Issues in the development of preventive interventions for rural men who have sex with men (MSM)

2.50
Hdl Handle:
http://hdl.handle.net/10755/163464
Category:
Abstract
Type:
Presentation
Title:
Issues in the development of preventive interventions for rural men who have sex with men (MSM)
Author(s):
Schulze, Frederick; Cain, Richard E.
Author Details:
Frederick Schulze, EdD, Walden University, Minneapolis, Minnesota, USA, email: Frederick.Shulze@waldenu.edu; Richard E. Cain
Abstract:
Overview: The distinct social and cultural characteristics of rural settings provide different challenges for the design and dissemination of methods to prevent the transmission of HIV through sexual contact between men. Both definitional matters relating sexual behavior to identity and the social position of same-sex activity in rural contexts make the articulation of principles of intervention complex. Yet population density, geographic isolation, and less tolerance of difference can distinguish urban from rural settings in powerful ways. Furthermore, the history of the HIV epidemic and responses to it have been heavily urban in nature, reflecting the prevalence and impact of HIV infection and disease. For instance, the complex system of social and medical services available to gay and bisexual men in urban areas is nonexistent in rural settings. Nor is the social envelope--both protective and risk-inducing--of urban gay communities present in rural settings. The integration of gay and bisexual men and their communities into the larger social fabric--however fractious it may be in cities--hardly occurs in rural settings. This is due in great part to the stigma associated with homosexuality. In most rural areas, it is not possible to go to a neighborhood gay bar or community setting, chat with men who have extensive exposure to current HIV information, learn where the next safer-sex workshop will be held, and determine which recreational or social group to join to affirm one's "gay identity. Purpose: The purpose of this presentation is to discuss the issues related to the development of preventive interventions for rural MSM. In addition, a model of intervention will be proposed based on findings from a recently completed study of MSM in rural Pennsylvania. Implications for Nursing: The implications of this preventive model for nurses and other health care providers will be discussed as well as strategies for outcome evaluation.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
14th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
University Park, Pennsylvania, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleIssues in the development of preventive interventions for rural men who have sex with men (MSM)en_GB
dc.contributor.authorSchulze, Fredericken_US
dc.contributor.authorCain, Richard E.en_US
dc.author.detailsFrederick Schulze, EdD, Walden University, Minneapolis, Minnesota, USA, email: Frederick.Shulze@waldenu.edu; Richard E. Cainen_US
dc.identifier.urihttp://hdl.handle.net/10755/163464-
dc.description.abstractOverview: The distinct social and cultural characteristics of rural settings provide different challenges for the design and dissemination of methods to prevent the transmission of HIV through sexual contact between men. Both definitional matters relating sexual behavior to identity and the social position of same-sex activity in rural contexts make the articulation of principles of intervention complex. Yet population density, geographic isolation, and less tolerance of difference can distinguish urban from rural settings in powerful ways. Furthermore, the history of the HIV epidemic and responses to it have been heavily urban in nature, reflecting the prevalence and impact of HIV infection and disease. For instance, the complex system of social and medical services available to gay and bisexual men in urban areas is nonexistent in rural settings. Nor is the social envelope--both protective and risk-inducing--of urban gay communities present in rural settings. The integration of gay and bisexual men and their communities into the larger social fabric--however fractious it may be in cities--hardly occurs in rural settings. This is due in great part to the stigma associated with homosexuality. In most rural areas, it is not possible to go to a neighborhood gay bar or community setting, chat with men who have extensive exposure to current HIV information, learn where the next safer-sex workshop will be held, and determine which recreational or social group to join to affirm one's "gay identity. Purpose: The purpose of this presentation is to discuss the issues related to the development of preventive interventions for rural MSM. In addition, a model of intervention will be proposed based on findings from a recently completed study of MSM in rural Pennsylvania. Implications for Nursing: The implications of this preventive model for nurses and other health care providers will be discussed as well as strategies for outcome evaluation.en_GB
dc.date.available2011-10-27T11:08:03Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:08:03Z-
dc.conference.date2002en_US
dc.conference.name14th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationUniversity Park, Pennsylvania, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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