TY - JOUR
T1 - Circumventing vs. Guiding
T2 - A Grounded Theory Study of Sexual Negotiation Among Hispanic Men Who Have Sex with Men
AU - De Santis, Joseph P.
AU - Quidley-Rodriguez, Narciso
AU - Mathurin, Esther P.
AU - Valdes, Beatriz
AU - Leblanc, Natalie M.
AU - Provencio-Vasquez, Elias
AU - Martinez, Jacob
N1 - Publisher Copyright:
© 2020 Taylor & Francis Group, LLC.
PY - 2021
Y1 - 2021
N2 - HIV infection continues to be a serious health concern, especially among men who have sex with men (MSM). MSM account for over one-half (57%) of the estimated 1.2 million cases in the United States. Hispanic/Latino individuals accounted for 24% of new HIV diagnoses, with male-to-male sexual contact responsible most cases. Effective sexual negotiation may be a way to decrease risk for HIV infection, but relatively little is known about sexual negotiation among Hispanic MSM. The purpose of this study was to describe the process by which sexual decision-making occurs among Hispanic MSM. Nineteen in-depth, semi-structured interviews were collected from participants (ages 25 to 65) living in South Florida using grounded theory methodology. Interviews were audio-recorded, transcribed verbatim, and were analyzed to identify categories and subcategories. A theory grounded in the data called Circumventing vs. Guiding emerged that described the sexual negotiation process. The theory consists of four main categories: Contextualizing Negotiation, Strategizing Sexual Negotiation, Negotiating Strategies, and Reviewing Consequences. Some Hispanic MSM may experience challenges in negotiating safer sex behaviors with partners. More research is needed to develop culturally-specific interventions to assist Hispanic MSM with sexual negotiation.
AB - HIV infection continues to be a serious health concern, especially among men who have sex with men (MSM). MSM account for over one-half (57%) of the estimated 1.2 million cases in the United States. Hispanic/Latino individuals accounted for 24% of new HIV diagnoses, with male-to-male sexual contact responsible most cases. Effective sexual negotiation may be a way to decrease risk for HIV infection, but relatively little is known about sexual negotiation among Hispanic MSM. The purpose of this study was to describe the process by which sexual decision-making occurs among Hispanic MSM. Nineteen in-depth, semi-structured interviews were collected from participants (ages 25 to 65) living in South Florida using grounded theory methodology. Interviews were audio-recorded, transcribed verbatim, and were analyzed to identify categories and subcategories. A theory grounded in the data called Circumventing vs. Guiding emerged that described the sexual negotiation process. The theory consists of four main categories: Contextualizing Negotiation, Strategizing Sexual Negotiation, Negotiating Strategies, and Reviewing Consequences. Some Hispanic MSM may experience challenges in negotiating safer sex behaviors with partners. More research is needed to develop culturally-specific interventions to assist Hispanic MSM with sexual negotiation.
KW - Gay men
KW - HIV prevention
KW - Hispanics
KW - Men
KW - Sexual negotiation
UR - http://www.scopus.com/inward/record.url?scp=85084367162&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85084367162&partnerID=8YFLogxK
U2 - 10.1080/01488376.2020.1734711
DO - 10.1080/01488376.2020.1734711
M3 - Article
AN - SCOPUS:85084367162
VL - 47
SP - 167
EP - 180
JO - Journal of Social Service Research
JF - Journal of Social Service Research
SN - 0148-8376
IS - 2
ER -