Cranston K
Massachusetts Department of Education, Bureau of Student Development and Health, Quincy 02169-5183.
J Homosex. 1992;22(3-4):247-59. doi: 10.1300/J082v22n03_11.
Adolescent gay and bisexual males face a higher risk of infection with HIV than most other young people because of their behaviors and because HIV prevention programs have failed to address their unique concerns. Ironically, current efforts to heighten public awareness about the AIDS pandemic may be nullifying the potential for gay, lesbian, and bisexual young persons at high risk to form the support networks needed to modify their behavior. The personal and group empowerment of gay, lesbian, and bisexual young people is a necessary prerequisite to their ability to make healthy behavioral choices around HIV and other health issues. This paper proposes a comprehensive health education model for HIV prevention for gay, lesbian, and bisexual adolescents. Current health education efforts would be augmented by broader self and group empowerment training that would develop self-esteem, social skills, support networks, and access to risk reduction materials. An integrated system of care involving school-based programs, multi-service youth agencies, and self-help groups would be in a position to deliver appropriate educational, mental health, medical, and social support services. Such a system of care presents gay, lesbian, and bisexual youth with their best chance to reduce their risk of infection with HIV and develop into emotionally healthy individuals.
由于行为原因以及艾滋病预防项目未能解决他们独特的担忧，青少年男同性恋者和双性恋男性比其他大多数年轻人面临更高的感染艾滋病毒风险。具有讽刺意味的是，当前提高公众对艾滋病大流行认识的努力可能会使高风险的男同性恋、女同性恋和双性恋年轻人形成改变其行为所需的支持网络的潜力化为乌有。男同性恋、女同性恋和双性恋年轻人的个人赋权和群体赋权是他们能够围绕艾滋病毒及其他健康问题做出健康行为选择的必要前提。本文提出了一个针对男同性恋、女同性恋和双性恋青少年的全面的艾滋病毒预防健康教育模式。当前的健康教育工作将通过更广泛的自我和群体赋权培训得到加强，这种培训将培养自尊、社交技能、支持网络，并提供获取降低风险材料的途径。一个包括校内项目、多服务青年机构和自助团体的综合护理系统将能够提供适当的教育、心理健康、医疗和社会支持服务。这样一个护理系统为男同性恋、女同性恋和双性恋青年提供了降低感染艾滋病毒风险并成长为情绪健康个体的最佳机会。
