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Revista Gerencia y Políticas de Salud
Print version ISSN 1657-7027
Abstract
ESTRADA-MONTOYA, John Harold. Men that have sex with men (MSM): reflections for prevention and health promotion. Rev. Gerenc. Polit. Salud [online]. 2014, vol.13, n.26, pp.44-57. ISSN 1657-7027.
This paper begins whit the evidence about the re-emergence, worldwide, of HIV infection in MSM. According to UNAIDS, Latin America contributed the largest number of new HIV infections in MSM, after the United States of America. Also, 35% of people living with HIV in Latin America are MSM. In addition, to reflect on the behaviours front the unprotected sex, built on beliefs or personal assumptions based on: intuition, trust and emotions. The unprotected sex in MSM could become, unconsciously, in a symbolic act of rebellion and transgression pleasurable. It concludes that nonsexual needs of MSM, that lead them to have unprotected sex, comprise several situations, sensations and feelings. The prevention programs must include and emphasize in the multiple processes involved in decision making, and accepting the vulnerabilities of MSM.
Keywords : HIV; gender identity; homosexuality; self-care; sexual behaviour; social vulnerability; HIV; gender identity; homosexuality; self-care; sexual behavior; social vulnerability.