Middle-aged and elderly MSM: why is it difficult to engage in HIV service organizations
The study (30 semi-structured interviews in 5 administrative-territorial units of Ukraine) covers men who have sex with men (MSM), middle-aged and elderly (over 35 years) to understand certain factors, which should be considered when planning new services or already those available in prevention projects. The authors tried to describe the lifestyle of middle-aged and elderly MSM as a power for mature individuals. The article describes that one of the main factors influencing the involvement of this socio-demographic group in the activities of HIV service organizations is the competition of the proposed services with other leisure activities, and the concept of services must meet the needs of potential clients (in the field of health, relationships with partners and their hobbies), daily life schedule and the use of ways to communicate with other members of the LGBT community. MSM and LGBT organisations should create a safe physical and psychological environment, advise on ageing, divorce, introduce safer models of living in stressful situations, support and shape behaviours aimed at maintaining health, forming a healthy lifestyle, and improving its quality both in the context of socialisation of clients, and preservation or restoration of sexual attractiveness and activity. Clients should be able to choose the services that best suit their needs from a wide range (including for same- and heterosexual couples) and how to receive services (with or without a visit to the organisation’s office). The organization of services should create a recognizable face of each organisation within the city or region and not offer the same set of services). The study has some limitations, mainly the impossibility of generalising the information obtained to the entire study population due to the purely qualitative nature of the applied methodology. The study group (MSM aged 35 years and older) consists of several distinct age groups, among which the oldest group had additional trauma in the past.
Kuzin, I., Martsynovska, V., Antonenko, Zh. (2019). HIV infection in Ukraine: Newsletter № 50. Kyiv: Public Institution “Public Health Center” of the Ministry of Health of Ukraine. URL: https://www.phc.org.ua/sites/default/files/users/user90/HIV_in_UA_50_2019.pdf [in Ukrainian]
Kasianchuk, M., Trofymenko, O., Bilous, Ye., Sazonova, Ya. (2017). Monitoring of behavior and HIV prevalence among men who have sex with men (national part). Kyiv: ICF “Public Health Alliance”. URL: http://aph.org.ua/wp-content/uploads/2017/06/Analituchnuy_zvit_Nacionalna-chastyna_28.06.2017_com.pdf [in Ukrainian]
Sereda, Yu., Novak, Yu., Sazonova, Ya. (2019). Report on the results of biobehavioral research among sex workers in Ukraine. Kyiv: ICF “Public Health Alliance”. URL: https://aph.org.ua/wp-content/uploads/2015/06/RKS_Report__2019_web.pdf [in Ukrainian]
Chikhladze, S., Kasianczuk, M. (2019). Two years of progress: Assessment of Existing Strategic Information on HIV among MSM and Trans People in Armenia, Belarus, Estonia, Georgia, Kyrgyzstan, and North Macedonia. Tallinn: Eurasian Coalition on Male Health (ECOM). URL: https://ecom.ngo/wp-content/uploads/2020/03/Assessment-of-Existing-Strategic-Information_eng.pdf
Chikhladze, S., Kasianczuk, M., Orbelyan, S., Sheremet, S. (2019). Two Years of Progress: MSM and Trans Community Participation in HIV Decision-Making Processes in Armenia, Belarus, Georgia, Kyrgyzstan, North Macedonia, Tajikistan and Ukraine. Tallinn: Eurasian Coalition on Male Health (ECOM). URL: https://ecom.ngo/wp-content/uploads/2020/01/participation-study-2019-eng.pdf
Varban, M.Yu., Dmytruk, N.A., Debelyuk, M.I. (2013). Behavioral sexual practices of men who have sex with men, by the results of ethnographic research. Ukr. socìum – Ukrainian Society, 3 (46), 7–18 [in Ukrainian]
Demchenko, I.L., Varban, M.Yu., Varban, Ye.O., Debelyuk, M.I., Kyselev, V.V., Kostiuchok, M.M., Belonosova, N.A. (2012). Summary of the results of the operational study “Assessment of the impact of group forms of work in the framework of HIV prevention projects among MSM”. Kyiv: ICF “International HIV / AIDS Alliance in Ukraine”. URL: http://aph.org.ua/wp-content/uploads/2016/08/Summary-MSM_ukr.pdf [in Ukrainian]
Postnov, О., Kasianczuk, М., Neduzhko, О., Gerasimenko, Т., Sazonova, О., Kiriazova, Т., Shvab, I., Yorick, R. (2016). MSM community mobilization for HIV prevention in Ukraine: the effectiveness of Mpowerment behavioral intervention. Abstract Book: 21st International AIDS Conference, July 18–22. Durban. Durban: International AIDS Society.
Kasianchuk, M., Korzhov, G., Varban, M. (2014). Summary of the results of operational research among bisexual men and their partners in Ukraine. Kyiv: ICF “International HIV / AIDS Alliance in Ukraine”. URL: http://aph.org.ua/wp-content/uploads/2016/08/bisexual-ukr.pdf [in Ukrainian]
Golovchin, M.A., Mkoyan, G.S. (2018). Youth in former Soviet republics in conditions of value transformation of society (case study of Russia and Armenia). Economic and Social Changes: Facts, Trends, Forecast, 11, 3, 215-229.
Haber, D. (2009). Gay Aging. Gerontology & Geriatrics Education, 30, 3, 267-280.
Butler, S.S. (2004). Gay, Lesbian, Bisexual, and Transgender (GLBT) Elders. Journal of Human Behavior in the Social Environment, 9, 4, 25-44.
Orel, N.A. (2014). Investigating the Needs and Concerns of Lesbian, Gay, Bisexual, and Transgender Older Adults: The Use of Qualitative and Quantitative Methodology. Journal of Homosexuality, 61, 1, 53-78.
Brotman, S., Ryan, B., Cormier, R. (2003). The Health and Social Service Needs of Gay and Lesbian Elders and Their Families in Canada. The Gerontologist, 43, 2, 192-202.
Shestakovskyi, O., Kasianczuk, M., Trofymenko, O., Chepurko, G., Djuma, V., Howell, S. (2019). Internal homonegativity among men having sex with men: a comparative cross-national study. Sotsiologiya: teoriya, metody, marketing – Sociology: theory, methods, marketing, 1, 145-171.
Sayer, L.C. (2005). Gender, Time and Inequality: Trends in Women’s and Men’s Paid Work, Unpaid Work and Free Time. Social Forces, 84 (1), 285-303.
Kesten, J.M., Dias, K., Burns, F., Crook, P., Howarth, A., Mercer, C.H., Rodger, A., Simms, I., Oliver, I., Hickman, M., Hughes, G., Weatherburn, P. (2019). Acceptability and potential impact of delivering sexual health promotion information through social media and dating apps to MSM in England: a qualitative study. BMC Public Health, 19, 1236.
Badal, H.J., Stryker, J.E., DeLuca, N., Purcell, D.W. (2018). Swipe Right: Dating Website and App Use Among Men Who Have Sex With Men. AIDS and Behavior, 22, 1265-1272.
Martsenyuk, T. (2013). Gender Roles in LGBT Families in Ukraine: Idealization and Reproduction of Heteronormativity.
Kasianzuk, M., Sheremet, S., Trofymenko, O. (2020). Status of same-sex partnerships in Ukraine. Sotsiologiya: teoriya, metody, marketing – Sociology: theory, methods, marketing, 3, 143-166 [in Ukrainian]