Factores sociales y contextuales que influyen en conductas de riesgo para VIH entre indígenas HSH de la amazonia Peruana.

Este resumen esta siendo traducido por Roberto Orellana

Social and contextual factors that influence HIV risk behaviors among indigenous MSM in the Peruvian Amazon

E.R. Orellana1,2, I. Alva3


Men who have sex with men (MSM) face a significantly higher
risk of HIV infection than the general population around the globe. In Peru, HIV prevalence among MSM range from 14% to
23%, with Lima,
the capital, and port cities in the Amazonian region being the most affected.
Recent studies found that indigenous MSM who leave their villages for cities
along the Amazon River and its tributaries, engage in high risk behaviors such as high alcohol consumption
and unprotected sex with mestizo (non-indigenous)
MSM. This study examined social and contextual factors associated with risky
behaviors among indigenous MSM in the Peruvian Amazon.

During a 5-month period in 2009-2010, we purposively
recruited indigenous MSM. The study took place in several port cities
throughout the Amazon region. Semi-structured in-depth interviews were
conducted with indigenous men, who consented to voluntarily participate in the


We interviewed 34 MSM with an average age of 26 years. They
represented 8 different ethnic groups. In most situations, when family and
community members learned about the participants’ sexuality, discrimination and
violence ensued. Participants reported being beaten up by their relatives. Sometimes,
community councils were held to decide on their fate. Council decisions ranged
from forcing the person to hard (manly)
labor, to undertake traditional medicine treatments, to expulsion. Participants
saw their migration to the city as an escape
from oppressive forces in the community. In the city, many reported being
in abusive relationships with other men. Lacking appropriate education and
technical skills, many participants engaged in sex work as a way of making a


A great deal of discrimination, isolation and lack of social
support was experienced by most participants. Besides individual-level
interventions, HIV prevention programs should take these factors into account
and design programs that increase social support, enhance community building
and reduce stigma.

Abstract no. TUPE0484

Suggested Citation
“E.R.Orellana, et al. Social and contextual factors that influence HIV risk behaviors among indigenous MSM in the Peruvian Amazon. : : Abstract no. TUPE0484 “

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