HIV/AIDS and constructs of gay community: Researching educational practice within community-based health promotion for gay men

This paper reports on the methodology of a comparative study of three gay communities in Australia as they struggle with HIV/AIDS. The study focused on the pedagogy and practice of HIV/AIDS education for disease prevention and for health maintenance for people living with HIV/AIDS, through the investigation of three problematics: (1) constructs of 'community'; (2) the centrality of gay community-based health educators; and (3) the relations of gay men within and to their communities. The study was conceived of as a critical ethnography involving a three-part sample in the three sites and using three related research methods: (1) individual and group interviews; (2) textual analysis; and (3) participant observation. The theoretical bases for the study and its design lay in notions of 'performativity', community and adult education, organizational and institutional processes, and the idea of a 'post-AIDS' sociality. The methodology is explained in detail, as are various consultative processes embedded in the design to facilitate and enable a productive relationship with the communities researched.     

Turning to the Courts: A Quantitative Analysis of the Gay and Lesbian Movement’s Use of Legal Mobilization

We quantitatively examine the factors influencing the lesbian and gay movement’s involvement in state-level appellate cases through an analysis of Lambda Legal’s judicial agenda from 1981 through 2000. We combine a list of state appellate cases involving gay and lesbian rights during this period with data from Lambda’s “Docket Update” to create a data set that identifies which cases Lambda was involved in. We theorize that Lambda’s involvement will be shaped by the potential policy implications of the case, the organization’s ability to influence the outcome, and organizational membership concerns. Using logistic regression, we examine the effect of case characteristics, the political and cultural climate in the state, and variations in the state’s lesbian and gay community on the likelihood of Lambda participating in a particular state-level case. We add to the understanding of movement tactical decisions and the factors influencing the likelihood of legal mobilization.     

Autocastration and autopenectomy in a patient with transsexualism and schizophrenia

Previous research focusing on changes in gay male sexual practices as a result of AIDS often avoids taking into consideration the meanings which sexual practices have within the gay community. As an alternative, the present study used a content‐analysis of personals advertisements within the personals section of The Village Voice to assess changes in the language gay men use to refer to their sexuality between the years 1978, 1982, 1985, and 1988. A significant increase in personals advertisements suggesting a concern with health is noted from 1982 to 1985. This increase continues from 1985 to 1988. Corresponding in time with these changes are increases in the number of personals advertisements which express a rejection of “stereotypical” presentations of self within the gay community. This rejection is seen as an attempt at self‐affirmation of characteristics perceived by gay men themselves as being desirable at particular historical moments. Implications for the basis of future policy interventions in reaction to AIDS are discussed. Finally, the utility of personals advertisement columns as an indicator of the meanings which people of various sexual preferences attach to their sexuality is discussed.     

Lesbian Blood Drives as Community-Building Activism in the 1980s

As gay men began voluntarily withdrawing from blood donation in the early 1980s, lesbians in community with gay men in several U.S. cities organized drives to replenish the blood supply. These drives were sometimes the continuation of previously established drives by gay–lesbian organizations or faith communities, sometimes new initiatives in response to HIV/AIDS. However, after the initial publicity, mention of lesbian blood drives in print is both scarce and brief. Focusing on drives organized from 1983 to 1992 by a group known as San Diego Blood Sisters, this article is an initial step in documenting lesbian blood drives to inform and enrich conversations about histories of responses to HIV/AIDS, theoretical discussions of how community connections in the lesbian, gay, bisexual, transgender, and queer spectrum are enacted and understood, and emerging research on intersections of gender and sexuality as they are expressed through blood donorship.     

Lesbian Desire in the Age of AIDS: From the Head of Medusa Sprung

In the age of AIDS, lesbians' sexualities were strangely protected from the epidemic spread of the HIV virus, even while many lesbians' social and political lives were deeply impacted by its catastrophic effects on the gay community. The “so close but yet so far” phenomenon defining lesbian experience during the AIDS crisis evoked mixed and complicated emotions unique to that sector of the gay community. This article highlights the manifold emotional experience for lesbians, which paralleled an equally complex web of identifications and disidentifications with gay men. Although this perpetuated a sense of invisibility for lesbians during the epidemic's crisis years, it may have contributed to opening a space for new possibilities of feminine sexualities and identities as the crisis receded.     

Mending fences: selling AIDS drugs to the gay community

As more drug companies enter the fray with products to treat HIV and AIDS, competition could get fierce. Pharmaceutical marketers also have to overcome the disenchantment within the gay community regarding the medical establishment. They will have a better chance of success if they understand the history of AIDS and its relationship to the gay community.     

AIDS: developing a primary health care task force

As the number of people with AIDS increases, the number of people impacted by the AIDS crisis will also increase. Larger metropolitan areas have already responded to the crisis with various services (Deuchar, 1984); but the disease has yet to fully impact on smaller cities and towns. The formation of community service groups to cope with the AIDS crisis is a virtual necessity in health care preparation for persons with AIDS. The experience of the Fort Wayne AIDS Task Force reflects the potential of any community to utilize the existing resources in the gay and lesbian community, health and social service professions, and among family and friends of persons with AIDS. Consultation and resources are available through local and state boards of health, as well as local social service and health personnel currently dealing with the AIDS crisis.     

“And then AIDS came along”: A life course turning point and sub-cohorts of older gay men

Research on life course turning points focuses on heterosexuals. Scholars acknowledge that the early AIDS epidemic was a period of crisis for current older gay men, and that this period has shaped and will likely continue to impact their lives. However, few studies have considered the range of early AIDS-related experiences within this group. In this article, I use a life course perspective and in-depth interviews with 40 gay men (60+) in Atlanta to address the following questions: (1) How did current older gay men's experiences vary during the AIDS years? (2) What social factors shaped this variation? I identified three AIDS-related sub-cohorts, which were defined by how participants' social and spatial relationships to urban gay communities influenced their experiences of personal loss, community loss, personal support, and community support between 1981 and 1996. The results suggest that scholars and service providers interested in how early life experiences impact later life should consider the divergent early AIDS-related experiences within the group “older gay men.”     

The Adolescent Sexual Development of African American Gay Men with AIDS: Implications for Community-Based Practice

ABSTRACT

This qualitative study describes the adolescent sexual development of ten African American gay men living with AIDS. The informants retrospectively describe the challenges of being a gay adolescent in a mostly heterosexist and homophobic environment. They report unsupportive homophobic and heterosexist family members, community members and school officials. They also describe their burgeoning sexual orientation, sexual initiation as well as consensual and non-consensual sexual experiences with their peers. Additionally, several informants describe seeking sexual experiences with adult men. Later they suggest the adult men became their primary sources of emotional and psychological support. Implications for community practice, intervention and research with both African American gay adolescents and adult men living with AIDS are discussed.     

Managing impressions of an AIDS service organization: Into the mainstream or out of the closet?

Organizations, like individuals, can be discreditable and potentially stigmatized. This can affect both the members of the organization and its operation. This study examines how workers in an AIDS service organization in Ontario, Canada, manage its public image as a way of dealing with the stigma which surrounds much of their work. Using data from in-depth interviews with staff members and volunteers, the study describes worker concerns about the appearance of being too closely associated with the local gay and lesbian community and documents some of the strategies they employed to manage the organization's public image. The paper concludes with a discussion of the relationship between organizational impression management and viability in the context of the stigma and uncertainty which surrounds the HIV epidemic.     

Aging with HIV: Historical and Intra-Community Differences in Experience of Aging with HIV

Gay men living with HIV/AIDS face a complex of health issues, including those associated with the aging process, long-term HIV infection (25 years or more), and side effects from Highly Active Anti-Retroviral Therapy (HAART). If aging can increase marginalization, this is more likely for the aging HIV positive gay man, who is already marginalized for being queer and living with a stigmatizing disease. This article presents findings from a study of a long-running HIV support group. It locates the members, all gay men living with HIV, in a specific historical and political context to explore how feelings of loss and the struggle to sustain community affect long-term survivors and other older HIV+ gay men. We identify specific challenges presented by aging for men who contracted HIV early in the epidemic, contrasting them with those faced by men infected with the virus later in life. While both groups appear to struggle with a vision of what life could have been, had AIDS not forced loss and change, they also celebrate the community their shared plight has enabled.     

Chapter 3: Social Services and Bereavement in the Lesbian and Gay Community

Social service programs to address multiple loss in the gay and lesbian community must incorporate an understanding of the relationship between bereavement and the gay and lesbian experience including issues of stigma, homophobia, and the cumulative effects of stress. To address the collective experience of multiple loss, individual, family, and group interventions should be conducted in conjunction with social supports, community rituals, and political activity. Agencies need to prepare by instituting staff education and specific organizational policies to address HIV and bereavement, and provide organizational support to social service staff to facilitate the effective delivery of bereavement services.     

Walking the Tightrope:

In societies where homosexuality is legally proscribed, gays and lesbians rely on private and informal networks for mutual self-help, information dissemination, sociability, and the sharing of gay goods. This is particularly the case in Singapore where an authoritarian and paternalistic state is actively involved in the marriage and procreation of its citizens, and is hostile to homosexuality. In the era of AIDS, a new social movement has developed in ways that de jure seek to educate the public about AIDS but de facto serve the needs of the larger gay community. The dual roles of Action For AIDS are fraught with tensions, ambivalence and problems, but represent a strategic response to the social and political conditions in which the organization is located.     

Gay Men and HIV

SUMMARY

This paper reports on the results of qualitative studies examining the personal experiences of sex and sexual negotiation for British gay men who are diagnosed HIV positive and those who know or presume themselves to be uninfected. These are contrasted with the results of a study of representations of HIV and AIDS within an international review of community health promotion literature aimed at gay men. The paper highlights the disparity between specific community responses to the epidemic as engendered in the cultural production of health promotion materials and the individual experience of HIV, suggesting a! paradigm for a community response to the epidemic which reflects the personal experience of gay men both infected and uninfected.     

Health Strategies of HIV-Infected,Homosexually Active Men in Sydney,Australia

Drawing from a sample of gay and bisexual men who participated in large-scale surveys, and exploring issues derived from a smaller-scale study on working-class gay men, this close-focus study explores the relation between sexual identity, attachment to gay community and responses to HIV infection. Ten long-term HIV-infected, homosexually active men were interviewed using the open-ended life history method. A typology of four health strategies desribes these men's relations to medicine and the type and range of responses developed. These strategies are informed by class background, form and degree of attachment to the gay community, and age. Implications are discussed for existing AIDS service organizations, and for the possible future development of health services within gay and lesbian communities.     

Social Sources of Community Solidarity in U.S. Congregations

Community solidarity, or a collective sense of belonging, plays a vital role in the health and survival of many organizations. Consequently, identifying the elements that contribute to a strong sense of solidarity within communities has long been a topic of inquiry for scholars. In this study, we draw upon prior theorizing to develop and test four hypotheses regarding the organizational characteristics associated with community solidarity in religious congregations. Multivariate models are estimated using national data on religious congregations from the 2001 U.S. Congregational Life Survey (n?=?357). Organizations with greater community solidarity tend to feature higher levels of social capital (operationalized with measures of friendship networks and participation in organizational activities), higher levels of official membership within the organization, and inspiring congregational leadership. Higher levels of commitment are associated with greater community solidarity, but the effect is wholly mediated by social capital. Congregations that engender higher levels of community solidarity share certain organizational features, including higher levels of social capital, higher rates of membership, and inspiring leaders.     

Formal Voluntary Organizations: Participation, Correlates, and Interrelationships

The purpose of this paper is to give an overview of the literature on formal voluntay organizations in the urban community. The theoretical approaches that guided much of the research in this area are identifid as social structural, social psychological, and organizational. Basic findings suggest that formal participation, including church membership, is a characteristic of urban life. Population characteristics, attitudes, informal interaction, and community involvement are all related to formal membership. Moreover, formal organizations attempt to integrate individuals with the larger community, and such groups, in urbanizing areas, facilitate modernization.     

Ethnic Minority Families and Minority Gays and Lesbians

Attitudes toward sexuality differ within the diverse ethnic and racial communities that exist in the U.S., and the cultural values and beliefs surrounding sexuality play a major role in determining how individuals behave within their sociological context. The family unit is the domain where such values and beliefs are nurtured and developed. An individual's value system is shaped and reinforced within the family context which usually reflects the broader community norms. Disclosure of a gay or lesbian sexual preference and lifestyle by a family member presents challenges to ethnic minority families who tend not to discuss sexuality issues and presume a heterosexual orientation. For ethnic minority gays and lesbians the "coming out" process presents challenges in their identity formation processes and in their loyalties to one community over another. Ethnic gay men and lesbians need to live within three rigidly defined and strongly independent communities: the gay and lesbian community, the ethnic minority community, and the society at large. While each community provides fundamental needs, serious consequences emerge if such communities were to be visibly integrated and merged. It requires a constant effort to maintain oneself in three different worlds, each of which fails to support significant aspects of a person's life. The complications that arise may inhibit one's ability to adapt and to maximize personal potentials. The purpose of this paper is to examine the interaction and processes between ethnic minority communities and their gay and lesbian family members. A framework for understanding the process of change, that occurs for the gay or lesbian person as they attempt to resolve conflicts of dual minority membership, is presented. Implications for the practitioner is also discussed.     

Gay and Lesbian Youth:

Social policy tends to reflect community standards regarding a population's individual rights, expected conduct, and entitlement to public services. Populations, therefore, must be defined and acknowledged by their communities and by their policy makers if they are to be included in these codified standards Lesbian and gay youth have yet to be clearly defined as a population. The origins and subsequent development of the current lesbian and gay movement offer a framework in which to consider future efforts to change social policy regarding lesbian and gay youth. The lesbian and gay community, despite the significant loss of leadership and experience as the result of AIDS, have continued its development as a force for social change. Organizations such as Parents and Friends of Lesbians and Gays, and other groups focused on combating bigotry and expanding civil rights, are of crucial importance to the future of lesbian and gay youth and to the development of enlightened policy. The sooner enlightened policies are developed, the sooner these youngsters will be able to lead happier, healthier, and more productive lives.     

Gay Men

Summary

This report presents the findings from four ethnographic studies of older gay men (Brown, 1997; Brown, Sarosy, Cook & Quarto, 1997; Cook, 1991; Quarto, 1996; Sarosy, 1996). There were 69 total participants who ranged in age from 36 to 79 years; most were from 50 to 65 years of age. The purpose of these studies was to examine how older gay men have adjusted, psychologically and socially, to their sexual orientation and aging process. Participants reported that they spend 50% time or more with gay friends within their own age cohorts. Many reported being involved with the gay community in some capacity, while about 15% had no involvement with the gay community. Most participants were in regular contact with their families. Most stated that their families were aware of their sexual orientation. Most of the participants reported experiencing discrimination due to sexual orientation, and one third had experienced discrimination within the gay community based on age or ethnicity. With regard to sex life, the studies found an overall lowered frequency of sexual activity. Participants felt that HIV/AIDS has had a devastating impact on older gay men, interrupting the normal aging process for those who have contracted it and prematurely aging those who care for them. The studies' findings identified the qualities of healthy adaptation to aging for older gay males: having satisfying relationship, self-acceptance as one ages, good health, an active life with a variety of interests, and financial security.