American Indian gay, bisexual and two-spirit men: A rapid assessment of HIV/AIDS risk factors, barriers to prevention and culturally-sensitive intervention

Derek J. Burks, Rockey Robbins, Jayson P. Durtschi

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Epidemiological data indicate that HIV and AIDS are disproportionately affecting American Indians. Specific to American Indian men identifying as gay, bisexual, twospirit or who have same-sex experiences, this study assessed HIV-risk behaviours and barriers to testing, prevention and treatment efforts. A rapid assessment model was utilised as an indigenous-supporting research design. Rigour and thoroughness were achieved via multiple validation procedures. Central themes surrounding barriers to HIV prevention included social discrimination, low self-esteem and substance use. Findings suggest the underutilisation of condoms due to ineffective placement and limited availability in popular locations among gay, bisexual and two-spirit individuals. Participants indicated that HIV testing is occurring less frequently and that testing was not available after hours or weekends. Barriers to treatment included a mistrust of the current healthcare system, a perceived lack of support from the Indian Health Service for AIDS care and a lack of transportation to healthcare appointments. Lastly, participants discussed and supported culturally-sensitive treatment services. This study calls attention to the value of an American Indian-specific HIV/AIDS service organisation, the presence of indigenous service providers in the community and culturally-sensitive healthcare providers.

Original languageEnglish (US)
Pages (from-to)283-298
Number of pages16
JournalCulture, Health and Sexuality
Volume13
Issue number3
DOIs
StatePublished - Mar 2011

Keywords

  • American Indian
  • Gay
  • HIV/AIDS
  • Rapid assessment
  • Two-spirit

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

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