Moderno love: Sexual role-based identities and HIV/STI prevention among men who have sex with men in Lima, Peru

Jesse Clark; Javier Salvatierra; Eddy Segura; Ximena Salazar; Kelika Konda; Amaya Perez-Brumer; Eric Hall; Jeffrey Klausner; Carlos Caceres; Thomas Coates

doi:10.1007/s10461-012-0210-5

Moderno love: Sexual role-based identities and HIV/STI prevention among men who have sex with men in Lima, Peru

Jesse Clark, Javier Salvatierra, Eddy Segura, Ximena Salazar, Kelika Konda, Amaya Perez-Brumer, Eric Hall, Jeffrey Klausner, Carlos Caceres, Thomas Coates

Research output: Contribution to journal › Article › peer-review

63 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	1313-1328
Number of pages	16
Journal	AIDS and Behavior
Volume	17
Issue number	4
DOIs	https://doi.org/10.1007/s10461-012-0210-5
State	Published - May 2013
Externally published	Yes

Keywords

HIV
MSM
Peru
STI
Sexual role

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-012-0210-5

Cite this

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title = "Moderno love: Sexual role-based identities and HIV/STI prevention among men who have sex with men in Lima, Peru",

abstract = "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.",

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author = "Jesse Clark and Javier Salvatierra and Eddy Segura and Ximena Salazar and Kelika Konda and Amaya Perez-Brumer and Eric Hall and Jeffrey Klausner and Carlos Caceres and Thomas Coates",

note = "Funding Information: Acknowledgments We would like to thank Ms. Patricia Arana, Ms. Vicki Solari, Dr. Doris Chunga, and the staff of the CERITS Barton for their work in completing the study protocols; Dr. Silvia Montano and the staff of the Bacteriology and Virology laboratories of the U.S. Naval Medical Research Unit-6 in Lima, Peru for testing of biological specimens; and Dr. Angela Bayer for her assistance with qualitative analysis. We would like to thank all of the participants for sharing their lives with us.Funding support provided by NIH grants T32 MH 080634 (JLC and KAK) and K23 MH 084611 (JLC).",

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T2 - Sexual role-based identities and HIV/STI prevention among men who have sex with men in Lima, Peru

AU - Clark, Jesse

AU - Salvatierra, Javier

AU - Segura, Eddy

AU - Salazar, Ximena

AU - Konda, Kelika

AU - Perez-Brumer, Amaya

AU - Hall, Eric

AU - Klausner, Jeffrey

AU - Caceres, Carlos

AU - Coates, Thomas

N1 - Funding Information: Acknowledgments We would like to thank Ms. Patricia Arana, Ms. Vicki Solari, Dr. Doris Chunga, and the staff of the CERITS Barton for their work in completing the study protocols; Dr. Silvia Montano and the staff of the Bacteriology and Virology laboratories of the U.S. Naval Medical Research Unit-6 in Lima, Peru for testing of biological specimens; and Dr. Angela Bayer for her assistance with qualitative analysis. We would like to thank all of the participants for sharing their lives with us.Funding support provided by NIH grants T32 MH 080634 (JLC and KAK) and K23 MH 084611 (JLC).

PY - 2013/5

Y1 - 2013/5

N2 - 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.

AB - 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.

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Moderno love: Sexual role-based identities and HIV/STI prevention among men who have sex with men in Lima, Peru

Abstract

Keywords

UN SDGs

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