"Manejar la Situacion": Partner Notification, Partner Management, and Conceptual Frameworks for HIV/STI Control Among MSM in Peru

Perez-Brumer, Amaya; Salazar Lostaunau, Ximena; Clark, Jesse L.

dc.contributor.author	Clark, Jesse L.
dc.contributor.author	Perez-Brumer, Amaya
dc.contributor.author	Salazar Lostaunau, Ximena
dc.date.accessioned	2019-02-06T14:52:12Z
dc.date.available	2019-02-06T14:52:12Z
dc.date.issued	2015
dc.identifier.uri	https://hdl.handle.net/20.500.12866/5261
dc.description.abstract	Previous analyses of partner notification (PN) have addressed individual, interpersonal, social, and structural issues influencing PN outcomes but have paid less attention to the conceptual framework of PN itself. We conducted 18 individual interviews and 8 group discussions, in a two-stage qualitative research process, to explore the meanings and contexts of PN for sexually transmitted infections (STI) among men who have sex with men (MSM) and men who have sex with men and women (MSMW) in Lima, Peru. Participants described PN as the open disclosure of private, potentially stigmatizing information that could strengthen or disrupt a partnership, structured by the tension between concealment and revelation. In addition to informing partners of an STI diagnosis, the act of PN was believed to reveal other potentially stigmatizing information related to sexual identity and practices such as homosexuality, promiscuity, and HIV co-infection. In this context, the potential development of visible, biological STI symptoms represented a risk for disruption of the boundary between secrecy and disclosure that could result in involuntary disclosure of STI status. To address the conflict between concealment and disclosure, participants cited efforts to "manejar la situacion" (manage the situation) by controlling the biological risks of STI exposure without openly disclosing STI status. We use this concept of "managing the situation" as a practical and theoretical framework for comprehensive Partner Management for HIV/STI control systems among MSM in Latin America.	en_US
dc.language.iso	eng
dc.publisher	Springer
dc.relation.ispartofseries	AIDS and Behavior
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	Peru	en_US
dc.subject	Adult	en_US
dc.subject	Female	en_US
dc.subject	Humans	en_US
dc.subject	Male	en_US
dc.subject	HIV	en_US
dc.subject	MSM	en_US
dc.subject	STI	en_US
dc.subject	Homosexuality, Male	en_US
dc.subject	Contact Tracing	en_US
dc.subject	HIV Infections/diagnosis	en_US
dc.subject	Partner notification	en_US
dc.subject	Sexually Transmitted Diseases/diagnosis	en_US
dc.title	"Manejar la Situacion": Partner Notification, Partner Management, and Conceptual Frameworks for HIV/STI Control Among MSM in Peru	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1007/s10461-015-1049-3
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.08
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.12
dc.relation.issn	1573-3254