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This dissertation examines how Black and Latino men who have sex with men (MSM) are making sense of the contemporary HIV/AIDS epidemic and their relation to it. Black and Latino MSM in the United States are disproportionately impacted by HIV. Interdisciplinary scholarship on the matter has conceptualized risk as an intrinsic facet of HIV. However, this research has paid little attention to the process by which Black and Latino MSM form their HIV risk perceptions. In this dissertation, I advance the “risk ecology framework” as a novel socioecological approach for understanding risk perception. This framework conceives of HIV risk perception as emerging from individuals’ relationship to HIV as shaped by the intersecting influences of the broader social environment. I base my analysis on 40 in-depth semi-structured interviews with HIV-negative Black and Latino MSM in New York City, as well as a year of participant-observation with a health advocacy group that serves this community. I find respondents form their risk perceptions by reflecting on HIV vis-à-vis their respective and distinctive social locations. The intersections of race, class, and sexuality come to be associated with HIV risk across the ecological levels of an individual’s lived experience, revealing a risk ecology, or a set of interrelated potential threats posed by HIV. I find this risk ecology to be reflected in Black and Latino MSM’s framing of HIV as a risk to their bodily health and social wellbeing, on the one hand. Or, its framing as personally irrelevant, on the other. Relationships and interactions with family, friends, and romantic/sexual partners inform what Black and Latino MSM understand HIV to potentially threaten. Respondents and the people in their lives draw upon culturally-available discourses, rhetoric, and beliefs concerning HIV that reflect how the institutionalization of racial, social, and sexual inequalities structure risk perception. With respect to health-relevant behaviors, I demonstrate how the analysis of risk perception formation clarifies the ways in which Black and Latino MSM make use of preventative tools and construct meanings about sex. I conclude with a discussion of the broader implications of the risk ecology framework for future health policy and further sociological research. By interrogating what it means to be at-risk, this dissertation lends crucial insight into the persistence of the HIV epidemic at a time when the means to end it are available, and also enriches sociological understandings of risk both within and beyond the public health domain.

As rates of HIV transmission have accelerated in Kazakhstan over the past ten years, gay, bisexual, and other men who have sex with men (MSM) in Kazakhstan have experienced a disproportionate burden of the HIV epidemic, including a seven-fold increase in HIV prevalence. Earlier age of first sexual activity (i.e., earlier sexual debut) has been associated with long-term health trajectories among MSM at risk of HIV, however, no previous research has examined associations between earlier sexual debut and HIV-related risk factors among MSM in Kazakhstan. This dissertation tests hypotheses examining whether earlier sexual debut is associated with the following factors associated with HIV infection during adulthood among MSM in Kazakhstan: substance use, exchange sex, and experiences of anti-gay violence. Study data were obtained through a NIDA-funded clinical trial of a behavioral intervention seeking to increase the engagement of MSM who use substances in Kazakhstan in the HIV care continuum. Findings indicate that earlier sexual debut is significantly associated with increased risk of substance use, exchange sex behaviors, and experiences of anti-gay victimization among MSM in Kazakhstan. Future research should examine the contexts of MSM’s sexual debut, including whether this experience was consensual or involved other forms of adverse childhood events. Policy recommendations include increased access to sexual and gender expansive-inclusive comprehensive sexual education, and anti-discrimination policies. Clinical considerations include trauma-informed HIV prevention resources for MSM that recognizes that individuals seeking care may have complex, intersecting, and marginalized life histories, including experiences of violence across the life course.

By gathering information from a volunteer sample of men who sleep with men (MSM) in the Johannesburg inner city, the study aimed to discover those decisions and behaviour that influence their health decision-making and health-seeking behaviour, particularly as far as HIV and their sexual health was concerned. Eleven in-depth interviews were conducted by three interviewers using a semistructured interview guide which asked questions on demographics, health-seeking behaviour, sexual orientations and behaviour, knowledge of HIV/AIDS and community support. During analysis, collected data was classified into the themes of access to health care, personal and general MSM HIV risk perceptions, sexual behaviour, alcohol and unprotected sex, prostitution, religion and stigma, violence and discrimination. This study was the first qualitative study researching MSM in the Johannesburg inner city and provides useful baseline information for further qualitative MSM studies in the geographical area and for the development of MSM aligned interventions. / Sociology / M.A. Sociology

Thesis (MTh)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: This research paper set out to discover whether a Christian Spiritual perspective (within a framework of a theology of affirmation and a psychological strengths perspective of fortigenesis) on basic threatening existential issues, such as HIV/AIDS Stigma, Homophobia, etc. can help MSM to reformulate the quest for meaning and be integrated in a holistic approach to spiritual healing in order to overcome the schism in HIV/AIDS: Friend or Foe? Setting the stage for exploring the world‟s worst global challenge within the health sector, and how it relates to the South African context for MSM. The research uncovered that MSM face the greatest challenge and burden of HIV/AIDS in many countries, however little research has focused on MSM and HIV/AIDS in South Africa. Literature links this to the fact that throughout Africa, the predominant view of same sex relationships as being un-African, sinful and an abomination. Pointing out that for MSM, the development of God-images usually occurs during the process of growth and maturation as an individual, where a multitude of experiences are based primarily through the filter of belonging to a minority, which are seen predominantly from society as being sinful. The possible multitude of traumatic and often fearful life experiences, including the potentially highly stressful and difficult process of informing their parents and families of their sexuality, may influence their emotional experience and ultimately their God-image. The God-image of parental love, acceptance and caring may be impacted on by fear of rejection and the lack of acceptance. The development of ambivalence may strongly impact on MSM God-images, resulting in conflicted experiences and understanding of God, where the God-image could become distant and judgmental (Hoffman, 2009:15-18). Something that is exacerbated by the stance of some belief systems promote the concept of “love the sinner, hate the sin”, which only results in MSM being ignored or having their partners/relationships rejected, thus isolating them within their own faith community. This impacts their spiritual/religious development and their participation in a non-affirming faith community can result in levels of increased internalized homonegativity (this is defined as negative attitudes to one‟s own homosexuality), causing poorer psychological health and lower self-regard. The dignity, identity and meaning of MSM are further impacted on by their minority existence within the context of South Africa, which places various traumatic stresses on MSM. These traumatic stresses are amplified by the constant negotiation of fear regarding the contracting of HIV/AIDS or even being diagnosed with the life threatening disease. Despite all these external and the resultant internal stressors, Graham and Kiguwa (2005) found that religion and spirituality is important to MSM-youth as it provides possible supportive structures and environments. Many of the MSM-youth believe in the Bible or ancestors (or even both), yet have chosen to adapt their beliefs by taking what was important for them from the Bible and ancestral belief systems. This they have done as the traditional view of religion and the Bible held by most people, where the scriptures are taken literally, is that homosexuality is a sin (Graham and Kiguwa, 2005:7-8). Within this research, the interviewees experienced all this; however the results also showed that all the participants found some beneficial aspects out of contracting HIV/AIDS, with various levels of meanings relating to a sense of growth for each interviewee, while 4 out of 5 indicated that spirituality played an important role in assisting them in improving their lives. It aided in helping them to develop a sense of connection to themselves and others, something that many felt was missing within their lives. They felt that if it hadn‟t been for HIV, they would not have increased their levels of spirituality. This is an important empirical finding with respect to the research question and hypothesis, which hypothesized that HIV/AIDS promoted changes within MSM that results in spiritual growth and the development of internal strengths that allow them to transcend above the stressor of HIV/AIDS. The idea that MSM experience spirituality as something helpful and essential, makes it important to note that comments in the empirical research indicated that they tended to believe that if a Higher Power is involved, that it is unconditionally loving, kind and friendly. This is an important description of a God image within Christian Spirituality, a possible God-image of a Partner for Life or Friend. Thus, for Christian Spirituality to play a role within the healing of MSM and to better enhance spirituality and lay a better spiritual foundation, and develop better internal strengths and existential states, it thus becomes important to explore how Christian Spirituality will be able to address these needs of MSM, within a theological framework of affirmation.

Evolutionary theory predicts that sexual coercion and rape are likely to occur in any species in which males are more aggressive, more eager to mate, more sexually assertive, and less discriminating in choosing a mate (Thornhill & Palmer, 2000). McKibbin and Shackelford (2011) state that males of many species have evolved strategies to sexually coerce and rape females. It is for this reason that researchers have speculated that several female traits or behaviors evolved to reduce the risks of being raped (McKibbin & Shackelford, 2011). The rationale behind the proposed experiment examined whether parents’ childrearing practices and women’s plasticity during childhood may have influenced the development of psychological mechanisms in response to the recurrent adaptive problem of rape. Analyses showed that maternal support during childhood predicted how frequently rape-avoidance behaviors were exhibited by women as adults. Analyses also showed that father absence was related to earlier sexual activity but age of menarche did not predict and was not associated with any rape-avoidance behaviors. / Includes bibliography. / Thesis (M.A.)--Florida Atlantic University, 2016. / FAU Electronic Theses and Dissertations Collection

The purpose of this study is to look at selected sexual attitudes, beliefs, and sexual health practices among adolescent and young adult males. Specifically, the study examines adolescent and young adult males' sexual development and experiences, contraceptive use, sexually transmitted disease (STD) prevention practices, and, to a limited extent, public health clinic utilization.

By gathering information from a volunteer sample of men who sleep with men (MSM) in the Johannesburg inner city, the study aimed to discover those decisions and behaviour that influence their health decision-making and health-seeking behaviour, particularly as far as HIV and their sexual health was concerned. Eleven in-depth interviews were conducted by three interviewers using a semistructured interview guide which asked questions on demographics, health-seeking behaviour, sexual orientations and behaviour, knowledge of HIV/AIDS and community support. During analysis, collected data was classified into the themes of access to health care, personal and general MSM HIV risk perceptions, sexual behaviour, alcohol and unprotected sex, prostitution, religion and stigma, violence and discrimination. This study was the first qualitative study researching MSM in the Johannesburg inner city and provides useful baseline information for further qualitative MSM studies in the geographical area and for the development of MSM aligned interventions. / Sociology / M.A. Sociology

Please read the abstract in the section 00front of this document / Dissertation (DPhil (Psychology))--University of Pretoria, 2005. / Psychology / unrestricted

People spend substantial parts of their life in a close dyadic relationship. The results range from the fulfillment of emotional, intellectual, social and physical needs, to physical and emotional abuse. The study clarifies the association between sex-role identity type, with its two traits (masculinity and femininity), and relationship satisfaction, at the dyadic level. The latter implies a focus on the identical (or different) levels of presence of the two constructs among partners in couples. Extraneous factors and personal (non-dyadic) effects are covered in addition. The two main variables are evaluated with the Bem Sex Role Inventory (BSRI) and Spanier's Dyadic Adjustment Scale (DAS). In each case, a second instrument was administered for validation. The survey-type study followed a correlational, cross-sectional design. The main purposes have been to test new theoretical frameworks against empirical data, and knowledge production. A three-pronged approach included: an extensive literature review to identify methodological and knowledge gaps; a theory-driven design and methodology to ensure a sound study; and empirical data collection to verify the theoretical position through hypothesis testing. Likely sources of bias were countered by involving balanced numbers of male and female, and homosexual and heterosexual respondents, from non-student populations, over a wide age range, and living in close relationships spanning at least two years. The correlational design and relatively small sub-samples dictated the application of descriptive frequencies, and chi-square, variance (ANOVA) and regression analyses, as statistical techniques. The findings emerged as more similar than different for homosexual and heterosexual participants. This implies that homosexuals are not a deviant group, but equally able to achieve happiness. Congruent (identical) sex-role identity traits between partners were not strong(est) in predicting satisfaction. However, femininity and androgyny, as highest adaptive type, and identical sex-role identity types between partners did. As a result, the initial sex-role identity congruence theory has been modified into the adaptive femininity trait theory. Married heterosexual women face a predicament. While for them an undifferentiated sex-role identity type correlates with their husbands' happiness, and their own unhappiness, the inverse applies to their femininity and androgyny. The practical implications of this and other conclusions are also detailed. / Psychology / D. Litt et Phil (Psychology)