263177 Sexual-risk and the objectification of Latino men in the gay community: Qualitative findings and implications for public health practice

Tuesday, October 30, 2012 : 10:30 AM - 10:45 AM

Gabriel R. Galindo, DrPH, MPH, CHES , CAPS, UCSF, San Francisco, CA
Introduction: Latino gay men possess distinctive cross-cultural identities forged from norms and values associated with both gay and Latino communities. Studies show that Latino gay men bear a disproportionate burden of the domestic HIV epidemic, and are often placed in unique socio-sexual situations that can increase their sexual-risk. We aimed to identify underlying sociocultural influences that may contribute to known sexual-risk factors among the population.

Methods: Using purposeful sampling we recruited 41 self-identified Latino gay men (ages 21–45; mean = 32.5 years) who could articulate their perceptions of gay community and Latino identity, their personal partner selection process, their perception of sexual desirability, and their experiences with inconsistent condom use. We conducted 2-hour in-depth interviews, and performed thematic analysis of transcripts utilizing a constructed grounded theory approach.

Results: Objectification emerged as the most salient theme and influenced known sexual-risk factors by: contributing to feelings of loneliness; decreasing self-worth and self-esteem; lowering self-efficacy to use condoms consistently; and increasing internalized oppressions, like racism and homophobia. Participants believed that eroticization and sensualization of Latinos within the gay community contributed to an accepted communal tolerance of objectification; which, beyond notions of sexual preferences, reduced men from being someone who is desired to something that is desired.

Conclusions: Our findings expand on prevailing sexual-risk theories by contextualizing risk within cultural and social norms of a specific community. Recommendations for public health professionals are provided, and note that the development of ecological-level interventions, that reduce stigma and microaggressions while increasing community visibility and engagement, are warranted for this marginalized population.

Learning Areas:
Advocacy for health and health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
1) Describe the processes in which objectification of Latino men in gay communities fuels known sexual-risk factors; 2) Name, at least, four known sexual-risk factors that are heightened due to the objectification of Latino men in gay communities; and 3) State, at least, three ways in which public health professionals can intervene to reduce sexual-risk factors from the vantage of objectification.

Keywords: Latinos, Gay Men

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved with the field of HIV/ AIDS for over a decade and possess a wealth of experience in working with ethnoracial and sexual minority populations. I am currently I postdoctoral fellow with the Center for AIDS Prevention Studies at UCSF, and my primary study is exploring the intersection of identity, culture, mental health outcomes and sexual behavior among Latino gay men.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.