"Because of HIV, It Opened My Mind": Intersectional Stigma Experiences Among Filipino Gay and Bisexual Men Living With HIV.

IF 2.6 2区 医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE
Aron Harold G Pamoso, Brett Scholz, Austin Ferolino
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Abstract

Previous work has demonstrated that gay, bisexual men, and other men who have sex with men (GBM) living with HIV are likely to experience intersectional stigma. However, mainstream systems often fail to recognize how power and privilege shape this experience. Such a complex psychological phenomenon requires an in-depth reflective inquiry that acknowledges individuals as experts in their own experiences. To explicate this matter, this study aimed to develop an understanding of how intersectional stigma impacts the experiences of GBM living with HIV and to illuminate how contexts (un)fuel inequities. The semi-structured interviews with five Filipino GBM living with HIV were analyzed using interpretative phenomenological analysis (IPA). Exploration of their accounts elucidated how cultural elements fueled power dynamics and privilege, which in turn shaped intersectional stigma and their experiences. Narratives accentuated how Filipino GBM living with HIV situate themselves from victims to agents of change who empower and liberate others in the community. Insights from this study underscore the critical role of collective actions in bridging gaps in inequities and guiding the improvement of policies and interventions that are well-suited to the context and culturally appropriate for people living with HIV and other multiply marginalized populations.

"因为艾滋病毒,我的心胸开阔了":菲律宾感染艾滋病毒的男同性恋者和双性恋者的交叉污名经历。
以往的工作表明,男同性恋者、双性恋者和其他男男性行为者(GBM)中的艾滋病病毒感染者很可能会遭受交叉性污名。然而,主流系统往往没有认识到权力和特权是如何形成这种体验的。这种复杂的心理现象需要进行深入的反思调查,承认个人是其自身经历的专家。为了解释这一问题,本研究旨在了解交叉性污名是如何影响感染艾滋病毒的 GBM 的经历的,并揭示背景是如何(不)助长不平等的。本研究采用解释性现象分析法(IPA)对五名菲律宾籍艾滋病毒感染者的半结构式访谈进行了分析。对他们的叙述进行了探讨,阐明了文化因素是如何助长权力动态和特权的,而权力动态和特权反过来又塑造了交叉性污名和他们的经历。他们的叙述突出了感染艾滋病毒的菲律宾 GBM 如何将自己从受害者转变为变革的推动者,赋予社区其他人权力并解放他们。本研究的见解强调了集体行动在弥合不平等方面的差距以及指导改进政策和干预措施方面的关键作用,这些政策和干预措施非常适合艾滋病毒感染者和其他多重边缘化人群的具体情况和文化背景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.80
自引率
6.20%
发文量
109
期刊介绍: QUALITATIVE HEALTH RESEARCH is an international, interdisciplinary, refereed journal for the enhancement of health care and to further the development and understanding of qualitative research methods in health care settings. We welcome manuscripts in the following areas: the description and analysis of the illness experience, health and health-seeking behaviors, the experiences of caregivers, the sociocultural organization of health care, health care policy, and related topics. We also seek critical reviews and commentaries addressing conceptual, theoretical, methodological, and ethical issues pertaining to qualitative enquiry.
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