Survival now versus survival later: immediate and delayed HIV risk assessment among young Jamaican men who have transactional sex with men

This study explored the experiences of young Jamaican men who have sex with men who engaged in transactional sex as a result of homelessness, family neglect or limited financial resources. It further examined the circumstances that affect their immediate or delayed decisions around sexual risk and i...

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Bibliographic Details
Published in:Culture, health & sexuality Vol. 21; no. 8; pp. 883 - 897
Main Author: Harris, Orlando O.
Format: Journal Article
Language:English
Published: England Taylor & Francis 03.08.2019
Taylor & Francis, Ltd
Taylor & Francis Ltd
Subjects:
Condoms
Decision making
Delayed
Discrimination
Economic factors
Families & family life
Health care
Health risk assessment
Health services
Healthy food
HIV
Homeless people
homelessness
Homophobia
Human immunodeficiency virus
Jamaica
Men who have sex with men
Parishes
Prevention
Prevention programs
Preventive medicine
Prospects
Risk assessment
Risk behavior
Sexual behavior
Stigma
survival sex
Tests
transactional sex
Vulnerability
Young men
Jamaica
survival sex
HIV
Jamaica
homelessness
transactional sex
Men who have sex with men
ISSN:1369-1058, 1464-5351, 1464-5351
Online Access:Get full text
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Summary:This study explored the experiences of young Jamaican men who have sex with men who engaged in transactional sex as a result of homelessness, family neglect or limited financial resources. It further examined the circumstances that affect their immediate or delayed decisions around sexual risk and increased vulnerability for HIV infection. Barriers experienced when accessing condoms, healthcare, HIV testing and other prevention services are also described. Twenty in-depth interviews and one focus group with 10 participants in various parishes in Jamaica were conducted. Findings from this study reveal how stigma and discrimination in the form of pervasive homophobia-influenced participation in the street economy via transactional sex. Socio-structural factors at family and commity level led to diminished social/economic prospects, which extended into adulthood. Sexual decision making was based on immediate needs for protection, food or shelter; concerns about acquiring HIV were considered only after meeting those immediate needs. Future HIV prevention strategies must take seriously the socio-structural factors that influence HIV risk behaviours among young men who have sex with men in Jamaica.
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ISSN:1369-1058
1464-5351
1464-5351
DOI:10.1080/13691058.2018.1524079