2015, Number S2
<< Back Next >>
salud publica mex 2015; 57 (S2)
“Give me a pill”: the meanings of AIDS in bareback practice in Mexico City and its implications for HIV prevention
Cuadra-Hernández SM, Baruch-Domínguez R, Infante C, Granados-Cosme JA
Language: Spanish
References: 33
Page: 113-118
PDF size: 232.44 Kb.
ABSTRACT
Objective. To analyze and understand the meanings that
gay men in Mexico City associate to unprotected sex such as
bareback practices.
Materials and methods. Exploratory
qualitative study that uses grounded theory analysis of semistructured
interviews with gay men that practice bareback sex
recruited through the internet. Also a documentary analysis
was performed.
Results. Gay men engage in bareback sexual
practices because they have access to antiretroviral therapy.
Access to treatment changes the meanings around AIDS and
the perceived risk of infection. The confidence on treatment
and the dropback of the Mexican government on preventive
strategies explain these perceptions.
Conclusions. Urban
and middle class gay men in Mexico City have changed their
perception with respect to HIV infection. It is necessary to
understand the meanings related to bareback sexual practices
and the use of condoms as a preventive strategy. We have to
retake the discussion on preventive strategies, damage mitigation,
stigma, discrimination, early diagnosis and the impact of
antiretroviral therapy.
REFERENCES
Parker R, Aggleton P. HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action. Soc Sci Med 2003;57(1):13-24.
Marins JR, Jamal LF, Chen SY, Barros MB, Hudes ES, Barbosa AA, et al. Dramatic improvement in survival among adult Brazilian AIDS patients. AIDS 2003;17:1675-1682.
Hernández D, Cuadra SM, Dreser A, Caballero M, Leyva R, Bronfman M. Chetumal. En: Bronfman M, Leyva R, Negroni M, eds. Movilidad poblacional y VIH/Sida. Contextos de vulnerabilidad en México y Centroamérica. Cuernavaca: INSP, 2004:155-178.
Adam B, Husbands W, Murray J Maxwell J. Silence, assent and HIV risk. Cult Health Sex 2008;10(8):759-772.
Baruch R. La epidemia del VIH entre hombres que tienen sexo con otros hombres en México: el caso del bareback. México, DF: Espolea AC, 2014.
Bauermeister JA, Carballo-Diéguez A, Ventuneac A, Dolezal C. Assessing motivations to engage in intentional condomless anal intercourse in HIV risks contexts among men who have sex with men. AIDS Educ Prev 2009;21(2):156-168.
Bourdieu P. Razones prácticas. Sobre la teoría de la acción. Barcelona: Anagrama, 2002:141-145.
Shernof M. Condomless sex: gay men, barebacking and harm reduction. Soc Work 2006;51(2):106-113.
Pollock J, Halkitis P. Environmental factors in relation to unprotected sexual behavior among gay, bisexual and other MSM. AIDS Educ Prev 2009;21:4;340-355.
Wood E, Braitstein P, Montaner JSG, Schechter MT, Tyndall MW, O’Shaughnessy MV, et al. Extent to which low-level use of antiretroviral treatment could curb the AIDS epidemic in Sub-Saharan Africa. Lancet 2000; 355(9221):2095-2100.
Bautista-Arredondo S, Dmytraczenko T, Kombe G, Bertozzi S. Costing of scaling up HIV/AIDS treatment in Mexico. Salud Publica Mex 2008;50(4):437-444.
Rowe M, Dowsett G. Sex, love, friendship, belonging and place: Is there a role for ‘Gay Community’ in HIV prevention today? Cult Health Sex 2008;10(4):329-344.
Ostergreen J, Simon-Rosser BR, Horvartth KJ. Reasons for non-use of condoms among men who have sex with men: a comparison of receptive and insertive role in sex and online and offline meeting venue. Cult Health Sex 2011;2(13):123-140
McInnes D, Bradley J, Prestage G. Responsibility, risk and negotiation in the discourse of gay men’s group sex. Cult Health Sex 2011;1(13):73-87.
Kippax S. Understanding and integrating the structural and biomedical determinants of HIV infection: a way forward for prevention. Curr Opin HIV AIDS 2008;3(4):489-494.
Halkitis P, Parsons J. Intentional unsafe sex among HIV-positive men who seek sexual partners on the internet. AIDS Care 2003;15(3):367-378.
Fernández MI, Vargas LM, Perrino T. The internet as recreuitment tool for HIV studies. AIDS Care 2004;16(8):953-958.
Nodin N, Valera P, Ventuneac A, Maynard E, Carballo-Diéguez A. The Internet profiles of men who have sex with men within bareback websites. Cult Health Sex 2011;9(13):1015-1029.
Bertaux D. From the life-history approach to the transformation of sociological practice. En: Biography and society: the life history approach in the social sciences, London: Sage, 1981:29-45
Figueroa J. El significado de consentimiento informado dentro de los procesos de investigación social sobre reproducción. Perinatal Reprod Hum 1999;13:32-43.
Sacchi-dos Santos E. Educaçao e pesquisa de prácticas sexuais de risco. En: Homossexualidade: Produçao cultural, cidadania e saúde. Rio de Janeiro: ABIA, 2004:194.
Montalvo G, Vitela N. Un juego macabro. Periódico Reforma 2008 agosto 6; sección nacional
Altamirano C. Barebacks: desafían al Sida. Periódico El Universal 2006 marzo 24; sección Nación.
Calderón F. Coger a pelo, un asunto peligroso. Revista SerGay 2005; julio: 1.
Brito A. Por el derecho a todos los derechos. Periódico La Jornada 2003 junio 5: Suplemento Letra S.
Crossley M. Making sense of barebacking: gay men’s narratives, safe sex and the resistance habitus. Br Soc Psychol 2004;43:225-244.
Goffman E. La presentación de la persona en la vida cotidiana. Buenos Aires: Amorrortu editores, 1959.
Shernof M. Without condoms: unprotected sex, gay men and barebacking. London: Routledge, 2005:23.
Berg RC. Barebacking among MSM internet users. AIDS Behav 2008;12:822-833.
Castells M. La sociedad red: una visión global. Madrid: Alianza Editorial, 2006.
Jordan T. Internet, sexo, riesgo y autocuidado: la conducta sexual de los HSH. Buenos Aires: Universidad de Buenos Aires, 2010.
Davis M, Bolding G, Sherr L, Elford. Sex and the Internet: gay men, risk reduction and serostatus. Cul Health Sex 2006;8(2):161-174.
33 Rivers R. Routledge handbook of sexuality, health and rights, edited by Peter Aggleton and Richard Parker. Critical Public Health 2012;22(4):487-488.