between the interviewer and participant. Qualitative analysis was performed in order to distinguish different styles of thinking and acting in relation to risk. Two overarching discours…
Crystal Methamphetamine use among Gay Men in Sydney
Crystal methamphetamine is used by gay men in Sydney in a variety of social and sexual contexts and by various means including injection. This paper presents detailed ethnographic data that explore some of the social and cultural characteristics of Sydney gay men's crystal use and other associated practices. The meaning of these practices is explored through a discussion of cultural boundaries and social exchange that traverses them. These bounda…
Drugs, Space, and Sociality in a Gay Nightclub in Sydney
Based on fieldwork in Sydney, Australia, this article presents an ethnographic account of a night out in a gay nightclub. Detailed description covers recreational injecting drug use, sex and dancing, the club itself, and the surrounding area. From this, a concept of social or tribal space is developed that takes account of multiplicity and flux. This enables the exploration of drug use as one element within an environment that produces and is pro…
Fear appeals and treatment side-effects
Recent rises in the incidence of HIV infections among gay men in Australia have produced widespread discussion about appropriate health promotion responses. This has sometimes included calls for a return to fear-based campaigns, exemplified by the Grim Reaper advertisements in HIV. This paper discusses results from four focus groups that tested mock campaign material based on an appeal to fear. Five different poster images were tested among group…
Instinctively, I'm Not Just a Sexual Beast
This article reports on findings from a participatory research study that aimed to ask gay men about the things they valued in relation to sex, in order to better frame HIV prevention efforts around pleasure rather than risk. Participants responded by insisting that they could not discuss their sexual behaviours without also discussing relationships, intimacy, love and romance. However, in the context of heteronormative ideals for relationships, …
My body, my life, my choice
In this study we examine the sociocultural meaning and use of complementary and alternative medicine (CAM) by nine people living with HIV/AIDS (PLWHA) and four CAM practitioners. Analysis revealed five themes: focus on health not illness; resistance to antiretroviral therapy and adherence; allopathic medicine as narrow; difficulty disclosing to doctors; and a continuum of CAM that sometimes included conventional medicine and sometimes excluded it…
Advancing Sexuality Studies
Critical Sexuality Studies is an emerging field of academic enquiry linked to an international network of advocacy agencies, activists, and political issues. This paper reports on the development of an advanced short course in sexuality theory and research, drawing on Critical Sexuality Studies and aiming directly at academics in developing countries working in sexuality issues. Over a three-year period, a new curriculum was developed by an inter…
Australian prescribers' perspectives on ART initiation in the era of “treatment as prevention”
This study explores Australian prescribers' attitudes towards Treatment as Prevention (TasP) and their practices around initiating combination antiretroviral treatment (cART) for HIV. A brief online survey was conducted nationally amongst antiretroviral treatment (ART) prescribers in Australia. The sample broadly represented ART prescribers in Australia (N = 108), with 40.7% general practitioners (GPs), 25.9% sexual health clinic-based physicians…
Experiences of HIV stigma
For many people living with HIV (PLHIV), disclosure or concealment of their HIV status may be under their personal control; however, for PLHIV with visible symptoms of their illness, disclosure may no longer be a choice. Previous research suggests that those with visible HIV symptoms have poorer mental and physical health than those without visible HIV symptoms. This study aimed to extend these findings and assess the role of perceived centrality…
Informing the development of an online self-management program for men living with HIV
The findings from this needs assessment highlight the need to target socio-emotional contexts of HIV positive men's daily lives to improve quality of life and well-being. Intervention priorities for the proposed online self-management program include: (1) managing the emotional impact of HIV; (2) disclosing HIV status to family and friends; (3) maintaining social connectedness; (4) managing HIV within intimate relationships; and (5) disclosure of…
The positive outlook study- a randomised controlled trial evaluating the effectiveness of an online self-management program targeting psychosocial issues for men living with HIV
ACTRN12612000642886
Understanding Concerns About Treatment-as-Prevention Among People with HIV who are not Using Antiretroviral Therapy
The impact of HIV treatment-related stigma on uptake of antiretroviral therapy
HIV-related stigma has been linked to avoidance of health care services and suboptimal adherence to antiretroviral therapy (ART). However, less is known about concerns of stigma related specifically to the taking of ART in uptake of treatment. This study examines experiences of HIV treatment-related stigma and assesses if these experiences are associated with ART uptake, independent of general HIV-related stigma. People living with HIV (PLHIV; n …
HIV Treatment as Prevention
Evidence has been accumulating in recent years that individuals with HIV who are effectively treated with antiretroviral drugs are highly unlikely to transmit the virus to their sexual partners. This approach has great potential to contribute to ongoing prevention efforts and has been termed 'treatment as prevention'. International political momentum has been building in recent years to attempt to significantly reduce new HIV infections globally …
The Positive Outlook Study
Beliefs in Antiretroviral Treatment and Self-Efficacy in HIV Management are Associated with Distinctive HIV Treatment Trajectories
Chronic Disease Self-Management by People With HIV
As HIV has transitioned into a chronic disease, reappraisal of clinical management has occurred with chronic disease self-management (CDSM) as one possibility. However, despite extensive work on CDSM across a range of diseases, little attention has focused on psychosocial contexts of the lives of people for whom programs are intended. This article reports semi-structured interviews used to explore health practices and motivations of 33 people wit…
The relationship between negative responses to HIV status disclosure and psychosocial outcomes among people living with HIV
This report examines rates of HIV status disclosure and negative responses to disclosure among people living with HIV in Australia. Among 697 people living with HIV, most (>90%) had disclosed their status to friends, sexual partners and health providers. Almost a third had not disclosed to family, and half had not told any work colleagues. Negative responses to disclosure (e.g. blame, rejection) by all groups were associated with increased HIV-re…
Negotiating trust and struggling for control
Despite the frequent occurrence of unwanted disclosure of HIV status in Australia, there is little understanding of its determinants and consequences. This paper offers an analysis of lived experiences of unwanted disclosure amongst 28 people with HIV in urban settings in Australia. Of the 28 individuals interviewed, 17 men and 8 women had experienced unwanted disclosure of their HIV status by other people in work, health, social and other settin…
Medicine (16 obras) · Psychology (16 obras) · HIV/AIDS Research and Interventions (15 obras) · Family medicine (11 obras) · Social Psychology (10 obras) · Sociology (10 obras) · HIV, Drug Use, Sexual Risk (8 obras) · Nursing (8 obras) · Psychiatry (8 obras) · Public health (8 obras)