Sword and Shield: Perceptions of law in empowering and protecting HIV-positive men who have sex with men in Manila, Philippines

Glob Public Health. 2020 Jan;15(1):52-63. doi: 10.1080/17441692.2019.1622762. Epub 2019 May 28.

Abstract

Legal protections for people living with HIV (PLHIV) are important for protecting human rights and combatting stigma. While much focus has been on the pernicious impacts of criminalisation of HIV transmission or nondisclosure, little research has accounted for the ways in which perception of protective laws may affect the everyday lives of PLHIV. The Philippines has the fastest growing HIV epidemic in the Asia & Pacific region, with HIV-positive men-who-have-sex-with-men (HIV+ MSM) bearing the majority of cases, and has recently revised their legal protections for PLHIV. We present findings from interviews with 21 HIV+ MSM in Manila, Philippines. Overall, participants viewed legal protections as both empowering and protective. Empowerment was achieved as protections helped participants manage internalised stigma, feel as if they had a weapon to fight discrimination, and perceive a more equitable climate around HIV within broader society. While participants felt as though the law sent positive signals that the government wanted to protect PLHIV, they doubted the actual legal process of bringing suits, leading to harms. Overall, this research presents ways in which legal protections can considered in interventions to empower PLHIV and also identifies opportunities to improve research and advocacy in settings with similarly protective laws.

Keywords: HIV; Philippines; law; legal protections; men who have sex with men.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Empowerment
  • HIV Infections / epidemiology
  • HIV Infections / psychology*
  • Homosexuality, Male / psychology*
  • Human Rights / legislation & jurisprudence*
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Perception
  • Philippines / epidemiology
  • Sexual and Gender Minorities / legislation & jurisprudence*
  • Sexual and Gender Minorities / psychology*
  • Social Discrimination / legislation & jurisprudence
  • Social Discrimination / prevention & control
  • Social Stigma
  • Young Adult