Barriers and Facilitators to Promoting Resilience to HIV/AIDS: A Qualitative Study on the Lived Experiences of HIV-Positive, Racial and Ethnic Minority, Middle-Aged and Older Men Who Have Sex with Men from Ontario, Canada
Open Access
- 30 July 2021
- journal article
- research article
- Published by MDPI AG in International Journal of Environmental Research and Public Health
- Vol. 18 (15), 8084
- https://doi.org/10.3390/ijerph18158084
Abstract
Evidence-based research has highlighted the need for exploring factors that support the mental health of men who have sex with men living with HIV/AIDS (MSMLWH), and environmental influences that promote their resilience to HIV/AIDS. This exploratory study utilized a community-based participatory research approach to investigate barriers and facilitators to promoting resilience to HIV/AIDS, specifically among racial and ethnic minority, middle-aged and older MSMLWH, a population that continues to be significantly impacted by HIV/AIDS today. This collaborative, qualitative study recruited participants who identified as racial or ethnic minority MSMLWH, were aged 40 or older, and resided in Ontario, Canada. Participants (n = 24) discussed in their interviews barriers and facilitators to promoting resilience to HIV/AIDS, which they recognized from their lived experiences. Utilizing thematic analysis, themes related to barriers and facilitators to promoting resilience to HIV/AIDS were identified. Themes related to identified barriers included: (1) language proficiency, (2) racism, (3) pernicious norms in North American gay culture, and (4) HIV stigma. Themes related to identified facilitators included: (1) compartmentalization, (2) perseverance, and (3) community-based health and social services. This article discusses the implications of the study’s findings, particularly on how they may influence the development of future services for racial and ethnic minority, middle-aged and older MSMLWH.Funding Information
- Canadian Institutes of Health Research (funding reference # 156917)
This publication has 84 references indexed in Scilit:
- Relationship between HIV Stigma and Self-Isolation among People Living with HIV in TennesseePLOS ONE, 2013
- Evaluating the effectiveness of personal resilience and enrichment programme (PREP) for HIV prevention among female sex workers: a randomised controlled trialBMC Public Health, 2013
- Modified social ecological model: a tool to guide the assessment of the risks and risk contexts of HIV epidemicsBMC Public Health, 2013
- A commentary on studies presenting projections of the future prevalence of dementiaBMC Public Health, 2013
- "I'm Not Going to Die from the AIDS": Resilience in Aging with HIV DiseaseThe Gerontologist, 2010
- Which HIV-infected men who have sex with men in care are engaging in risky sex and acquiring sexually transmitted infections: findings from a Boston community health centreSexually Transmitted Infections, 2009
- The Social Conditions for Successful Peer Education: A Comparison of Two HIV Prevention Programs Run by Sex Workers in India and South AfricaAmerican Journal of Community Psychology, 2009
- Keeping the Spirit of Community Partnerships Alive in the Scale Up of HIV/AIDS Prevention: Critical Reflections on the Roll Out of DEBI (Diffusion of Effective Behavioral Interventions)American Journal of Community Psychology, 2008
- Community support is associated with better antiretroviral treatment outcomes in a resource-limited rural district in MalawiTransactions of the Royal Society of Tropical Medicine and Hygiene, 2007
- Using thematic analysis in psychologyQualitative Research in Psychology, 2006