Haitian Case Study
The St. Fleur family is well respected in the Haitian community because they are religious with great moral values. They moved to the United States because of political issues in Haiti. Ronald, the youngest son of this family, is 27 years old and lives at home with his mother and father. Recently, he began having fevers and subsequently developed pneumonia. He was admitted to the hospital, where laboratory tests were HIV positive. Ronald was in shock when the doctor informed him that he was HIV positive. He confessed to the doctor that he was gay but he could not tell his family. He said that he did not want to bring shame to the family. Because he couldn’t be in a formal relationship owing to his family and the Haitian community’s view of homosexuality, he has been very promiscuous over the years.
What are Haitians’ dominant cultural views of homosexuality?
If Ronald’s parents were to learn of his positive HIV status, how might they react if they are religious and traditional?
Identify three specific culturally congruent strategies to address in designing HIV-prevention practices in the Haitian community?
Sample Answer
What are Haitians’ dominant cultural views of homosexuality?
- There is not a single, monolithic view of homosexuality in Haitian culture. However, some trends can be observed:
- Religion: A significant portion of the Haitian population is religious, primarily Catholic and Protestant. These faiths often hold traditional views on homosexuality, considering it a sin or morally wrong.
- Social Stigma: Due to religious and cultural influences, there is a social stigma surrounding homosexuality in Haiti. Openly identifying as LGBTQ+ can lead to discrimination, rejection, and even violence.
- Vodou: Vodou, a syncretic religion with African and Catholic roots, is also prevalent in Haiti. Some scholars suggest that Vodou is more accepting of homosexuality than other mainstream religions in the country.
If Ronald’s parents were to learn of his positive HIV status, how might they react if they are religious and traditional?
- Given their religious and traditional background, Ronald’s parents might react with:
- Shock and Disbelief: They may find it difficult to reconcile their religious beliefs with their son’s sexual orientation and HIV status.
- Shame and Guilt: They might feel shame or guilt, fearing that Ronald’s sexual orientation reflects poorly on their family or that they have failed him in some way.
- Rejection or Condemnation: In some cases, families may reject or condemn their LGBTQ+ children due to religious or social pressures.
- Concern for Ronald’s Health: Despite their initial reactions, their primary concern would likely be for Ronald’s health and well-being.
Identify three specific culturally congruent strategies to address in designing HIV-prevention practices in the Haitian community?
- Incorporate Religious and Community Leaders: Engage with religious and community leaders to address HIV prevention in a way that is sensitive to cultural and religious values. This can help reduce stigma and promote open dialogue about sexual health.