Examining HIV Organizational Structures and their Influence on Engagement with Young Black Gay, Bisexual, and other Men who have Sex with Men in Atlanta, Georgia

Details

• Alternative Title:
  J Gay Lesbian Soc Serv
• Personal Author:
  Fogarty, Hannah ; Jones, Marxavian D. ; Moore, Shamia J. ; Harper, Gary W. ; Camacho-González, Andrés ; del Rio, Carlos ; Hussen, Sophia A.
• Description:
  Young Black gay, bisexual, and other men who have sex with men (YB-GBMSM) are disproportionately impacted by HIV. Structural influences on these disparities, including characteristics of the various organizations that serve YB-GBMSM living with HIV, remain understudied. We drew on Weick's model of organizing to conduct and analyze qualitative interviews with 28 HIV service providers representing healthcare and community-based organizations in Atlanta, Georgia. Enactment of HIV service provision was described as following simplified and standardized responses-defined as "rules", and/or more dynamic exchanges to formulate responses -otherwise known as "communication behavior cycles" (CBCs). Rules, including patient quotas and limited hours of operation, were viewed as rigid, out-of-touch, and inhibiting engagement with YB-GBMSM. CBCs, such as patient feedback loops and rejection of traditional hierarchies, fostered creative insights to combating the epidemic and increased levels of cultural awareness and community buy-in. Organizations should strive to enact CBCs, to foster culturally congruent approaches to service delivery for YB-GBMSM.
• Keywords:
  Black/African-American Gay And Biseuxal Men HIV HIV/AIDS Organizational Theory Qualitative Research
• Source:
  J Gay Lesbian Soc Serv. 36(1):58-79
• Pubmed ID:
  38650676
• Pubmed Central ID:
  PMC11034743
• Document Type:
  Journal Article
• Funding:
  P30 AI050409/AI/NIAID NIH HHSUnited States/ ; U01 PS005112/PS/NCHHSTP CDC HHSUnited States/
• Volume:
  36
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:ceda7b5e7ca7037f0047a0657ab5cf0474c9504493ac9b02c30390fafa30de0a
• Download URL:
  https://stacks.cdc.gov/view/cdc/154818/cdc_154818_DS1.pdf
• File Type:
  [PDF - 339.69 KB ]