Paparini Sara, Doyal Lesley, Anderson Jane
Homerton University Hospital NHS Foundation Trust, Centre for Study of Sexual Health and HIV, London, United Kingdom.
AIDS Care. 2008 May;20(5):601-5. doi: 10.1080/09540120701867040.
The experiences of men from African backgrounds living with HIV who are gay/bisexual have so far been overlooked in the research on HIV in the UK. Little is known about the ways that HIV impacts on this population. We report on an exploratory qualitative study with 8 gay/bisexual men from 7 different African countries living with HIV in London, based on in depth semi structured interviews and a thematic analysis. HIV testing and diagnosis, disclosure to others, social and sexual networks, sexual relationships and practices, use of health services and coping mechanisms emerged as key themes. Men with insecure residency status in the UK and those without work had additional challenges to meet. Men described the constant juggling required to balance the complex and sometimes contradictory realities of life as a gay/bisexual man, an African and an HIV positive person. Actual and perceived stigma was a key barrier to accessing appropriate practical and emotional support from families, social network or religious organisations.
在英国，来自非洲背景且感染艾滋病毒的男同性恋者/双性恋者的经历在艾滋病毒研究中一直被忽视。对于艾滋病毒如何影响这一人群，人们知之甚少。我们报告了一项探索性定性研究，该研究对居住在伦敦的8名来自7个不同非洲国家的感染艾滋病毒的男同性恋者/双性恋者进行了深入的半结构化访谈，并进行了主题分析。艾滋病毒检测与诊断、向他人披露病情、社交和性网络、性关系与行为、医疗服务的使用以及应对机制成为关键主题。在英国居住身份不稳定以及没有工作的男性面临着更多挑战。这些男性描述了作为男同性恋者/双性恋者、非洲人以及艾滋病毒阳性者，为平衡生活中复杂且有时相互矛盾的现实所需不断进行的权衡。实际存在的和感觉到的污名是从家庭、社交网络或宗教组织获得适当实际支持和情感支持的关键障碍。
