HIV Disclosure Practices to Family among Mexican and Puerto Rican Sexual Minority Men with HIV in the Continental USA: Intersections of Sexual Orientation and HIV Stigma

Authors

Andres Maiorana, Department of Prevention Science, University of California at San Francisco, Center for Aids Prevention Studies, San Francisco, California, USA.
Sophia Zamudio-Haas, Department of Prevention Science, University of California at San Francisco, Center for Aids Prevention Studies, San Francisco, California, USA.
Edda I. Santiago-Rodríguez, Department of Prevention Science, University of California at San Francisco, Center for Aids Prevention Studies, San Francisco, California, USA.
John A. Sauceda, Department of Prevention Science, University of California at San Francisco, Center for Aids Prevention Studies, San Francisco, California, USA.
Carlos E. Rodríguez-Díaz, Department of Prevention and Community Health, The George Washington University, Milken Institute School of Public Health, Washington, DC, USA.
Ronald A. Brooks, Department of Family Medicine, University of California at Los Angeles, David Geffen School of Medicine, Los Angeles, California, USA.
Janet J. Myers, Department of Prevention Science, University of California at San Francisco, Center for Aids Prevention Studies, San Francisco, California, USA.

Document Type

Journal Article

Publication Date

2-28-2022

Journal

Journal of homosexuality

DOI

10.1080/00918369.2022.2043731

Keywords

HIV disclosure; HIV stigma; intersectional stigma; latino gay men; latino sexual minority men; latinx families; stigma management techniques

Abstract

Disclosing a seropositive HIV status still is a complex process of assessing the risks, benefits, and potential personal and interpersonal outcomes associated with disclosure, such as stigma, rejection, or emotional support. We examined HIV disclosure practices to family and intersectional stigma related to HIV and sexual orientation among Latino sexual minority men (LSMM) of Mexican and Puerto Rican origin with HIV in the continental USA. Guided by Framework Analysis, we present data from 54 interviews with 33 LSMM participants in HIV care engagement interventions, and 21 project staff implementing the interventions. LSMM disclosed their HIV status to family seeking support. They applied stigma management techniques to manage the information communicated to family about their HIV status, including selective disclosure to some family members, conveying strategic information about the significance of having HIV, non-disclosure, or partial disclosure, silence and deceptions. LSMM HIV disclosure practices to family encompassed appraisals of intersectional stigma related to their sexual orientation and HIV, assessing the potential outcomes of disclosure, and the preservation of family ties.

APA Citation

Maiorana, Andres; Zamudio-Haas, Sophia; Santiago-Rodríguez, Edda I.; Sauceda, John A.; Rodríguez-Díaz, Carlos E.; Brooks, Ronald A.; and Myers, Janet J., "HIV Disclosure Practices to Family among Mexican and Puerto Rican Sexual Minority Men with HIV in the Continental USA: Intersections of Sexual Orientation and HIV Stigma" (2022). GW Authored Works. Paper 105.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/105

Department

Prevention and Community Health