Wolfe William A
Belmont Court Dialysis, Warminster Hospital, 225 Newtown Road, Warminster, PA 18974, USA.
J Natl Med Assoc. 2003 Sep;95(9):846-52.
This article looks at multiple lines of converging evidence relevant to the 72% unintended pregnancy rate, and recently emerged heterosexually-based HIV/AIDS epidemic with young African-American women. Evidence recently reveals a convergence of these epidemics, in a vulnerable subpopulation segment of African-American women. Overlooked, as a unique contributing factor in these epidemics is the hypermasculine behaviors of African-American males. Among the risky behaviors linked with this hypermasculinity are a greater tendency with African-American males to have more multiple sexual partners, and a stronger aversion to condom use than other male ethnic groups. As a contributing factor in these epidemics, African-American males' hypermasculinity has several implications for intervention strategies to reduce the epidemics, which are discussed.
本文审视了与72%的意外怀孕率相关的多条相互印证的证据，以及近期在年轻非裔美国女性中出现的基于异性性行为的艾滋病毒/艾滋病疫情。近期有证据表明，在非裔美国女性这一脆弱亚群体中，这些疫情出现了趋同现象。在这些疫情中，一个被忽视的独特促成因素是非裔美国男性的过度男性化行为。与这种过度男性化相关的危险行为包括，非裔美国男性比其他种族男性更倾向于拥有多个性伴侣，以及对使用避孕套更反感。作为这些疫情的一个促成因素，非裔美国男性的过度男性化对减少疫情的干预策略有若干影响，本文将对此进行讨论。
