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 journalArticlepeer-review

60 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 languageEnglish
Pages (from-to)1313-1328
Number of pages16
JournalAIDS and Behavior
Volume17
Issue number4
DOIs
StatePublished - May 2013
Externally publishedYes

Keywords

  • HIV
  • MSM
  • Peru
  • STI
  • Sexual role

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