Universidad Peruana Cayetano Heredia

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

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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.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
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


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