Jones Rachel, Oliver Marsha
College of Nursing, Rutgers, the State University of NJ, Ackerson Hall, 180 University Ave., Newark, NJ 07102, USA.
AIDS Behav. 2007 Nov;11(6):812-21. doi: 10.1007/s10461-006-9194-3. Epub 2006 Dec 8.
This study explored reasons women engaged in unprotected sex with male partners they distrusted and perceived to engage in HIV risk behaviors. Seven focus groups were held in public housing and neighborhood centers in the urban Northeast with 43 African American and Latina women. Content analysis was conducted by open and axial coding. Barrett's theory of power as knowing participation in change and sex script theory guided interpretation. Results indicated that Patterns of Unprotected Sex is a usual practice to maintain hope, sensuality, intimacy, strategic gain, and stability with a male partner. In low power sex scripts the salient risks of HIV were buried under an awareness of oneself as having to satisfy a man and accept cheating. High power sex scripts involved women's awareness of themselves as worthy of self care with diverse choices. High power scripts can be integrated into normative sex scripts as exemplars of more powerful ways of being and acting to reduce HIV risk.
本研究探讨了女性与她们不信任且认为有感染艾滋病毒风险行为的男性伴侣进行无保护性行为的原因。在东北部城市的公共住房和社区中心，对43名非裔美国女性和拉丁裔女性进行了七次焦点小组访谈。通过开放式编码和轴心式编码进行内容分析。巴雷特的权力即参与变革的认知理论和性脚本理论指导了对结果的解读。结果表明，无保护性行为模式是一种常见做法，目的是与男性伴侣保持希望、性感、亲密、战略利益和稳定关系。在低权力性脚本中，艾滋病毒的显著风险被隐藏在一种意识之下，即认为自己必须满足男性并接受欺骗行为。高权力性脚本涉及女性对自身价值的认知，她们意识到自己值得通过多种选择进行自我保护。高权力性脚本可以作为更强大的生存和行为方式的典范，融入规范性性脚本中，以降低感染艾滋病毒的风险。
