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Jesus Ramirez-Valles, PhD
Associate Professor
Community
Health Sciences
You don’t hear me talking about my dad very much
because, again, he was there, but he wasn’t there. I guess he identified
who I was at early age. He was the first to know about my gay and bisexual
tendencies or sexual behavior. He picked up on that when I was very young.
To put it straight, he abandoned me indirectly, subtly… What I
know is that in his eyes, he didn’t accept it and he kind of distanced
himself. I was his favorite. I was the baby, and when he discovered that … he
just changed towards me when he knew.
My life as a public health professional
and researcher has been focused on HIV and AIDS, stigmatization, community
organizing and activism. When I arrived at the School of Public Health,
I began a long-term research project to reduce stigma towards homosexuality
and HIV/AIDS as a means to prevent sexual risk behaviors among Latino
gay and bisexual men and transgender persons (GBT). Latino GBTs continue
to experience high rates of sexual risk behaviors and HIV. The stigma
towards HIV/AIDS and homosexuality is one of the underlying causes for
those persisting high rates. This stigma leads to unsafe sex and HIV
infection through its effects on self-esteem, social support, and access
to information and resources. Although negative attitudes towards gay
men and people living with HIV/AIDS have decreased, many GBTs still encounter
stigma. For Latino GBTs this has particularly severe consequences, because
they also face the stigma of race and immigration. Yet, research and
public health activities to address this stigma are lacking.
But Latino GBTs, like other marginalized groups, cannot solely be defined
as victims. Many Latino GBTs have found, and continue to find, means
of coping with stigma and changing its sources. One of these means is
community involvement, in the form of activism and volunteerism. Thus,
through an NIH research grant, my research team and I have been studying
community involvement in AIDS- and GBT-related organizations as a protective
mechanism for HIV/AIDS sexual risk behavior among Latino GBTs in Chicago
and San Francisco.
As a part of our research efforts, we collected 80 life histories from
volunteers and activists in the AIDS movement. These data helped us understand
the precursors, processes, and outcomes of community involvement. We
developed a theoretical framework and several measures to empirically
test the effects of community involvement on sexual risk behavior. Currently,
I am completing a book-length manuscript based on those life histories
titled, “Compañeros: Activism, Race, and Sexuality
in the Time of AIDS.” The term compañeros captures
the heart of community involvement: peers, friends, and comrades with
whom we walk on a path together, with whom we are tied by solidarity
and obligation.
To empirically test the effects of community involvement, we collected
data from a sample of 643 Latino GBTs in San Francisco and Chicago. We
used two methodological innovations in this process. First, we collected
data using computer-assisted self-interviewing in both English and Spanish.
Second, we recruited the sample using Respondent-Driven Sampling, which
is a chain-referral process that allows us to make generalizations about
the population from which the sample was gathered. These two innovations
were recently published as featured articles in the journal AIDS & Behavior.
The life histories of activists and volunteers led my research team
and me to the development of an educational documentary film. Through
the life histories we learned that the stigmatization endured by Latino
GBTs originates, primarily, in the family, schools, and religious institutions,
particularly during childhood, as the opening quote from one activist
illustrates. In collaboration with Juneteenth Productions, we obtained
an NIH grant to develop, produce, and test a documentary film to be used
as a tool to decrease stigmatization of HIV/AIDS and gender non-conformity
among Latinos. The film features the lives of four Latino GBTs, activists
and volunteers in AIDS and GBT-related issues and targets, primarily,
Latino youth. The film is entitled “Tal Como Somos” (Just
as We Are) and is being shot in four U.S. cities and in Latin-America.
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