298126
An Internet-based HIV needs assessment of Deaf Men who have Sex with Men
Deaf Men who have Sex with Men (D-MSM) have been chronically excluded from HIV research, testing, education and services in the US. Data from Maryland indicate that the prevalence of HIV in the deaf and hard-of-hearing population is two to five times higher than for the hearing population. Given that HIV in the US disproportionately impacts MSM, we expected the sub-set of D-MSM to be the highest risk group within the larger Deaf population.
Methods
We have conducted formative research and are about to launch a survey based on this to assess the needs of D-MSM in HIV testing, prevention and care. We will have over 200 respondents for this survey. The formative research has included 20 in-depth, online qualitative interviews in American Sign Language (ASL) with D-MSM and key informants, that is HIV testing specialist working with this population.
Research
Main themes identified during the analysis of the qualitative data are: 1) communication with health care providers; 2) infantilization and desexualization of Deaf people; 3) limited access to spoken information; 4) feelings of fear and isolation; 5) challenges with anonymity; 6) mental health issues; 7) providers’ cultural competence. We expect initial findings from the survey to be ready to present at APHA given that the survey will be launched in March.
Conclusions
This study indicates that D-MSM face significant barriers to accessing HIV testing, prevention and education. Results can be used to ensure the needs of D-MSM are addressed in further studies as well as in clinical services.
Learning Areas:
Assessment of individual and community needs for health educationDiversity and culture
Public health or related research
Learning Objectives:
Describe why Deaf Men who have Sex with Men (DMSM) are at higher risk of HIV infection
Identify what the needs of DMSM are in relation to HIV testing and prevention
Evaluate which approaches to HIV testing and prevention might better meet the needs of DMSM
Keyword(s): Accessibility, Disabilities
Qualified on the content I am responsible for because: I am the principal investigator on this innovative study, which it's the first in the US to address the needs of Deaf Men who have Sex with Men and HIV testing and prevention on a national level. I have over 10 years experience in researching Deaf populations and over 5 years experience in HIV/AIDS research in the US. I have presented at National and International conferences on issues of accessibility and sexual health.
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.