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AIDS and Behavior
Published in: AIDS and Behavior 4/2013

01-05-2013 | Original Paper

Moderno Love: Sexual Role-Based Identities and HIV/STI Prevention Among Men Who Have Sex with Men in Lima, Peru

Authors: Jesse Clark, Javier Salvatierra, Eddy Segura, Ximena Salazar, Kelika Konda, Amaya Perez-Brumer, Eric Hall, Jeffrey Klausner, Carlos Caceres, Thomas Coates

Published in: AIDS and Behavior | Issue 4/2013

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Abstract

Role-based sexual identities structure male same-sex partnerships and influence HIV/STI epidemiology among MSM in Latin America. We explored shifting relationships between sexual roles, identities and practices among MSM in Lima, Peru, and implications for HIV/STI prevention. Patterns of HIV/STI epidemiology reflected differential risks for transmission within role-based partnerships with relatively low prevalences of HIV, syphilis, and HSV-2 but higher prevalences of urethral gonorrhea/chlamydia among activo MSM compared with moderno and pasivo participants. Qualitative analysis of how MSM in Peru integrate sexual identities, roles, and practices identified four key themes: pasivo role as a gay approximation of cultural femininity; activo role as a heterosexual consolidation of masculinity; moderno role as a masculine reconceptualization of gay identity; and role-based identities as social determinants of partnership, network, and community formation. The concept of role-based sexual identities provides a framework for HIV prevention for Latin American MSM that integrates sexual identities, practices, partnerships, and networks.
Footnotes
1
A note on terminology: we have chosen to use the term “MSM” throughout this paper to describe all male and male-to-female (m–f) transgender persons who have sex with male and/or m–f transgender partners. We are aware of the problems inherent in collapsing differences of gender and sexual identity into a uniform category of “MSM.” However, we use the term provisionally for the purpose of analysis in order to consolidate a diverse population into a single, unified category. During the course of our discussion, we explore how the emerging diversity of sexual roles structures identities and subgroups, defines partnership interactions, influences the epidemiology of HIV and STIs, and redefines the meanings of “MSM” in Latin America.
 
2
Criollamente refers to the contemporary Peruvian cultural sensibility produced by a blend of European and indigenous American cultures.
 
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Metadata
Title
Moderno Love: Sexual Role-Based Identities and HIV/STI Prevention Among Men Who Have Sex with Men in Lima, Peru
Authors
Jesse Clark
Javier Salvatierra
Eddy Segura
Ximena Salazar
Kelika Konda
Amaya Perez-Brumer
Eric Hall
Jeffrey Klausner
Carlos Caceres
Thomas Coates
Publication date
01-05-2013
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2013
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-012-0210-5

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