Contextual factors, such as cultures of collectivism versus individualism, shape HIV coping strategies; despite this, little research regarding collective coping strategies applied to HIV exists. This may be important for the growing HIV epidemic in the Philippines, which has a collectivistic culture and where men who have sex with men (MSM) account for a majority of the cases. Fifteen semistructured, in-depth interviews with HIV-positive MSM and 6 interviews with community-based organization workers were conducted between June and August 2017. Data were analyzed using thematic framework analysis. Three strategies were identified: peer support, spirituality, and support from existing relationships. Each form of collective coping had unique mechanisms and benefits for dealing with HIV. Overall, helping MSM with HIV find a collective identity after an HIV diagnosis enables management of HIV-related challenges. Policies and research interventions that improve access to collective identities for MSM with HIV may improve management of HIV-related challenges.

中文翻译：

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菲律宾马尼拉与男男性接触者中与艾滋病相关挑战的集体应对策略

诸如集体主义文化与个人主义文化之类的背景因素决定了艾滋病应对策略；尽管如此，关于针对艾滋病的集体应对策略的研究很少。这对于菲律宾日益流行的艾滋病流行很重要。菲律宾是一个具有集体主义文化的地区，与男性发生性关系的男性占多数。2017年6月至2017年8月之间进行了15次对HIV阳性MSM的半结构化深度访谈，对与社区组织工作者的6次访谈。使用主题框架分析对数据进行了分析。确定了三种策略：同伴支持，灵性和现有关系的支持。每种形式的集体应对都有独特的机制和对付艾滋病毒的好处。总体，在诊断出HIV后，可以帮助MSM感染者找到一个集体身份，从而应对与HIV相关的挑战。改善患有艾滋病的男男性接触者获得集体身份的政策和研究干预措施可以改善对艾滋病相关挑战的管理。