Parsons Jeffrey T, Vicioso Kalil, Kutnick Alexandra, Punzalan Joseph C, Halkitis Perry N, Velasquez Mary Marden
Department of Psychology, Hunter College of the City University of New York, NY 10021, USA.
Addict Behav. 2004 Jul;29(5):1045-51. doi: 10.1016/j.addbeh.2004.03.001.
HIV seropositive (HIV+) gay and bisexual men continue to report unprotected sexual practices. Although numerous research studies have examined the relationship between alcohol use and unsafe sex, few have examined this from a qualitative perspective. In this paper, we examined the impact of alcohol use on stigmatized sexual practices among HIV+ gay and bisexual men with alcohol-use disorders. An ethnically diverse sample (81% men of color) from the New York City metropolitan area was recruited from a variety of settings frequented by gay and bisexual men. Using a qualitative interview, contextual issues regarding sexual activities under the influence of alcohol were examined. Qualitative analysis revealed that alcohol use facilitates engagement in sexual practices that are perceived as stigmatic while sober. Interventions targeting alcohol use and unsafe sex should be sensitive to the role which alcohol plays in the sexual practices among HIV+ gay and bisexual men.
艾滋病毒血清呈阳性（HIV+）的男同性恋者和双性恋男性仍在报告无保护措施的性行为。尽管众多研究探讨了饮酒与不安全性行为之间的关系，但很少有研究从定性的角度进行考察。在本文中，我们研究了饮酒对患有酒精使用障碍的HIV+男同性恋者和双性恋男性中被污名化的性行为的影响。从纽约市大都市区招募了一个种族多样的样本（81%为有色人种男性），这些样本来自男同性恋者和双性恋男性经常光顾的各种场所。通过定性访谈，研究了饮酒影响下性行为的相关背景问题。定性分析表明，饮酒会促使人们在清醒时被视为有污名化的性行为。针对饮酒和不安全性行为的干预措施应考虑到酒精在HIV+男同性恋者和双性恋男性性行为中所起的作用。
