They tell us “we don’t belong in the world and we shouldn’t take up a place”: HIV discourse within two-spirit communities

Abstract

Objectives: We investigated how HIV discourse is negotiated and given meaning in the lives of young, male two-spirit leaders, when considering their communities’ and their own health and wellness. These men are also unique in that they have always lived under the specter and dominant discourse of HIV; that is, they are part of a second generation since the time of HIV/AIDS. Methods: We conducted a discourse analysis of six qualitative interviews from the HONOR Project, a multi-site, mixed-methods study of the two-spirit community across the United States, foregrounding the relationships among trauma, coping, and health. Results: HIV functions discursively in four ways: as a shadow presence, professionalized identity, health sub-/priority, and vehicle for belonging and (re)claiming. Conclusions: This study is important to social work as well as HIV prevention and care as it affords voice to two-spirit men, a highly marginalized community and one often silenced in scientific discourse. And, it centralizes language and context, complicating social epidemiological characterizations of HIV/AIDS, risk, and historically traumatized populations.