Interpersonal Violence Victimisation, HIV-Related Behaviours and STIs among Adult, Urban Indigenous and Non-indigenous Gay, Bisexual and Other Men Who Have Sex with Men in Guatemala

Citation

Davis, Dirk A.; Duarte, Gabriell; Villatoro, Daniel; Letona, Paola; Barrington, Clare; & Wheeler, Jennifer B. (2022). Interpersonal Violence Victimisation, HIV-Related Behaviours and STIs among Adult, Urban Indigenous and Non-indigenous Gay, Bisexual and Other Men Who Have Sex with Men in Guatemala. Culture, Health & Sexuality, 24(11), 1531-1547. PMCID: PMC8907936

Abstract

Gay, bisexual and other men who have sex with men are disproportionately affected by HIV in Guatemala; interpersonal violence may increase behaviours that augment the risk of HIV in this group. Although 44% of Guatemalans identify as Indigenous, little information exists on the experiences of Indigenous sexual minority individuals. In this study, we sought to compare different forms of violence and HIV-related behaviours by Indigenous identity among gay, bisexual and other men who have sex with men; and determine if associations between violence and HIV-related behaviours differed by Indigenous identity. We used cross-sectional survey data from 716 Spanish-speaking, adult men recruited from urban centres to examine the prevalence of and relationship between different forms of interpersonal violence and HIV-related behaviours using logistic regression analyses, including the moderating effect of Indigenous identity. In general, fewer Indigenous participants reported interpersonal violence victimisation and HIV-related behaviours compared to their non-Indigenous counterparts. In weighted multivariable analyses, non-Indigenous participants who reported physical and/or sexual violence were over five times as likely to report transactional sex (OR = 5.17, 95% CI 2.11-12.68, p < 0.001), but the relationship was not significant for Indigenous participants. Findings suggest that Indigenous sexual minority men have unique contexts and that additional strengths-based research is needed to ensure that actions and efforts to promote violence and HIV prevention meet their needs.

URL

http://dx.doi.org/10.1080/13691058.2021.1974948

Reference Type

Journal Article

Year Published

2022

Journal Title

Culture, Health & Sexuality

Author(s)

Davis, Dirk A.
Duarte, Gabriell
Villatoro, Daniel
Letona, Paola
Barrington, Clare
Wheeler, Jennifer B.

Article Type

Regular

PMCID

PMC8907936

Continent/Country

Guatemala

Sex/Gender

Men

ORCiD

Barrington - 0000-0001-7802-4051