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Stigma and Survival in Older Adult Sexual Minority Men living with HIV/AIDS Living in New York City Rahwa Haile , Ph.D. 1 Mark B. Padilla, Ph.D. 2 Elma Lorenzo-Blanco, M.S. 2 1 Columbia University and NY State Psychiatric Institute HIV Center for Clinical and Behavioral Studies

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  1. Stigma and Survival in Older Adult Sexual Minority Men living with HIV/AIDS Living in New York City RahwaHaile, Ph.D.1 Mark B. Padilla, Ph.D.2 Elma Lorenzo-Blanco, M.S.2 1 Columbia University and NY State Psychiatric Institute HIV Center for Clinical and Behavioral Studies 2 University of Michigan, Ann Arbor School of Public Health

  2. Background • HIV/AIDS in the United States • Demographic Transformations • 30% of New York City population of people living with HIV/AIDS are over the age of 50 • Need to maximize potential for long-term survival • A Critical Gap in Knowledge • Stigma

  3. Methods TITLE • Inclusion Criteria • Male sex and gender • Self-identity as gay or bisexual • Self-identity as black, Latino or white • Age 50 or older • HIV positive for at least 12 years • Residence in New York City • Qualitative Measure and Analysis • Life history narratives • Grounded Theory

  4. Methods • Sample characteristics of presented sub-sample of black men • Average age 56 • 50% gay, 50% bisexual • On average, living with HIV for 18 years

  5. Dehumanization: “Just One More Body” • “When you’re black and you don’t have insurance they don’t care. You just one more black body that we ain’t have to be concerned with on the planet. And that’s just how they feel about it. That’s life.” (“C”, 56, gay) • “‘Your blood has come back bad, take these, or you’ll be dead in a year.’ I said, ‘Why?’ He said, ‘Just take ‘em or you’ll be dead.’ So I said, ‘No, I don’t think so.’ And I went out and I got a bottle of gin and, ‘bout 5 or 10 years later, I was still drinking gin.” (“C”, 56, gay)

  6. Dehumanization: “Just one more body” • “absolutely nothing was done, nothing. The police precinct actually closed my case the day the case was opened.” (“Freire”, 50, gay)

  7. Immobilization: “Stuck in The Quagmire of an HIV Ghetto” • “Living below the poverty line, down in a quagmire, that’s hard to get out of; in this ghetto where everybody lives that is HIV positive. Everybody’s just stuckthere, in this place filled with misery and despair and longing, and no way out.” (“Ully,” 60, gay) • “If they could find me a job, and let me keep my Medicaid, I would work. You know, for that medication, a job is not gonnado it.” (“Butch,” 58, bisexual)

  8. Immobilization: “Stuck in the Quagmire of an HIV Ghetto” • “the last time I went back to work, I almost got thrown out of my own apartment because of income problems… excessive income. I had to go to court and fight a long court battle.” (“Tim,” 63, bisexual) • “When I was going through radiation and chemotherapy and I was on public assistance, you know they kept cutting off my fuckin’ Medicaid. I was having 72 treatments to my brain and because my oncologist was my oncologist, I would have my treatments. But they fuck with you. I don’t know the reason why they do that but it stresses you out, it’s killing you.” (“Freire”, 50, gay)

  9. Conclusions • Ubiquity of Stigma • Theoretical contribution • Future Directions

  10. Acknowledgments • Study Participants • Financial Support • University of Michigan Center for the Demography of • Aging • Michigan Institute for Clinical and Health Research • HIV Center for Clinical and Behavioral studies (NIMH • postdoctoral training grant, award number T32 • MH019139,PI: TheodorusSandfort, Ph.D.) • Organizational Support • Center for HIV Educational Studies and Training (CHEST) • Services and Advocacy for Gay, Lesbian, Bisexual and Transgender Elders (SAGE) • AIDS Community Research Initiative of America (ACRIA)

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