Identifies himself as two-spirit was diagnosed

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Akule, 24-year-old Native American male who identifies himself as "two-spirit" was diagnosed with HIV three years ago. Because of the lack of tolerance of his sexual orientation on the reservation, he faced harassment and physical attacks and thus moved to a metropolitan city when he was 19 years old. He does return to the reservation from time to time to see his family but receives medical care at a medical clinic in the city where he lives. He drinks alcohol as a means to cope with his diagnosis and was hospitalized several months ago with a bacterial lung infection. Alcohol use has led to inconsistent HIV treatment. Recently his mother and grandmother have asked him to return to live with them on the reservation so they can help care for him. They believe that conventional treatment is making him more ill and want him to stop taking the medication and participate in a healing ceremony instead.

Reference no: EM133645805

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