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Cited by 22HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskHIV, TB, and STIs Epidemiology

“Manejar la Situacion”: Partner Notification, Partner Management, and Conceptual Frameworks for HIV/STI Control Among MSM in Peru

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Clark, Jesse L., Perez-Brumer, Amaya, Salazar, Ximena·2015·AIDS and Behavior
DOI 10.1007/s10461-015-1049-3PMC PMC4586286
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Abstract

Previous analyses of partner notification (PN) have addressed individual, interpersonal, social, and structural issues influencing PN outcomes but have paid less attention to the conceptual framework of PN itself. We conducted 18 individual interviews and 8 group discussions, in a two-stage qualitative research process, to explore the meanings and contexts of PN for sexually transmitted infections (STI) among men who have sex with men (MSM) and men who have sex with men and women (MSMW) in Lima, Peru. Participants described PN as the open disclosure of private, potentially stigmatizing information that could strengthen or disrupt a partnership, structured by the tension between concealment and revelation. In addition to informing partners of an STI diagnosis, the act of PN was believed to reveal other potentially stigmatizing information related to sexual identity and practices such as homosexuality, promiscuity, and HIV co-infection. In this context, the potential development of visible, biological STI symptoms represented a risk for disruption of the boundary between secrecy and disclosure that could result in involuntary disclosure of STI status. To address the conflict between concealment and disclosure, participants cited efforts to "manejar la situacion" (manage the situation) by controlling the biological risks of STI exposure without openly disclosing STI status. We use this concept of "managing the situation" as a practical and theoretical framework for comprehensive Partner Management for HIV/STI control systems among MSM in Latin America.

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Cited by

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Authors
Clark, J. L., Perez-Brumer, A., & Salazar, X.
Affiliations
  • University of California, Los Angeles (US)
  • Universidad Peruana Cayetano Heredia (PE)
Corresponding author
Clark, Jesse L.
ORCID
Venue
AIDS and Behavior
Publisher
Springer Science and Business Media LLC
Published
2015-03-28
Volume
19
Issue
12
Pages
2245-2254
ISSN
  • 1090-7165 (ISSN-L)
  • 1573-3254
DOI
10.1007/s10461-015-1049-3
PMC
PMC4586286
OpenAlex
W2087738327
Cited by
22
References
1
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2021: 1 · 2020: 2 · 2019: 6 · 2018: 3 · 2017: 2 · 2016: 5
FWCI
2.35
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • AIDS and Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institutes of Health (UL1TR000124)
  • National Institute of Mental Health (K23MH084611, R21MH092232, P30MH058107, R25MH083620)
  • National Institute of Allergy and Infectious Diseases (P30AI028697)
  • National Center for Advancing Translational Sciences
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32HD049339)
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Social Sciences › General Social Sciences › HIV, TB, and STIs Epidemiology
Keywords
partner notification, partner management, men who have sex with men, men who have sex with men and women, sexually transmitted infections, HIV, concealment and disclosure, sexual stigma, Peru, Lima, HIV coinfection
MeSH terms
Adult, Female, Humans, Male, Peru, Sexually Transmitted Diseases, HIV Infections, Contact Tracing, Homosexuality, Male

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