Mode of access: World Wide Web. / Thesis (Ph. D.)--University of Hawaii at Manoa, 2005. / Includes bibliographical references (leaves 207-219). / Electronic reproduction. / Also available by subscription via World Wide Web / xiii, 219 leaves, bound 29 cm

This study aims to examine the production of HIV/AIDS lessons on Tsha Tsha Entertainment-Education and their reception by HIV-positive men in Soweto, and to find out whether this response impacts on their perception of their roles and responsibilities in HIV/AIDS. The rationale behind this study is that gender and HIV/AIDS has been critical in interventions aimed at combating the disease. Studies in South Africa on gender have revealed that versions of masculinity can be implicated in the increasing infection rates of HIV/AIDS making efforts to combat the disease problematic. A qualitative methodology is used. This method included interviews and focus group discussions. Five interviews were done with programme producers and researchers of Tsha Tsha to find out the major considerations in production. An average of seven HIV-positive men were exposed to 12 episodes of Tsha Tsha to find out their responses in six focus group discussions, and whether these indicated a changed perceptions in their roles and responsibilities in HIV/AIDS. Their responses were then examined under Bandura’s (1971) social learning theory and Hall’s (1977) encoding-decoding theory .This theories explain the considerations in the production of lessons in Tsha Tsha and how audiences respond to those lessons respectively. The findings reveal that audiences (HIV-positive) men identify with lessons around HIV-testing, disclosure, support and those that challenge stigma and masculinity in HIV/AIDS. Disclosure emerges as a major theme and is compared with sub themes of testing, stigma, masculinity and social support to form categories that are presented as the findings. While HIV-disclosure is seen as challenging HIV/AIDS stigma and masculinity, where men accept their condition, and take responsibility to continue occupying their space as men, E-E production can reinforce lessons around disclosure and other coping strategies to combat HIV/AIDS.

This study investigates male sexual behaviour and protective practices in the context of a generalized HIV/AIDS epidemic in Mozambique. It focus on how gender norms, particularly notions of masculinity influence sexual behaviour and the ability of men (and women) to protect themselves against HIV infection. A combination of qualitative and quantitative methods is used in this study. The qualitative data comes from 16 focus group discussions and 20 in-depth interviews and the quantitative data comes from a survey conducted with 209 men and 217 women. This methodological approach has proven useful in exploring complex and sensitive matters such as sexual behaviour. In this study, where it was possible, the findings from the survey were supported by quotes from focus groups discussions and in-depth interviews. The findings of this study reveal that traditional gender norms, particularly rigid notions of masculinity are still prevalent in the study settings. The existing notions of manhood are mostly associated with traditional views of men as providers and main breadwinners. In contrast, women are seen as the family caregivers. Practices which bring social prestige both in the community and in the society at large are highly valued for men. Meanwhile, traditional notions of masculinity face enormous challenges in the existing socio-economic context which is characterized by a lack of employment and widespread poverty. This has negative consequences for male self-esteem including their sense of manhood. The study shows that some men believe that having multiple sexual partners is part of male identity and is supported by culture. Similarly, some women also believe that a man cannot be satisfied with one partner or stay long without having sex. These beliefs have important implications in a country with a high prevalence of HIV/AIDS. The study found that traditional notions of manhood prevent men from accessing correct health information thereby perpetuating the cycle of harmful practices for themselves and their females partners. The findings of this study suggest that despite a universal awareness of HIV infection and protective strategies, multiple sexual partnerships and unprotected sex among heterosexual men and women are the driving force sustaining the HIV/AIDS pandemic in the study settings. This is worsened by the widespread negative meanings attached to condoms. The study shows that the level of condom use (31 percent among men and 20 percent among women) is encouraging but not sufficient to curb the level of HIV infections. Consistent condom use remains a major challenge as much fewer men and women report using condoms in all their sexual encounters. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2010.

Latino men, particularly those who have sex with other men, have been disproportionately affected by HIV/AIDS. Scholars have sought for nearly two decades to understand how various social and cultural factors in the Latino community exacerbate HIV risk among these men. Although following the advent of life-sustaining medications in 1996, HIV is often regarded as a manageable chronic illness, as opposed to a death sentence, scant attention has been devoted to how HIV-positive Latino men experience managing the illness. Among studies that have focused on HIV-positive persons' illness management, few Latino men have participated. Using the Appraisal framework from Hallidayan Systemic Functional Linguistics, with Bucholtz and Hall's theory of social identity (2004, 2005), this discourse analysis sought to explore intersubjective relations as reported by five HIV-positive Latino men, three native-born and two immigrants, in semi-structured interviews that attempted to avoid preconceived expectations about salient structures. While structures such as homophobia, machismo, and stigma emerged in each interview, the native-born men's discourse differed from that of the immigrants in that the former did not address financial concerns with regard to HIV medications, whereas the latter represented their agency as having been constrained by low income requirements for obtaining assistance in accessing expensive HIV medications. This finding tentatively suggests that the issue could be more salient for immigrants than native-born Latinos and warrants additional, more focused research on the effects of the structures of benefit programs on HIV-positive Latino immigrants.

KwaZulu-Natal is the province worst affected by the disease burden of HIV and AIDS with 38.7% of pregnant women attending antenatal clinics (ANC) testing positive for HIV in 2008 (South Africa National Department of Health, 2008; Horwood et al, 2010). The lack of male partner involvement has been recognized as a contributing factor to poor programme adherence by women initiated into the prevention of mother-to-child-transmission (PMTCT) programme in South Africa (Peltzer et al, 2011a). Increasing male partner involvement in the services, therefore, has been acknowledged as one of the strategies that may have an impact in the success of the programme (DOH, 2008; Peltzer et al., 2011a; Reece et al, 2010; Vika et al, 2010) This study aimed to explore and describe male partner involvement in PMTCT services in a selected primary health care facility in KwaZulu-Natal. Five areas were investigated: demographic factors; knowledge; socio-cultural factors; programmatic factors; and the interrelationship between demographic factors, knowledge, socio-cultural factors and programmatic factors on male involvement in PMTCT. A quantitative exploratory descriptive design was conducted in November 2012 at a selected primary health care facility in KwaZulu-Natal. Questionnaires were issued to 90 men. The study revealed some association between certain variables of interest and male involvement. The study recommended that PMTCT programmes need to boost their awareness strategies as a means of increasing male involvement in the services. / Theses (M.N.)-University of KwaZulu-Natal, Durban, 2013.

MPH / Department of Public Health

In English / The purpose of this study was to establish factors affecting the participation of men working in the informal sector economy of South Africa in HIV counselling and testing (HCT) or voluntary counselling and testing (VCT). This includes the exploration of reasons for acceptance and non-acceptance of HIV testing, knowledge and perceptions about HIV testing and behaviours and attitudes towards HIV testing. Data was collected through a structured questionnaire and a sample of fifty (50) men was purposively selected. It was found that the reasons for acceptance of HIV testing are satisfactory and reasons for non-acceptance are still a concern, and that several issues such as education about HIV testing and HIV in general still need to be addressed. Most of the respondents had undergone testing for HIV, but there is still a stigma attached to HIV testing. / Sociology / M. A. (Social Behaviour Studies in HIV/AIDS)

In English / The purpose of this study was to establish factors affecting the participation of men working in the informal sector economy of South Africa in HIV counselling and testing (HCT) or voluntary counselling and testing (VCT). This includes the exploration of reasons for acceptance and non-acceptance of HIV testing, knowledge and perceptions about HIV testing and behaviours and attitudes towards HIV testing. Data was collected through a structured questionnaire and a sample of fifty (50) men was purposively selected. It was found that the reasons for acceptance of HIV testing are satisfactory and reasons for non-acceptance are still a concern, and that several issues such as education about HIV testing and HIV in general still need to be addressed. Most of the respondents had undergone testing for HIV, but there is still a stigma attached to HIV testing. / Sociology / M. A. (Social Behaviour Studies in HIV/AIDS)

AIDS-related illnesses are the leading cause of deaths in South Africa. Alcohol misuse among male youths fuels the risk of Sexually Transmitted Infections (STIs), including HIV. Literature review was conducted on the association of alcohol misuse and the risk of contracting HIV among male youths. In this qualitative study fourteen male youths, all from Soshanguve in Gauteng province, participated in face-to-face interviews. The male youths who misuse alcohol show greater signs of indulging in risky sexual intercourse. In addition, the male youths who find their sexual partners at taverns were less likely to use condoms during sex. Other factors linked to alcohol misuse that hinder HIV-prevention include multiple sexual partners, transactional sex, men who have sex with men (MSM), young men’s dominance over young women and non-use of condoms. The findings of this research project indicate the need of deliberate focus on alcohol misuse during HIV-prevention education. HIV-prevention interventions should pay attention to reducing sexual risk behaviour associated with alcohol misuse among young men. / Sociology / M.A. (Social Behaviour Studies in HIV/AIDS)

Embora a velhice seja uma realidade biológica, os significados que lhe são atribuídos são construções sociais e históricas. O aumento de casos de HIV/Aids entre pessoas acima de 60 anos tem sido reportado por pesquisadores, pois os dados mostram o crescimento de casos proporcionais de HIV/Aids entre idosos comparado com outras faixas de idade. Entre as razões para essa progressão está a desinformação desse público no que se refere ao autocuidado, a maior oferta de fármacos contra disfunção erétil, o baixo uso de preservativos nessa geração e o atraso no diagnóstico. O objetivo deste trabalho foi compreender as repercussões biopsicossociais de conviver com HIV/Aids para idosos na cidade do Recife. Participaram nove idosos (quatro do sexo feminino e cinco do sexo masculino), na faixa etária compreendida entre 60 e 76 anos, residentes na cidade do Recife, que estavam em tratamento e/ou acompanhamento no SAE (Serviço de Assistência Especializada em HIV/Aids) da Policlínica Lessa de Andrade. Foi realizada uma entrevista conduzida de forma semidirigida e organizada a partir de um roteiro previamente estabelecido, que foi gravada e transcrita. As informações colhidas foram analisadas com base na Técnica de Análise de Conteúdo Temática. Os resultados mais expressivos apontaram: o impacto do diagnóstico de HIV/Aids no paciente, acompanhado de sentimentos de tristeza, revolta, culpa, desespero, aprisionamento e medo; preconceito e abandono por parte de alguns familiares, amigos e vizinhos que fazem parte do cotidiano desses idosos; uma dimensão ontológica da sexualidade, rompendo com o estereótipo da velhice marcada pela assexualidade, recolhimento e passividade; as construções de gênero e a representação social da Aids associadas como a doença do outro como fatores determinantes para a percepção da invulnerabilidade ao HIV/Aids entre pessoas desse grupo etário; a espiritualidade como sustentação, dimensão que serve para apaziguar a dor e o sofrimento diante da sorologia positiva para o HIV; saúde física dos idosos comprometida em virtude da destruição progressiva e gradativa das células de defesa do organismo associada às doenças inerentes à velhice; o despreparo por parte da equipe de saúde para lidar com o HIV/Aids nessa faixa etária, ocasionando o diagnóstico tardio. Este trabalho teve, portanto, o intuito de contribuir para iluminar o campo de saberes e práticas que têm como horizonte de preocupações éticas e políticas a diminuição da vulnerabilidade dos idosos ao HIV/Aids.