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Barriers and Facilitators to Promoting Resilience to HIV/AIDS: A Qualitative Study on the Lived Experiences of HIV-Positive, Racial and Ethnic Minority, Middle-Aged and Older Men Who Have Sex with Men from Ontario, Canada

Author

Listed:
  • Renato M. Liboro

    (Department of Psychology, University of Nevada, Las Vegas, NV 89154, USA
    Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada)

  • Sherry Bell

    (Department of Psychology, University of Nevada, Las Vegas, NV 89154, USA)

  • Brandon Ranuschio

    (Department of Psychology, University of Nevada, Las Vegas, NV 89154, USA)

  • Lianne Barnes

    (Department of Psychology, University of Nevada, Las Vegas, NV 89154, USA)

  • Jenna Despres

    (Department of Psychology, University of Nevada, Las Vegas, NV 89154, USA)

  • Aruna Sedere

    (Department of Psychology, University of Nevada, Las Vegas, NV 89154, USA)

  • Trinity Puno

    (Department of Psychology, University of Nevada, Las Vegas, NV 89154, USA)

  • Paul A. Shuper

    (Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada
    Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada)

Abstract

Evidence-based research has highlighted the need for exploring factors that support the mental health of men who have sex with men living with HIV/AIDS (MSMLWH), and environmental influences that promote their resilience to HIV/AIDS. This exploratory study utilized a community-based participatory research approach to investigate barriers and facilitators to promoting resilience to HIV/AIDS, specifically among racial and ethnic minority, middle-aged and older MSMLWH, a population that continues to be significantly impacted by HIV/AIDS today. This collaborative, qualitative study recruited participants who identified as racial or ethnic minority MSMLWH, were aged 40 or older, and resided in Ontario, Canada. Participants ( n = 24) discussed in their interviews barriers and facilitators to promoting resilience to HIV/AIDS, which they recognized from their lived experiences. Utilizing thematic analysis, themes related to barriers and facilitators to promoting resilience to HIV/AIDS were identified. Themes related to identified barriers included: (1) language proficiency, (2) racism, (3) pernicious norms in North American gay culture, and (4) HIV stigma. Themes related to identified facilitators included: (1) compartmentalization, (2) perseverance, and (3) community-based health and social services. This article discusses the implications of the study’s findings, particularly on how they may influence the development of future services for racial and ethnic minority, middle-aged and older MSMLWH.

Suggested Citation

  • Renato M. Liboro & Sherry Bell & Brandon Ranuschio & Lianne Barnes & Jenna Despres & Aruna Sedere & Trinity Puno & Paul A. Shuper, 2021. "Barriers and Facilitators to Promoting Resilience to HIV/AIDS: A Qualitative Study on the Lived Experiences of HIV-Positive, Racial and Ethnic Minority, Middle-Aged and Older Men Who Have Sex with Men," IJERPH, MDPI, vol. 18(15), pages 1-18, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:8084-:d:605032
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    References listed on IDEAS

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    1. Pantell, M. & Rehkopf, D. & Jutte, D. & Syme, S.L. & Balmes, J. & Adler, N., 2013. "Social isolation: A predictor of mortality comparable to traditional clinical risk factors," American Journal of Public Health, American Public Health Association, vol. 103(11), pages 2056-2062.
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    1. Sherry Bell & Brandon Ranuschio & John M. Waldron & Lianne Barnes & Nadia Sheik-Yosef & Esmeralda Villalobos & Janelle Wackens & Renato M. Liboro, 2023. "Pandemic upon Pandemic: Middle-Aged and Older Men Who Have Sex with Men Living with HIV Coping and Thriving during the Peak of COVID-19," IJERPH, MDPI, vol. 20(11), pages 1-16, May.

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