Organising Advocacy

Understanding views of affected communities

There are many ways to undertake advocacy but most effective advocacy requires strong community support. The research below was undertaken to get a better understanding of community views on HIV criminalisation: knowledge to form the basis of discussions to build a strong advocacy base.

Positive sexuality: HIV disclosure, gender, violence and the law—A qualitative study

Drawing on a feminist analytical framework and concepts of structural violence, this analysis sought to characterize the negotiation of sexual relationships and HIV disclosure among Women Living with HIV (WLWH) in a criminalized setting. Researchers conducted 64 qualitative interviews with cis and trans WLWH in Vancouver, Canada between 2015 and 2017. Despite frequently being represented as a law that ‘protects’ women, the study findings indicate that the criminalization of HIV non-disclosure constitutes a form of gendered structural violence that exacerbates risk for interpersonal violence among WLWH. In line with recommendations by, the WHO and UNAIDS these findings demonstrate the negative impacts of regulating HIV prevention through the use of criminal law for WLWH.

“I don’t blame that guy that gave it to me”: Contested discourses of victimisation and culpability in the narratives of heterosexual women infected with HIV

Considers how heterosexual women living with HIV make sense of their HIV acquisition, challenging the victim–culprit binary. None of the women interviewed presented themselves as ‘victims’ in any straightforward sense or placed the blame squarely on the men who likely infected them, including men who had not disclosed. Instead, the women’s narratives revealed themes of “mutual vulnerability” and far more ambivalent allocations of responsibility. The tendency to position women who become infected with HIV as ‘victims’ obscures the complex realities of gender and sexual practice.

How Criminalization is Affecting People Living with HIV in Ontario

Examines how people living with HIV perceive the law and the legal obligation to disclose serostatus to prospective sexual partners. Notes perceptions of a changing public climate resulting from the increasing prominence of criminal discourses applied to HIV.

HIV Futures New Zealand (Mate āraikore a muri ake nei)

Notes that the current legal situation has led to discomfort and uncertainty around relationships, with 82% of PLHIV surveyed saying the current legal situation has limited their ability to form new relationships.

Responses to criminal prosecutions for HIV transmission among gay men with HIV in England and Wales

Considers respondents’ awareness of HIV prosecutions and how they have adapted their sexual behaviour as a result. Demonstrates considerable confusion regarding the law, suggesting misunderstandings could lead people with HIV to wrongly believe that how they act, and what they do or don’t say, is legitimated by law. Although criminalisation prompted some to take steps to reduce risk of HIV transmission, others moderated their behaviour in ways likely to have adverse effects, or reported no change.

Criminal prosecutions for HIV transmission: people living with HIV respond

Considers how people with HIV responded to the first criminal convictions for HIV transmission in England and Wales. The vast majority were critical of criminalisation, expressing concern that prosecutions conflict with ‘safer sex’ shared responsibility messaging, and exacerbate existing stigma and discrimination. Most felt a growing culture of blame undermined the successes achieved by HIV- human rights approaches.

HIV seropositive status disclosure to prospective sex partners and the criminal law that require it: Perspectives of persons living with HIV

Reports on HIV-positive persons’ focus group discussions about Michigan’s HIV disclosure law. Themes included perceived responsibility to prevent infection, concern about unwanted secondary disclosure of HIV-positive status, fear of being falsely accused of violating HIV disclosure law, and perceived vulnerability of HIV-positive persons within the US legal system. Although many agreed with the purpose of the HIV disclosure law, there was considerable concern about the negative impact of the law on persons living with HIV.

Should it be illegal for HIV-positive persons to have unprotected sex without disclosure? An examination of attitudes among US men who have sex with men and the impact of state law

Describes the overall pattern and predictors of attitudes toward criminalizing unprotected sex without disclosure by people with HIV. Examines whether attitudes and sexual risk behaviours differ in states with or without HIV-specific laws. Found most respondents believed it should be illegal for persons living with HIV to have unprotected sex without disclosure, however, attitudes did not vary by state law, suggesting HIV-specific laws do not deter high-risk sexual behaviour.