The Intersection of HIV and Migration: Conceptualising Quality of Life Among Asian‐Born Men Who Have Sex With Men Living With HIV in Australia

This qualitative study aimed to understand how migration experiences shape wellbeing and quality of life (QoL) for Asian‐born men who have sex with men (MSM) who are living with HIV in Australia, and to identify relevant support needs. Drawing from intersectionality theory, this paper reports findings from semi‐structured interviews with Asian‐born MSM ( n = 9), as well as key informants working in the HIV sector ( n = 9, total n = 18). Data were analysed using an inductive thematic technique focused on the intersections of structural racism/migration, homophobia/sexuality and HIV/HIV‐related stigma. Participants described a multiplicity of ways in which QoL was diminished from their intersecting experiences, including key themes of (i) ‘living in limbo’ and (ii) ‘fear of rejection and disclosure’. However, participants also described positive experiences, such as (iii) the ability to more openly express their sexuality, and a cultivation of self‐confidence to advocate for themselves and others (‘navigating the politics of belonging’). The findings highlight unique structural and social challenges to QoL that migration and living with HIV can generate. These findings signal a need to redouble efforts within the HIV response to advance QoL for people living with HIV in a manner that is affirming, comprehensive and draws on cultural strengths.