Cargando…

Perceptions of Needs, Assets, and Priorities Among Black Men Who Have Sex With Men With HIV: Community-Driven Actions and Impacts of a Participatory Photovoice Process

Black men who have sex with men (MSM) with HIV experience significant health inequities and poorer health outcomes compared with other persons with HIV. The primary aims of this study were to describe the needs, assets, and priorities of Black MSM with HIV who live in the Southern United States and...

Descripción completa

Detalles Bibliográficos
Autores principales: Sun, Christina J., Nall, Jennifer L., Rhodes, Scott D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440064/
https://www.ncbi.nlm.nih.gov/pubmed/30296869
http://dx.doi.org/10.1177/1557988318804901
_version_ 1783407323831599104
author Sun, Christina J.
Nall, Jennifer L.
Rhodes, Scott D.
author_facet Sun, Christina J.
Nall, Jennifer L.
Rhodes, Scott D.
author_sort Sun, Christina J.
collection PubMed
description Black men who have sex with men (MSM) with HIV experience significant health inequities and poorer health outcomes compared with other persons with HIV. The primary aims of this study were to describe the needs, assets, and priorities of Black MSM with HIV who live in the Southern United States and identify actions to improve their health using photovoice. Photovoice, a participatory, collaborative research methodology that combines documentary photography with group discussion, was conducted with six Black MSM with HIV. From the photographs and discussions, primary themes of discrimination and rejection, lack of mental health services, coping strategies to reduce stress, sources of acceptance and support, and future aspirations emerged. After the photographs were taken and discussed, the participants hosted a photo exhibition and community forum for the public. Here, 37 community attendees and influential advocates collaborated with the participants to identify 12 actions to address the men’s identified needs, assets, and priorities. These included making structural changes in the legal and medical systems, encouraging dialogue to eliminate multiple forms of stigma and racism, and advocating for comprehensive care for persons with HIV. As a secondary aim, the impacts of photovoice were assessed. Participants reported enjoying photovoice and found it meaningful. Results suggest that in addition to cultivating rich community-based knowledge, photovoice may result in positive changes for Black MSM with HIV.
format Online
Article
Text
id pubmed-6440064
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-64400642019-04-03 Perceptions of Needs, Assets, and Priorities Among Black Men Who Have Sex With Men With HIV: Community-Driven Actions and Impacts of a Participatory Photovoice Process Sun, Christina J. Nall, Jennifer L. Rhodes, Scott D. Am J Mens Health Special Section: HIV/AIDS/STIs Black men who have sex with men (MSM) with HIV experience significant health inequities and poorer health outcomes compared with other persons with HIV. The primary aims of this study were to describe the needs, assets, and priorities of Black MSM with HIV who live in the Southern United States and identify actions to improve their health using photovoice. Photovoice, a participatory, collaborative research methodology that combines documentary photography with group discussion, was conducted with six Black MSM with HIV. From the photographs and discussions, primary themes of discrimination and rejection, lack of mental health services, coping strategies to reduce stress, sources of acceptance and support, and future aspirations emerged. After the photographs were taken and discussed, the participants hosted a photo exhibition and community forum for the public. Here, 37 community attendees and influential advocates collaborated with the participants to identify 12 actions to address the men’s identified needs, assets, and priorities. These included making structural changes in the legal and medical systems, encouraging dialogue to eliminate multiple forms of stigma and racism, and advocating for comprehensive care for persons with HIV. As a secondary aim, the impacts of photovoice were assessed. Participants reported enjoying photovoice and found it meaningful. Results suggest that in addition to cultivating rich community-based knowledge, photovoice may result in positive changes for Black MSM with HIV. SAGE Publications 2018-10-08 /pmc/articles/PMC6440064/ /pubmed/30296869 http://dx.doi.org/10.1177/1557988318804901 Text en © The Author(s) 2019 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Special Section: HIV/AIDS/STIs
Sun, Christina J.
Nall, Jennifer L.
Rhodes, Scott D.
Perceptions of Needs, Assets, and Priorities Among Black Men Who Have Sex With Men With HIV: Community-Driven Actions and Impacts of a Participatory Photovoice Process
title Perceptions of Needs, Assets, and Priorities Among Black Men Who Have Sex With Men With HIV: Community-Driven Actions and Impacts of a Participatory Photovoice Process
title_full Perceptions of Needs, Assets, and Priorities Among Black Men Who Have Sex With Men With HIV: Community-Driven Actions and Impacts of a Participatory Photovoice Process
title_fullStr Perceptions of Needs, Assets, and Priorities Among Black Men Who Have Sex With Men With HIV: Community-Driven Actions and Impacts of a Participatory Photovoice Process
title_full_unstemmed Perceptions of Needs, Assets, and Priorities Among Black Men Who Have Sex With Men With HIV: Community-Driven Actions and Impacts of a Participatory Photovoice Process
title_short Perceptions of Needs, Assets, and Priorities Among Black Men Who Have Sex With Men With HIV: Community-Driven Actions and Impacts of a Participatory Photovoice Process
title_sort perceptions of needs, assets, and priorities among black men who have sex with men with hiv: community-driven actions and impacts of a participatory photovoice process
topic Special Section: HIV/AIDS/STIs
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440064/
https://www.ncbi.nlm.nih.gov/pubmed/30296869
http://dx.doi.org/10.1177/1557988318804901
work_keys_str_mv AT sunchristinaj perceptionsofneedsassetsandprioritiesamongblackmenwhohavesexwithmenwithhivcommunitydrivenactionsandimpactsofaparticipatoryphotovoiceprocess
AT nalljenniferl perceptionsofneedsassetsandprioritiesamongblackmenwhohavesexwithmenwithhivcommunitydrivenactionsandimpactsofaparticipatoryphotovoiceprocess
AT rhodesscottd perceptionsofneedsassetsandprioritiesamongblackmenwhohavesexwithmenwithhivcommunitydrivenactionsandimpactsofaparticipatoryphotovoiceprocess