Presentation by Mandy Govender, Health Promotion Board


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Get them Early MSM
Gender and Testing
Aging and HIV

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Presentation by Mandy Govender, Health Promotion Board

  1. 1. <ul><li>Sharing on: </li></ul><ul><li>Get them Early MSM </li></ul><ul><li>Gender and Testing </li></ul><ul><li>Aging and HIV </li></ul>
  2. 2. Young MSM – Qualitative study <ul><li>The purpose of this study was to </li></ul><ul><ul><li>Identify reasons why YMSM continue to be disproportionately infected with HIV despite available prevention information. </li></ul></ul><ul><ul><li>Solicit insight from newly-diagnosed YMSM about how to re-structure prevention programs for their non-infected peers. </li></ul></ul><ul><li>Themes </li></ul><ul><li>Personal risk </li></ul><ul><li>Education </li></ul><ul><li>Technology </li></ul><ul><li>Role modeling </li></ul>
  3. 3. Findings <ul><li>High incidence of sexual abuse handicaps YMSM from forming healthy sexual identities </li></ul><ul><li>Unlimited access to graphic materials online normalizes high risk behavior </li></ul><ul><li>Non-inclusive sex education causes resistance to generic messages on safe sex practices </li></ul><ul><li>Current HIV prevention strategies target YMSM too late </li></ul>
  4. 4. Recommendations <ul><li>So, what do newly-diagnosed YMSM recommend to keep their peers from getting infected? </li></ul><ul><ul><li>Targeted and inclusive sex education at an early age </li></ul></ul><ul><ul><li>(elementary or middle school) </li></ul></ul><ul><ul><li>Increase parental education related to sexual coercion and encourage supportive parent-child relationships </li></ul></ul><ul><ul><li>Peer or gay mentored interventions </li></ul></ul><ul><ul><li>Sophisticated prevention strategies that incorporate technology in developing positive approaches to sexuality </li></ul></ul>
  5. 5. Testing and Gender <ul><li>Aim: </li></ul><ul><li>We examine how and what approaches men and women in two South African settings used to engage their partners in discussions of HIV and to address HIV risk factors in their relationships </li></ul>
  6. 6. Findings <ul><li>Gendered patterns in the negotiation of HIV Risk </li></ul><ul><li>Balancing disease risk and relationship risk </li></ul><ul><li>Approaches to managing risk in relationships </li></ul>
  7. 7. Conclusions <ul><li>As men and women live with HIV/AIDS or the threat of HIV infection, they have to balance the risks of disease and illness with the challenges of maintaining a healthy relationship. </li></ul><ul><li>They did so in a variety of ways: </li></ul><ul><ul><li>Sometimes they openly revealed their HIV status </li></ul></ul><ul><ul><li>Cautiously approached HIV discussions - many reported their partner’s or their own fear of discussing it. </li></ul></ul><ul><ul><li>When necessary they withdrew from discussions of HIV. </li></ul></ul><ul><li>Their approaches entailed a careful management of the risks of addressing HIV in their relationships </li></ul>
  8. 8. Conclusions <ul><li>Our data suggests that concerns about children or desires to have children can be effectively used by men and women to raise concerns about HIV risk in their relationships. </li></ul><ul><li>This appears to be a less threatening and more socially acceptable strategy as individuals attempt to balance the risks of infection while managing the challenges of maintaining a relationship. </li></ul><ul><li>HIV prevention programs in South Africa would do well to address the mutual interests and investments of men and women in children by drawing partners into systems of care. </li></ul><ul><li>Men and women can more effectively negotiate HIV risk in their relationships as they look to the futures of their children and invest in the future of their relationships. </li></ul>
  9. 9. Aging and HIV <ul><li>PLHIV are living longer due to HAART/ARVs and currently very view tailored programmes </li></ul><ul><li>Interaction of aging and HIV </li></ul><ul><li>Age and testing (not seen as high risk) </li></ul><ul><li>Chronic HIV and accelerated aging. </li></ul><ul><li>Aging institutions need to be prepared </li></ul>