Melendez Rita M, Pinto Rogério
San Francisco State University Human Sexuality Studies, Center for Research on Gender and Sexuality, San Francisco, CA 94110, USA.
Cult Health Sex. 2007 May-Jun;9(3):233-45. doi: 10.1080/13691050601065909.
Scientific studies demonstrate high rates of HIV infection among male-to-female (MTF) transgender individuals and that stigma and discrimination place MTFs at increased risk for infection. However, there is little research examining how gender roles contribute to HIV risk. This paper reports on in-depth interviews with 20 MTFs attending a community clinic. Data reveal that stigma and discrimination create a heightened need for MTFs to feel safe and loved by a male companion and that in turn places them at a higher risk for acquiring HIV. Male-to-female transgender individuals appear to turn to men to feel loved and affirmed as women; their main HIV risk stems from their willingness to engage with sexual partners who provide a sense of love and acceptance but who also may also request unsafe sexual behaviours. A model illustrating how HIV risk is generated from stigma and discrimination is presented.
科学研究表明，男变女（MTF）跨性别者中的艾滋病毒感染率很高，而且耻辱感和歧视使男变女跨性别者面临更高的感染风险。然而，很少有研究探讨性别角色如何导致感染艾滋病毒的风险。本文报告了对20名在社区诊所就诊的男变女跨性别者进行的深入访谈。数据显示，耻辱感和歧视使男变女跨性别者更迫切地需要感受到男性伴侣的安全和爱意，这反过来又使他们感染艾滋病毒的风险更高。男变女跨性别者似乎会向男性寻求作为女性的爱和认可；他们感染艾滋病毒的主要风险源于他们愿意与能给予爱和接纳感，但也可能要求进行不安全性行为的性伴侣交往。本文还提出了一个模型，说明耻辱感和歧视是如何产生艾滋病毒感染风险的。
