Lifestyle of Young Men Who Have Sex with Men Living with HIV: A Qualitative Descriptive Study

Authors

  • Kheamnareenee Rueanrudipirom RN, PhD (Candidate), Faculty of Nursing, Chiang Mai University, Thailand, and Faculty of Nursing, Rangsit University, Thailand.
  • Warunee Fongkaew RN, PhD, Professor, Faculty of Nursing, Chiang Mai University, Thailand.
  • Nongkran Viseskul RN, PhD, Assistant Professor, Faculty of Nursing, Chiang Mai University, Thailand.
  • Kangwan Fongkaew PhD, Lecturer, Faculty of Humanities and Social Sciences, Burapha University, Thailand.

Keywords:

HIV, Lifestyle, Men who have sex with men, Qualitative study, Thailand, Youth

Abstract

               There has been an increase of HIV infection among young men who have sex with men worldwide, including in Thailand. They need to take care of themselves, to balance their health and to avoid HIV transmission to others. Existing studies show that young men who have sex with men living with HIV still engage in risky behaviors  which can lead to health problems. Only a few research studies have been performed to explain how the lifestyles of such men influence the maintenance of their health and more studies are needed to encourage better health outcomes for them. This qualitative descriptive study explored the lifestyles of 20 young men aged 15 – 24 years old who had sex with men living with HIV in northern Thailand from May 2018 to May 2019. The data were collected via in-depth interviews and analyzed using thematic analysis.

               The findings were categorized into three themes: 1) attempting to have a ‘normal’ life: comprised of learning to live normally, concealing HIV status, and having hope to live a long life, 2) striving to fulfill sexual lives included masturbation to release sexual desire and having oral sex, and 3) restyling healthy behaviors: by reducing risk behaviors, seeking ways to cope with stress, managing to take antiretroviral drugs as daily life, and using condoms for prevention. The findings of this study help nurses to understand the lifestyle of young men who have sex with men living with HIV, which can be used to develop programs/strategies to promote healthy lifestyles and well-being.

References

Centers for Disease Control and Prevention. HIV surveillance report. [Internet] 2017 [cited 2020 Jan 5];29:1-129. Available from: https://www.cdc.gov/hiv/pdf/library/ reports/ surveillance/cdc-hiv-surveillance-report2017-vol-29.pdf

amfAR. HIV in Asia. [Internet] 2019 Aug [cited 2020 Jan 10]. Available from: https://www.amfar.org/hivin-asia/#:~:text=UNAIDS%20reported%20that%20in%202018,the%20region%20to%205.9%20million

The Joint United Nations Programme on HIV/AIDS. Country factsheets Thailand. [Internet] 2019 [cited 2020 Feb 25]. Available from: https://www.unaids.org/en/regionscountries/countries/thailand

National AIDS Committee. Thailand ending aids: Thailand aids response progress report 2015. [Internet] 2015 Aug [cited 2017 Feb 11];1-58. Available from: https://hivhub.ddc.moph.go.th/Download/Report/APR/2015/AIDS%20progress%20report_2015.pdf

Seekaew P, Pengnonyang S, Jantarapakde J, Sungsing T, Rodbumrung P, Trachunthong D, et al. Characteristics and HIV epidemiologic profiles of men who have sex with men and transgender women in key population-led test and treat cohorts in Thailand. PLoS One. 2018;13(8):1-13. doi:

1371/journal.pone.0203294.

Bergamaschi A, D’Arripe-Longueville F, Gray LL, Colson SS, Goujard C, Ferez S, et al. Perceived HIV-related physical fatigue, sociodemographic characteristics and physical activity: a cross-sectional study. J Clin Nurs. 2019;28(11-12):2147-56. doi:10.1111/jocn.14793.

Bjerrum S, Oliver-Commey J, Kenu E, Lartey M, Newman MJ, Addo KK, et al. Tuberculosis and non-tuberculous mycobacteria among HIV-infected individuals in Ghana. Trop Med Int Health. 2016;21(9): 1181-90. doi:10.1111/tmi.12749.

Cook SH, Valera P, Wilson PA. HIV status disclosure, depressive symptoms, and sexual risk behavior among HIV-positive young men who have sex with men. J Behav Med. 2015;38(3):507-517. doi: 10.1007/s10865-015-9624-7.

Kutner BA, Nelson KM, Simoni JM, Sauceda JA, Wiebe JS. Factors associated with sexual risk of HIV transmission among HIV-positive Latino men who have sex with men on the U.S.-México border. AIDS Behav. 2017;21(3):923-34. doi:10.1007/s10461-016-1449.

Chong ESK, Mak WWS, Tam TCY, Zhu C, Chung RWY. Impact of perceived HIV stigma within men who have sex with men community on mental health of seropositive MSM. AIDS Care. 017; 29(1):118-24. doi: 10.1080/ 09540121. 2016.1201190.

Levison JH, Levinson JK, Alegría M. A critical review and commentary on the challenges in engaging HIV-infected Latinos in the continuum of HIV care. AIDS Behav. 2018; 22(8):2500-12. doi: 10.1007/s10461-018-2187-1.

Pender N, Murdaugh C, Parsons MA. Health promotion in nursing practice (7th ed.). USA: Pearson Education; 2015.

Rongkavilit C, Wang B, Naar-King S, Bunupuradah T, Parsons JT, Panthong A, et al. Motivational interviewing targeting risky sex in HIV-positive young Thai men who have sex with men. Arch Sex Behav. 2015;44(2):329-40. doi:10.1007/s10508-014-0274-6.

Hughes AJ, Chen YH, Scheer S. Condomless anal sex among HIV-positive men who have sex with men: biomedical context matters. AIDS Behav. 2017;21(10):2886-94. doi:10.1007/s10461-017-1852-0.

Bruce D, Bauermeister JA, Kahana SY, Mendoza E, Fernández MI. Correlates of serodiscordant condomless anal intercourse among virologically detectable HIV-positive young men who have sex with men. AIDS Behav. 2018;22(11):3535-9. doi:10.1007/s10461-018-2183-5.

Li H, Sankar A, Holroyd E, Jiang B. Safer sex practices among newly diagnosed HIV-positive men who have sex with men in China: results from an ethnographic study. Int J Qual Stud Health Well-being. 2017;12(1):1-8. doi:10.1080/17482631.2017.1335167.

Aralis HJ, Shoptaw S, Brookmeyer R, Ragsdale A, Bolan R, Gorbach PM. Psychiatric illness, substance use, and viral suppression among HIV-positive men of color who have sex with men in Los Angeles. AIDS Behav. 2018;22(10):3117-29. doi:10.1007/s10461-018-2055-z.

Gamarel KE, Kahler CW, Brown L, Fernandez MI, Bruce D, Nichols S. Prevalence and correlates of substance use among youth living with HIV in clinical settings. Drug Alcohol Depend. 2016;169:11-8. doi:10.1016/j.drugalcdep. 2016.10.002.

Quinn K, Voisin DR, Bouris A, Schneider J. Psychological distress, drug use, sexual risks and medication adherence among young HIV-positive black men who have sex with men: exposure to community violence matters. AIDS Care. 2016;28(7):866-72. doi:10.1080/09540121.2016.1153596.

Yang Y, Dan L, Xi C, Zhulin H, Min W, Shuiyuan X. Medication adherence to antiretroviral therapy among newly treated people living with HIV. BMC Public Health. 2018;18(1):1-8. doi: 10.1186/s12889-018-5731-z.

Rood BA, McConnell EA, Pantalone DW. Distinct coping combinations are associated with depression and support service utilization in men who have sex with men living with HIV. Psychol Sex Orientat Gend Divers. 2015; 2(1):96–105. doi: 10.1037/sgd0000091.

Cherenack EM, Sikkema KJ, Watt MH, Hansen NB, Wilson PA. Avoidant coping mediates the relationship between self-efficacy for HIV disclosure and depression symptoms among men who have sex with men newly diagnosed with HIV. AIDS Behav. 2018;22(10):3130- 40. doi:10.1007/s10461-018-2036-2.

Monroe AK, Zhang L, Jacobson LP, Plankey MW, Brown TT, Miller EN, et al. The association between physical activity and cognition in men with and without HIV infection. HIV Med. 2017;18(8):555-63. doi: 10.1111/hiv.12490.

Steenkamp L, Truter I, Williams M, Goosen A, Oxley I, Tonder EV, et al. Nutritional status and metabolic risk in HIV-infected university students: challenges in their monitoring and management. South African Fam Prac. 2017;59(1):9-13. doi:10.1080/20786190.2016.1 248143.

Wilkins ML, Dallas RH, Porter JS, Tang L, Sun Y, Magdovitz-Frankfurt P, et al. Characterizing body image in youth with HIV. AIDS Behav. 2016;20(8):1585-90. doi: 10.1007/s10461-015-1271-z.

Inchai P, Jamkrajang S, Yodnil S. Lifestyle of Thai undergraduate students living with HIV/AIDS. Intern J of Tech Res and Applic. 2015;25:16-20.

Udomkhamsuk W, Fongkaew W, Grimes DE, Viseskul N, Kasatpibal N. Barriers to HIV treatment adherence among Thai youth living with HIV/AIDS: a qualitative study. Pacific Rim Int J Nurs Res. 2014;18(3):203-215.

Lambert VA, Lambert CE. Qualitative descriptive research: an acceptable design. Pacific Rim Int J Nurs Res. 2012; 16(4):255-6.

Turale S. A brief introduction to qualitative description: a research design worth using. Pacific Rim Int J Nurs Res [Internet]. 2020 Jul 9 [2020 Nov 24];24(3):289-91. Available from: https://he02.tci-thaijo.org/index.php/ PRIJNR/article/view/243180

Creswell JW. Qualitative inquiry research design: choosing among five approaches (3rd ed.). Thousand Oaks: SAGE Publications; 2013.

Guba EG, Lincoln YS. Fourth generation evaluation. Carlifornia: Sage; 1989.

Smith ST, Dawson-Rose C, Blanchard J, Kools S, Butler D. “I am normal”: claiming normalcy in Christian-identified HIV-infected adolescent and emerging adult males. J Assoc Nurses AIDS Care. 2016;27(6):835-48. doi:10.1016/ j.jana.2016.05.004.

Stonbraker S, Befus M, Lerebours Nadal L, Halpern M, Larson E. Factors associated with health information seeking, processing, and use among HIV positive adults in the Dominican Republic. AIDS Behav. 2017;21(6): 1588-600. doi:10.1007/s10461-016-1569-5.

Li H, Tucker J, Holroyd E, Zhang J, Jiang B. Suicidal ideation, resilience, and healthcare implications for newly diagnosed HIV-positive men who have sex with men in China: a qualitative study. Arch Sex Behav. 2017;46(4): 1025-34. doi:10.1007/s10508-016-0894-0.

United Nations Development Programme. Stories of stigma: exploring stigma and discrimination against Thai transgender people while accessing health care and in other settings. Bangkok, UNDP. [Internet] 2020 Feb 26 [cited 2020 March 5];1-48. Available from: https://www. th.undp.org/content/thailand/en/home/library/gender_ equality/stories-of-stigma.html

Nelson KM, Simoni JM, Morrison DM, George WH, Leickly E, Lengua LJ, et al. Sexually explicit online media and sexual risk among men who have sex with men in the United States. Arch Sex Behav. 2014;43(4):833-43. doi:10.1007/s10508-013-0238-2.

Harper GW, Tyler AT, Bruce D, Graham L, Wade RM. Drugs, sex, and condoms: identification and interpretation of race-specific cultural messages influencing black gay and bisexual young men living with HIV. Am J Comm Psychol. 2016;58(3-4):463-76. doi:10.1002/ajcp.12109.

Seekaew P, Lujintanon S, Pongtriang P, Nonnoi S, Hongchookait P, Tongmuang S, et al. Sexual patterns and practices among men who have sex with men and transgender women in Thailand: a qualitative assessment. PLoS ONE. 2019;14(6):1-14 doi: 10.1371/journal.pone. 0219169.

Heijman T, Stolte I, Geskus R, Matser A, Davidovich U, Xiridou M, et al. Does online dating lead to higher sexual risk behaviour? A cross-sectional study among MSM in Amsterdam, the Netherlands. BMC Infect Dis. 2016;16(1):288 - 301. doi: 10.1186/s12879-016-1637-5.

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Published

2021-03-27

How to Cite

1.
Rueanrudipirom K, Fongkaew W, Viseskul N, Fongkaew K. Lifestyle of Young Men Who Have Sex with Men Living with HIV: A Qualitative Descriptive Study. PRIJNR [Internet]. 2021 Mar. 27 [cited 2024 Dec. 22];25(2):312-26. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/242584

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