Harrison A, Lurie M, Wilkinson N
Centre for Epidemiological Research in Southern Africa (CERSA), Medical Research Council, Hlabisa, KwaZulu/Natal, South Africa.
Health Transit Rev. 1997;7 Suppl 3:103-7.
This ethnographic research among rural South African men and women seeking care for STDs explores constraints to communication among partners and defines predominant patterns of sexual networking. A series of fifteen open-ended interviews explored topics related to sexual networking and partner communication. Patterns of sexual networking showed clear gender variation, with men more likely to discuss multiple partners. Both men and women believed they should tell one partner about their STD, most often a steady partner. Strong distinctions were made between regular and casual partners, with an emphasis on the role of trust in a steady relationship. Men and women expressed anxiety about telling their partners of their illness, but women more often expressed fear whereas men felt embarrassed. Multi-partnered sexuality is common and is widely accepted for men. While the importance of regular partnerships is clear for both men and women, sexual relationships appear to be highly unstable. Communication among partners could be facilitated by stronger health promotion messages, such as the importance of telling a partner about an STD. Prevailing patterns of communication and sexual networking have profound implications for the STD epidemic.
这项针对寻求性病治疗的南非农村男女开展的人种志研究，探讨了伴侣间沟通的制约因素，并明确了主要的性网络模式。一系列15次开放式访谈探讨了与性网络及伴侣沟通相关的话题。性网络模式呈现出明显的性别差异，男性更有可能谈论多个伴侣。男性和女性都认为他们应该告知伴侣自己患有性病，最常告知的是固定伴侣。在固定伴侣和临时伴侣之间有明显区分，强调信任在稳定关系中的作用。男性和女性都对向伴侣透露病情表示焦虑，但女性更多地表达恐惧，而男性则感到尴尬。多伴侣性行为很常见，并且被男性广泛接受。虽然固定伴侣关系对男性和女性都很重要，但性关系似乎高度不稳定。更强有力的健康促进信息，比如告知伴侣自己患有性病的重要性，可能会促进伴侣间的沟通。普遍的沟通模式和性网络模式对性病流行有着深远影响。
