Black Resilience: A Strategic Asset for Engaging Heterosexual Black Canadian Men in Community Responses to HIV

Springer Science and Business Media LLC - Tập 9 - Trang 756-766 - 2021
Roger Antabe1, Desmond Miller2, Bagnini Kohoun3, Osagie Okonufua4, Winston Husbands5,6
1Department of Geography, University of Western Ontario, Social Science Centre, London, Canada
2Ryerson University, Toronto, Canada
3Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
4Department of Sociology, Anthropology, and Criminology, University of Windsor, Windsor, Canada
5Ontario HIV Treatment Network, Toronto, Canada
6Dalla Lana School of Public Health, University of Toronto, Toronto, Canada

Tóm tắt

Black people’s disproportionate burden of HIV in Canada has raised questions about whether they are sufficiently resilient to HIV, and how to promote resilience. In this paper, we critically examine the issue of resilience among heterosexual Black men in four large Canadian cities (Ottawa, Toronto, London, and Windsor). In 2016, a team of researchers engaged self-identified heterosexual Black men in critical reflection on HIV-related resilience and vulnerability, with the goal of identifying pathways to strengthen their involvement in community responses to HIV. In total, 56 men participated in in-depth interviews and 154 participated in 21 focus groups. The team also organized six focus groups (N = 41) with policymakers, service providers, and community leaders. All four cities participated in a multi-stage iterative process to identify the thematic content of the data. Three overarching sources of resilience emerged from our critical interpretive analysis: (1) bonding with other men, (2) strong commitment to family and community, and (3) demonstrating self-confidence and self-determination. These sources of resilience illustrate the value of love as a driving force for collective action on social justice, support for family and community, and self-determination. These expressions of love support heterosexual Black men to resist or negotiate the structural challenges and gendered ideologies that make them vulnerable to HIV. Based on our analysis, we propose the concept of Black resilience that transcends merely bouncing back from or accommodating to adversity; instead, we understand Black resilience as a predisposition that motivates strategic resistance to systemic disadvantage that undermines Black people’s health and wellbeing.

Tài liệu tham khảo

Haddad N, Li JS, Totten S, Mcguire M. HIV in Canada — Surveillance Report 2017. Can Commun Dis Rep. 2018;44(12):324–32. https://doi.org/10.14745/ccdr.v44i12a03.

Wilton J, Liu J, Sullivan A, Sider D, Kroch A. New HIV diagnoses in Ontario 2016. Ontario HIV Epidemiology and Surveillance Initiative, Toronto, Ontario, 2017. http://www.ohesi.ca/documents/OHESI-New-HIV-Diagnoses-preliminary-updates.pdf. Accessed 15 March 2018.

Raj A, Bowleg L. Heterosexual risk for HIV among Black men in the United States: a call to action against a neglected crisis in Black communities. American Journal of Men's Health. 2012;6:178–81. https://doi.org/10.1177/1557988311416496.

Husbands W, Oakes W, Mbulaheni T, Ongoïba F, Pierre-Pierre V, Luyombya H. Resourceful masculinities: exploring heterosexual Black men’s vulnerability to HIV in Ontario. Canada. Ethn Health. 2020;25:17–33. https://doi.org/10.1080/13557858.2017.1395817.

Diprose K. Resilience is futile. Soundings. 58:44–56. https://doi.org/10.3898/136266215814379736.

Public Health Agency of Canada. HIV and AIDS in Canada: Surveillance Report to December 31, 2013. http://www.phac-aspc.gc.ca/aids-sida/publication/survreport/2013/dec/assets/pdf/hiv-aids-surveillence-eng.pdf. Accessed 10 Jan 2015.

Geary A. Antiblack racism and the AIDS epidemic: state intimacies: Springer; 2014.

Bowleg L, Teti M, Massie JS, Patel A, Malebranche DJ, Tschann JM. ‘What does it take to be a man? What is a real man?’: ideologies of masculinity and HIV sexual risk among Black heterosexual men. Culture, Health & Sexuality. 2011;13:545–59. https://doi.org/10.1080/13691058.2011.556201.

Block S, Galabuzi G-E. Canada’s colour-coded labour market: the gap for racialized workers. Canadian Centre for Policy Alternatives and The Wellesley Institute, 2011. https://www.wellesleyinstitute.com/wp-content/uploads/2011/03/Colour_Coded_Labour_MarketFINAL.pdf. Accessed 17 November 2020.

Hulchanski D, Maaranen R., Neighbourhood socio-economic polarization & segregation in Toronto: trends since 1970. Neighbourhood Change Research Partnership, University of Toronto. 2018. http://neighbourhoodchange.ca/documents/2018/09/hulchanski-2018-toronto-segregation-presentation.pdf. Accessed 25 September 2019.

Morgan A. Doing justice by Black Canadians. Policy Options. Institute for Research on Public Policy. April 25, 2018. https://policyoptions.irpp.org/magazines/april-2018/doing-justice-by-black-canadians/. Accessed 22 July 2019

Teti M, Martin AE, Ranade R, Massie J, Malebranche DJ, Tschann JM, et al. “I’m a keep rising. I’m a keep going forward, regardless”: exploring black men’s resilience amid sociostructural challenges and stressors. Qualitative Health Research. 2012;22:524–33.

De Santis J. Exploring the concepts of vulnerability and resilience in the context of HIV infection. Research and Theory for Nursing Practice. 2008;22:273–87.

de Andrade M. Tackling health inequalities through asset-based approaches, co-production and communities? Journal of Poverty and Social Justice. 2016;24:127–41. https://doi.org/10.1332/175982716X14650295704650.

Friedli L. “What we’ve tried, hasn’t worked”: the politics of assets based public health. Critical Public Health. 2013;23:131–45.

Gayles J. Playing the game and paying the price: academic resilience among three high-achieving African American males. Anthropology and Education Quarterly. 2005;36:250–64.

Macharia K. Love. Critical Ethnic Studies. 2015;1:68–75. https://doi.org/10.5749/jcritethnstud.1.1.0068.

Garza A. Black love – resistance and liberation. Race, Poverty & the Environment. 2015;20:21–5.

Callwood J. Trial without end: a shocking story of women and AIDS. Toronto: AA Knopf; 1995.

Nelson LRE. Getting to zero infections among Black MSM: evidence-based approaches, emancipation-based practices and equity-focussed impact. Social Science Plenary, 29th Annual Canadian Conference on HIV/AIDS Research 2020 (CAHR 2020). https://www.cahr-acrv.ca/virtual-conferences/videos/#Nelson. Accessed May 14 2020.

Laughland O, Lartey J. First slavery, then a chemical plant and cancer deaths: one town’s brutal history. The Guardian. 2019 https://www.theguardian.com/us-news/2019/may/06/cancertown-louisiana-reserve-history-slavery. Accessed 10 May 2019.