Moderno love: sexual role-based identities and HIV/STI prevention among men who have sex with men in Lima, Peru
Clark, J.; Salvatierra, J.; Segura, E.; Salazar, X.; Konda, K.; Perez-Brumer, A.; Hall, E.; Klausner, J.; Caceres, C.; Coates, T.
Aids and Behavior 17(4): 1313-1328
2013
ISSN/ISBN: 1090-7165 PMID: 22614747 DOI: 10.1007/s10461-012-0210-5Document Number: 577240
Role-based sexual identities structure male same-sex partnerships and influence HIV/STI epidemiology among MSM in Latin America. We explored shifting relationships between sexual roles, identities and practices among MSM in Lima, Peru, and implications for HIV/STI prevention. Patterns of HIV/STI epidemiology reflected differential risks for transmission within role-based partnerships with relatively low prevalences of HIV, syphilis, and HSV-2 but higher prevalences of urethral gonorrhea/chlamydia among activo MSM compared with moderno and pasivo participants. Qualitative analysis of how MSM in Peru integrate sexual identities, roles, and practices identified four key themes: pasivo role as a gay approximation of cultural femininity; activo role as a heterosexual consolidation of masculinity; moderno role as a masculine reconceptualization of gay identity; and role-based identities as social determinants of partnership, network, and community formation. The concept of role-based sexual identities provides a framework for HIV prevention for Latin American MSM that integrates sexual identities, practices, partnerships, and networks.
Document emailed within 0-6 h
