Chakrapani Venkatesan, Newman Peter A, Shunmugam Murali
Indian Network for People Living with HIV/AIDS, Tamil Nadu, India.
Cult Health Sex. 2008 May;10(4):313-27. doi: 10.1080/13691050701816714.
This study explored experiences and contexts of HIV risk and prevention among HIV-positive kothi-identified men in Chennai, India. In-depth, semi-structured interviews were conducted with 10 HIV-positive men and three service providers, recruited using purposive sampling. Interviews were audio-taped, transcribed in Tamil and translated into English. Data were analysed using a narrative thematic approach and constant comparative method. Misconceptions about HIV transmission; cultural taboos around discussing sexual behaviour and HIV; stigma related to same-sex behaviour; harassment; and the criminalization of consensual sex between men present formidable challenges to HIV prevention. Frank and open discussion about male-to-male sexual behaviour and living with HIV, which may support health and HIV prevention, may be dangerous in the context of pervasive risks due to stigmatization, violence and criminalization. Instead, culturally appropriate, multi-level interventions developed in collaboration with community stakeholders are needed to support HIV prevention among kothi-identified men in South India.
本研究探讨了印度钦奈地区自我认同为kothi的HIV阳性男性的HIV风险及预防经历和背景。采用目的抽样法招募了10名HIV阳性男性和3名服务提供者，进行了深入的半结构化访谈。访谈进行了录音，先用泰米尔语转录，然后翻译成英语。采用叙事主题法和持续比较法对数据进行分析。对HIV传播的误解；围绕性行为和HIV讨论的文化禁忌；与同性行为相关的耻辱感；骚扰；以及男性之间自愿性行为的刑事定罪，都给HIV预防带来了巨大挑战。在因污名化、暴力和刑事定罪而普遍存在风险的背景下，坦率而公开地讨论男男性行为和感染HIV后的生活，虽然可能有助于健康和HIV预防，但可能是危险的。相反，需要与社区利益相关者合作制定符合文化习俗的多层次干预措施，以支持印度南部自我认同为kothi的男性预防HIV。
