Exploring health and HIV for men who have sex with men in London: how can perceptions of health be used to achieve improved HIV prevention outcomes?
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This study will apply a process theoretical approach in examining how MSM’s sexual practices and perceptions of health and illness are constitutively entangled. Privileging ontological performativity and multiplicity, the study aims to build an appreciation of how MSM's sexual practices participate in a larger ecology of practices, so as to examine how possibilities for changing sexual practices might be realised. The study will adopt a relational ontological and constructivist epistemological approach. In-depth, semi-structured interviews will be conducted and 3 different emic perspectives will be obtained from: (a) HIV negative MSM who ‘lapse’ into unprotected anal intercourse (UAI), (b) HIV negative MSM who intentionally engage in UAI and (c) HIV positive MSM. Ethnographic research will also be conducted at a sexual health clinic. Where observation is not possible (e.g. saunas, bars), the ‘interview to the double’ method will be used to represent and analyse MSM’s practices. In line with the study’s aim of exploring how a process oriented approach might address the practical challenges of informing health policy and HIV prevention efforts, a workshop with relevant stakeholders will be arranged to explore how the research can be translated into practical policy and health service delivery. Key words: HIV, health, ontology, practices
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