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Sociology
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Identity, Expertise and HIV Risk in a Case Study of Reflexivity and Medical Technologies

Mark Davis

Monash University, mark.davis{at}arts.monash.edu.au

Using qualitative interviews with gay men with HIV and with reference to identity, expertise and HIV medical technologies, this article contributes to debate concerning the concept of risk reflexivity. Since the mid 1990s, people with HIV in the affluent, global North have had access to HIV treatment that substantially improves health. Recent research has expressed fears that, by satisfying hopes for effective treatment among affected citizens, HIV prevention will be undermined. This paradoxical idea has sharpened focus on how users apply knowledge regarding the effects of treatment on the risk of HIV transmission through sexual practice. This article argues that the concept of risk reflexivity has value because it draws attention to the limitations of extant assumptions about the users of HIV medical technologies. But this concept requires development in terms of the positioning of the person with HIV in risk reflexivity and the related mobilization of blame.

Key Words: gay men • HIV treatment • medical technology • risk reflexivity

References

  • Adam, B. (2005) `Constructing the Neoliberal Sexual Actor: Responsibility and Care of the Self in the Discourse of Barebackers', Culture, Health and Sexuality 7(4): 333—46.[CrossRef]
  • Adkins, L. (2002) Revisions: Gender and Sexuality in Late Modernity. Buckingham: Open University Press.
  • Aidsmap (2005) `Survival, AIDS and Mortality', National AIDS Manual, URL (consulted 12 December 2006): www.aidsmap.com
  • Aidsmap (2006) `Living with HIV: Sex: Reinfection/Superinfection', National AIDS Manual, URL (consulted 8 June 2006): www.aidsmap.com
  • Bangsberg, D., E. Charlebois, R. Grant et al. (2003) `High Levels of Adherence Do Not Prevent Accumulation of HIV Drug Resistance Mutations', AIDS 17(13) 1925—32.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Beck, U. (1998) `Politics of Risk Society', in J. Franklin (ed.) The Politics of Risk Society, pp. 9—22. Cambridge: Polity.
  • Beck, U. and E. Beck-Gernsheim (2002) Individualisation: Institutionalised Individualism and its Social and Political Consequences. London: Sage.
  • Bernard, E. (2002) `Sex and Superinfection', AIDS Treatment Update 120(December): 2—5.
  • Davis, M., G. Hart, G. Bolding et al. (2006) `Sex and the Internet: Gay Men, Risk Reduction and Serostatus', Culture, Health and Sexuality 8(2): 161—74.[CrossRef]
  • Davis, M., G. Hart, J. Imrie et al. (2002) ` "HIV is HIV to me": Meanings of Treatments, Viral Load and Reinfection Among Gay Men with HIV', Health, Risk and Society 4(1): 31—43.[CrossRef]
  • Dilley, J., W. Woods, J. Sabatino et al. (2003) `Availability of Combination Therapy for HIV: Effects on Sexual Risk Taking in a Sample of High-Risk Gay and Bisexual Men', AIDS Care 15(1) 27—37.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Douglas, M. (1992) Risk and Blame: Essays in Cultural Theory. London: Routledge.
  • Elford, J., G. Bolding and L. Sherr (2002) `High-Risk Sexual Behaviour Increases Among London Gay Men Between 1998 and 2001: What is the Role of HIV Optimism?' AIDS 16: 1537—44.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Elford, J. and G. Hart (2005) `HAART, Viral Load and Sexual Risk Behaviour', AIDS 19: 205—7.[Web of Science][Medline] [Order article via Infotrieve]
  • Epstein, S. (ed.) (1996) Impure Science: AIDS, Activism and the Politics of Knowledge. Berkeley, CA: University of California Press.
  • Flowers, P. (2001) `Gay Men and HIV/AIDS Risk Management', Health 5: 50—75.[Abstract/Free Full Text]
  • Flowers, P., M. Davis, G. Hart et al. (2006) `Diagnosis and Stigma and Identity Amongst HIV Positive Black Africans Living in the UK', Psychology and Health 21(1): 109—22.[CrossRef]
  • Gazzard, B. (2005) `British HIV Association (BHIVA) Guidelines for the Treatment of HIV-Infected Adults With Antiretroviral Therapy (2005)', HIV Medicine 6(Supplement 2): 1—61.[Free Full Text]
  • Giddens, A. (1990) The Consequences of Modernity. Cambridge: Polity.
  • Giddens, A. (1991) Modernity and Self Identity: Self and Society in the Late Modern Age. Cambridge: Polity.
  • Giddens, A. (1998) `Risk Society: The Context of British Politics ', in J. Franklin (ed.) The Politics of Risk Society, pp. 23—34. Cambridge: Polity.
  • Green, G. and R. Smith (2004) `The Psychosocial and Health Care Needs of HIV-Positive People in the United Kingdom Following HAART: A Review', HIV Medicine 5(Supplement 1): 1—46.[Web of Science][Medline] [Order article via Infotrieve]
  • Greene, R. and D. Ward (2002) `Let's Call It HIV Infection, Not AIDS', Poster presented at the 14th International AIDS Conference, Barcelona, 7—14 July.
  • Janssen, R., D. Holtgrave, R. Valdiserri et al. (2001) `The Serostatus Approach to Fighting the HIV Epidemic: Prevention Strategies for Infected Individuals', American Journal of Public Health 91(7): 1019—24.[Abstract]
  • Kalichman, S., D. Rompa, M. Cage et al. (2002) `Sexual Transmission Risk Perceptions and Behavioural Correlates of HIV Concentrations in Semen', AIDS Care 14(3): 343—9.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Kerr, A. and S. Cunningham-Burley (2000) `On Ambivalence and Risk: Reflexive Modernity and the New Human Genetics', Sociology 34: 283—304.[Abstract/Free Full Text]
  • Kippax, S., J. Noble, G. Prestage et al. (1997) `Sexual Negotiation in the AIDS Era: Negotiated Safety Revisited', AIDS 11: 191—7.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Lupton, D. and J. Tulloch (1998) `The Adolescent "Unfinished Body", Reflexivity and HIV/AIDS Risk', Body and Society 4(2): 19—34.[CrossRef]
  • Miller, M., A. Schilder, C. Buchner et al. (2002) `Reflections on the Concept of HIV Treatment Optimism by Young Gay Men (YGM) in the Context of Rising HIV Incidence in Vancouver', Paper presented at the 14th International AIDS Conference, Barcelona, July 7—12.
  • Novas, C. and N. Rose (2000) `Genetic Risk and the Birth of the Somatic Individual ', Economy and Society 29(4): 485—513.[CrossRef][Web of Science]
  • Porco, T., J. Martin, K. Page-Shafer et al. (2004) `Decline in HIV Infectivity Following the Introduction of Highly Active Antiretroviral Therapy', AIDS 18: 81—8.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Race, K. (2001) `The Undetectable Crisis: Changing Technologies of Risk', Sexualities 4(2): 167—89.[Abstract/Free Full Text]
  • Rosengarten, M., J. Imrie, P. Flowers et al. (2004) `After the Euphoria: HIV Medical Technologies From the Perspective of Their Prescribers', Sociology of Health and Illness 26(5): 575—96.[CrossRef]
  • Rosengarten, M., K. Race and S. Kippax (2001) `Touch Wood, Everything Will Be OK': Gay Men's Understandings of Clinical Markers in Sexual Practice. Sydney: National Centre in HIV Social Research.
  • Silverman, D. (2000) Doing Qualitative Research: A Practical Handbook. London: Sage.
  • Stephenson, J., J. Imrie, M. Davis et al. (2003) `Is Use of Anti-HIV Therapy Among Gay Men Associated with Increased Risk of Transmission of HIV Infection?', Sexually Transmitted Infections 79(1): 7—10.[Abstract/Free Full Text]
  • Stevenson, F. and G. Scambler (2005) `The Relationship Between Medicine and the Public: The Challenge of "Concordance" ', Health 9(1): 5—21.[Abstract]
  • Stolte, I., J. de Wit, A. van Eedan et al. (2004) `Perceived Viral Load, But Not Actual HIV-1-RNA Load, is Associated with Sexual Risk Behaviour Among HIV-Infected Homosexual Men', AIDS 18: 1943—9.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Strauss, A. and J. Corbin (1998) Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Thousand Oaks, CA: Sage. Van de Ven, P., L. Mao, A. Fogarty et al. (2005) `Undetectable Viral Load is Associated with Sexual Risk Taking in HIV Serodiscordant Gay Couples in Sydney', AIDS 19: 179—84.[Web of Science][Medline] [Order article via Infotrieve]

Sociology, Vol. 41, No. 6, 1003-1019 (2007)
DOI: 10.1177/0038038507082312


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This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
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Right arrow Email this article to a friend
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Right arrow Similar articles in Web of Science
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Citing Articles
Right arrow Citing Articles via Web of Science (2)
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Davis, M.
Right arrow Search for Related Content
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 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?