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June 2003, Vol 93, No. 6 | American Journal of Public Health 867-871
© 2003 American Public Health Association

COMMENTARY

Anthropological Assessment for Culturally Appropriate Interventions Targeting Men Who Have Sex With Men

Vincent M. B. Silenzio, MD, MPH

Vincent M. B. Silenzio is with the Department of Family Medicine, University of Rochester, NY.

Correspondence: Requests for reprints should be sent to Vincent M. B. Silenzio, MD, MPH, 885 South Ave, Rochester, NY 14620 (e-mail: vincent_silenzio{at}urmc.rochester.edu).

Although social and cultural factors play a fundamental role in the health of sexual minority populations and the development of culturally appropriate interventions, public health activities and research have sometimes lacked appropriate sophistication or attention to issues of cultural competency.

In areas such as HIV prevention for men who have sex with men (MSM), biomedical interpretations of same-sex phenomena should be applied with caution. Communities and societies may broadly understand same-sex desire, attraction, behavior, and identity through age-structured/initiatory, gender-defined, profession/social role–defined, or egalitarian/gay frameworks.

When more detailed, locally specific information is required, such as for youth, ethnic minorities, or urban versus rural populations, the approach to rapid anthropological assessment presented can provide nuanced insights for effective health programs targeting MSM.




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