Recently diagnosed gay men talk about HIV treatment decisions

Sexual Health ◽  
2014 ◽  
Vol 11 (2) ◽  
pp. 200 ◽  
Author(s):  
Ian Down ◽  
Garrett Prestage ◽  
Kathy Triffitt ◽  
Graham Brown ◽  
Jack Bradley ◽  
...  

Background In recent years, there has been increasing evidence that early initiation of antiretroviral therapy (ART) may provide health benefits for those infected with HIV. There has also been significant discussion about the role of HIV treatment in preventing onward transmission of the virus. Early provision and uptake of ART to people recently diagnosed with HIV could achieve both individual and public health outcomes. The success of such an initiative relies, in part, on the preparedness of those recently diagnosed with HIV to engage with the therapy. Methods: The HIV Seroconversion Study collects both quantitative and qualitative data from people in Australia who have recently been diagnosed with HIV. During 2011–2012, 53 gay or bisexual men recruited across Australia took part in semistructured interviews as part of the study. The men were asked about their knowledge and experience of, and their decisions about whether or not to commence, HIV treatment. Results: The interviews identified differing levels of knowledge about HIV treatments and divergent views about the health and prevention benefits of ART. For some, treatments provided a sense of control over the virus; others were apprehensive and distrustful, and preferred to resist commencing treatments for as long as possible. Conclusions: If early initiation of treatment is to be encouraged, appropriate measures must be in place to ensure recently diagnosed individuals have access to the appropriate information and the support they need to enable them to make informed choices and, if necessary, to address their fears.

2020 ◽  
pp. 107780122097136
Author(s):  
Michaela M. Rogers

Drawing on data from two empirical studies, this article employs cisgenderism as a conceptual tool to explore trans people’s experiences of domestic violence and abuse (DVA). Distinct modes of cisgenderism are analyzed. These are identity abuse, microaggressions, misgendering, and pathologizing practices. Qualitative data were collected via semistructured interviews ( n = 24). Two inclusion criteria were used for this secondary analysis requiring participants to self-identify as trans or nonbinary and have experience of DVA. The findings illuminate the extent of cisgenderism as underpinning experiences of DVA. The article ends with a call for further theoretical and empirical research in this regard.


2020 ◽  
Vol 34 (1) ◽  
pp. 35-42
Author(s):  
Georgia Allen ◽  
Claire Thornton ◽  
Holly Riby

The superstitious actions athletes undertake before competition have been well documented, yet the role of such behaviors has received little qualitative attention. The aim of this study was to explore the role of superstitious routines in professional male boxing. A descriptive phenomenological approach was adopted, and individual semistructured interviews were conducted with 5 professional male athletes in the United Kingdom. Results show that superstition is regularly used by boxers in the lead-up to fights to aid mental preparation, fulfill a need for control, and improve the likelihood of success. Common themes emerged, such as the use of praying and engagement in acts thought to bring good luck and/or the avoidance of behaviors that might bring bad luck. Findings also indicate that despite a rational link, boxers use superstition as a coping mechanism (e.g., as a scapegoat/excuse for losing) and to gain a sense of control.


2019 ◽  
Author(s):  
Nigel Sherriff ◽  
Jorg Huber ◽  
Nicholas McGlynn ◽  
Carrie Llewellyn ◽  
Alex Pollard ◽  
...  

UNSTRUCTURED Background: The term Community Health Worker (CHW) can apply to a wide range of individuals providing health services and support for diverse populations. Very little is known about the role of CHWs in Europe who work in non-clinical settings and who promote sexual health and prevent HIV/STI among gay, bisexual and other men who have sex with men (MSM). Objective: This paper describes the development and piloting of the first European Community Health Worker Online Survey (ECHOES) as part of the broader European Union (EU) funded ESTICOM project. The questionnaire aimed to assess the knowledge, attitudes, and practices of CHWs providing sexual health services to gay men, bisexual men and other MSM in European settings. Methods and analysis: ECHOES comprises of three superordinate domains divided into 10 subsections with 175 items (routed) based on a scoping exercise and literature review, online pre-piloting and a Europe-wide consultation. Additional piloting and cognitive debriefing interviews with stakeholders were conducted to identify comprehension issues and improve the clarity, intelligibility, accessibility, and acceptability of the survey. Psychometric properties including internal consistency of the standardised scales used as part of the survey including internal consistency were examined. The final survey was available in 16 languages. Results: Recruitment closed on 31 January 2018. A total of 1,035 community health workers were available for analysis, after application of exclusion criteria. Discussion: The findings of the survey will be available in late 2019 and will help characterise for the first time, the diverse role of CHWs who provide sexual health services to gay men, bisexual men and other MSM in Europe. Importantly, the data will be used to inform the content and design of a dedicated training programme for CHWs as part of the larger European Union (EU) funded ESTICOM project and provide recommendations for EU strategies to improve sexual health in general and to reduce HIV, viral hepatitis and other STIs incidence and prevalence in particular.


2013 ◽  
Vol 44 (5) ◽  
pp. 311-319 ◽  
Author(s):  
Marco Brambilla ◽  
David A. Butz

Two studies examined the impact of macrolevel symbolic threat on intergroup attitudes. In Study 1 (N = 71), participants exposed to a macrosymbolic threat (vs. nonsymbolic threat and neutral topic) reported less support toward social policies concerning gay men, an outgroup whose stereotypes implies a threat to values, but not toward welfare recipients, a social group whose stereotypes do not imply a threat to values. Study 2 (N = 78) showed that, whereas macrolevel symbolic threat led to less favorable attitudes toward gay men, macroeconomic threat led to less favorable attitudes toward Asians, an outgroup whose stereotypes imply an economic threat. These findings are discussed in terms of their implications for understanding the role of a general climate of threat in shaping intergroup attitudes.


Author(s):  
Suzanne C. Thompson

A sense of personal control is an important resource that helps people maintain emotional stability and successfully negotiate their way through life. People foster their perceived control by focusing on reachable goals, creating new avenues for control, and accepting difficult-to-change circumstances. In general, perceived control need not be realistic in order to have beneficial effects, although in the area of health promotion, overestimating one's control can reduce the motivation to engage in protection. Research on ethnic differences in the benefits of a sense of personal control suggests that those from more collectivistic cultures or subcultures may be less benefited by a sense of personal control, relying instead on a socially derived sense of control. Successful interventions to enhance personal control include programs that bolster coping skills, give options and decisions to participants, and provide training that encourages attributions to controllable factors. Future research should further explore ethnic differences in the effects of personal control, the consequences of unrealistic control perceptions, and interventions to enhance the sense of control.


Multilingua ◽  
2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Marie-Eve Bouchard

AbstractIn São Tomé and Príncipe, the language shift toward Portuguese is resulting in the endangerment of the native creoles of the island. These languages have been considered of low value in Santomean society since the mid-twentieth century. But when Santomeans are members of a diaspora, their perceptions of these languages, especially Forro, change in terms of value and identity-marking. It is possible to observe such changes among the Santomeans who learn Forro when they are abroad, who use it as an in-group code, and start to value it more. In this article, I address the role of language contact in the maintenance and expansion of Forro. I investigate the mechanisms of language maintenance by focusing on the shifts in community members’ attitudes and beliefs regarding their languages, as a result of contact. The changing attitudes and beliefs have led to a redefinition of the role of Forro in the speech community. This qualitative study is based on semistructured interviews conducted on São Tomé Island and in Portugal. Findings suggest that the change in value attributed to Forro by Santomeans as a result of contact contribute to the valorization of the language.


ReCALL ◽  
2021 ◽  
Vol 33 (2) ◽  
pp. 143-160
Author(s):  
Zsuzsanna Bárkányi

AbstractThis paper examines the role of motivation, anxiety, and self-efficacy beliefs and their interplay with regard to speaking on beginners’ Spanish LMOOCs. It answers three research questions: (1) what are learners’ motivations and goals for joining these LMOOCs and how do these relate to foreign language speaking anxiety; (2) how do learners’ self-efficacy beliefs and anxiety levels change as a result of course completion; and (3) is there a correlation between motivation, foreign language speaking anxiety, and self-efficacy beliefs in this context? A mixed-methods research design used quantitative and qualitative data gathered from self-reflective questionnaires and forum discussions. The results reveal that learners with intrinsic motivation are more likely to complete the courses than those who sign up to manage a personal situation or advance in their career or studies. No direct correlation was, however, found between motivation and the other variables under scrutiny. Learners present higher self-efficacy beliefs at the end of the courses than at the beginning, while anxiety levels are affected to a much smaller degree by course completion. Although spoken interactions in this learning environment are not synchronous, apprehension and anxiety prevent many learners from fully participating in the speaking activities.


2021 ◽  
Vol 1 (1) ◽  
pp. 99-112
Author(s):  
Richard Larouche ◽  
Nimesh Patel ◽  
Jennifer L. Copeland

The role of infrastructure in encouraging transportation cycling in smaller cities with a low prevalence of cycling remains unclear. To investigate the relationship between the presence of infrastructure and transportation cycling in a small city (Lethbridge, AB, Canada), we interviewed 246 adults along a recently-constructed bicycle boulevard and two comparison streets with no recent changes in cycling infrastructure. One comparison street had a separate multi-use path and the other had no cycling infrastructure. Questions addressed time spent cycling in the past week and 2 years prior and potential socio-demographic and psychosocial correlates of cycling, including safety concerns. Finally, we asked participants what could be done to make cycling safer and more attractive. We examined predictors of cycling using gender-stratified generalized linear models. Women interviewed along the street with a separate path reported cycling more than women on the other streets. A more favorable attitude towards cycling and greater habit strength were associated with more cycling in both men and women. Qualitative data revealed generally positive views about the bicycle boulevard, a need for education about sharing the road and for better cycling infrastructure in general. Our results suggest that, even in smaller cities, cycling infrastructure may encourage cycling, especially among women.


2021 ◽  
pp. 104973232110249
Author(s):  
Alex Broom

Qualitative research is practiced across diverse disciplines and contexts, and this produces a wide range of perspectives on the role of conceptualization and theory development. It also results in a hugely varied mix of submissions to qualitative research journals in terms of their level of conceptual elevation. This editorial explores why we conceptualize qualitative data, and some common challenges evident in current qualitative practice.


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