HIV vulnerability and the erasure of sexual and gender diversity in Abidjan, Cote d'Ivoire

被引:7
|
作者
Thomann, Matthew [1 ,2 ]
机构
[1] Columbia Univ, Sociomed Sci, New York, NY 10027 USA
[2] Columbia Univ, Int Ctr AIDS Care & Treatment Programs ICAP, New York, NY 10027 USA
基金
美国国家卫生研究院;
关键词
Medical anthropology; HIV; AIDS; men who have sex with men; Cote d'Ivoire; sexuality and gender; PREVENTION; MEN; MSM; SERVICES; PEOPLE; INDIA;
D O I
10.1080/17441692.2016.1143524
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In the fight against concentrated HIV epidemics, men who have sex with men (MSM) are often framed as a homogeneous population, with little attention paid to sexual and gender diversity and its impact on HIV vulnerability. This article draws on ethnographic research conducted in Abidjan, Cote d'Ivoire among les branches - a local term encompassing several categories of same-sex desire and practice. In the context of increased HIV prevention programming targeting Ivoirian sexual and gender minorities, such diversity is effectively erased. This obfuscation of difference has particularly negative impacts for travestis, who may be at higher risk for HIV infection, though research and prevention efforts in which they are grouped with MSM' render them underrepresented and make their vulnerability difficult to quantify. Branches whose class and/or ethnic backgrounds compound their stigmatised status as sexual and gender minorities also bear the burden of this exclusion. Furthermore, some branches deploy MSM' as a form of self-identification, further complicating who such categories represent. By highlighting the ways in which constructions of gender and sexuality within HIV/AIDS programming obscure complex social realities, I aim to reorient thinking around the development of purposeful HIV programming that engages the complexity of sexual and gender minority experience.
引用
收藏
页码:994 / 1009
页数:16
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