Examining HIV Organizational Structures and their Influence on Engagement with Young Black Gay, Bisexual, and other Men who have Sex with Men in Atlanta, Georgia.
Hannah Fogarty, Marxavian D Jones, Shamia J Moore, Gary W Harper, Andrés Camacho-González, Carlos Del Rio, Sophia A Hussen
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引用次数: 0
Abstract
Young Black gay, bisexual, and other men who have sex with men (YB-GBMSM) are disproportionately impacted by HIV. Structural influences on these disparities, including characteristics of the various organizations that serve YB-GBMSM living with HIV, remain understudied. We drew on Weick's model of organizing to conduct and analyze qualitative interviews with 28 HIV service providers representing healthcare and community-based organizations in Atlanta, Georgia. Enactment of HIV service provision was described as following simplified and standardized responses-defined as "rules", and/or more dynamic exchanges to formulate responses -otherwise known as "communication behavior cycles" (CBCs). Rules, including patient quotas and limited hours of operation, were viewed as rigid, out-of-touch, and inhibiting engagement with YB-GBMSM. CBCs, such as patient feedback loops and rejection of traditional hierarchies, fostered creative insights to combating the epidemic and increased levels of cultural awareness and community buy-in. Organizations should strive to enact CBCs, to foster culturally congruent approaches to service delivery for YB-GBMSM.
期刊介绍：
The Journal of Gay and Lesbian Social Services provides empirical knowledge and conceptual information related to sexual minorities and their social environment. Filled with innovative ideas and resources for the design, evaluation, and delivery of social services for these populations at all stages of life, the journal is a positive influence on the development of public and social policy, programs and services, and social work practice. Dedicated to the development of knowledge which meets the practical needs of lesbian, gay, bisexual, and transgendered people in their social context, the Journal of Gay & Lesbian Social Services is a forum for studying.
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