Pérez-Jiménez David, Seal David W, Serrano-García Irma
Institute of Psychological Research, University of Puerto Rico, San Juan, PR 00931-3174.
Cultur Divers Ethnic Minor Psychol. 2009 Jan;15(1):11-7. doi: 10.1037/a0013872.
Although HIV prevention interventions for women are efficacious, long-term behavior change maintenance within power-imbalanced heterosexual relationships has been difficult. To explore the feasibility, content, and format of an HIV intervention for Latino couples, the authors conducted 13 focus groups with HIV/AIDS researchers, service providers, and heterosexual men and women in Puerto Rico, the Dominican Republic, and Mexico. Reasons that participants thought that men should be involved in prevention efforts included promotion of shared responsibility, creation of a safe environment for open conversation about sex, and increased sexual negotiation skills. Perceived barriers to men's involvement included cultural taboos, sexual conservatism associated with Catholicism and machismo, and power-imbalanced relationships. Participants stressed the need for recruitment of men within naturally occurring settings or by influential community leaders. Participants indicated that couples-level interventions would be successful if they used strong coed facilitators, included both unigender and mixed-gender discussion opportunities, and addressed personally meaningful topics. Implications of these findings are discussed.
尽管针对女性的艾滋病毒预防干预措施是有效的，但在权力失衡的异性恋关系中维持长期行为改变一直很困难。为了探索针对拉丁裔夫妇的艾滋病毒干预措施的可行性、内容和形式，作者在波多黎各、多米尼加共和国和墨西哥与艾滋病毒/艾滋病研究人员、服务提供者以及异性恋男性和女性进行了13次焦点小组讨论。参与者认为男性应参与预防工作的原因包括促进共同责任、营造关于性的开放对话的安全环境以及提高性协商技巧。男性参与的感知障碍包括文化禁忌、与天主教和大男子主义相关的性保守主义以及权力失衡的关系。参与者强调需要在自然环境中或由有影响力的社区领袖招募男性。参与者表示，如果夫妇层面的干预措施使用强有力的男女共同主持人，包括单性别和混合性别的讨论机会，并涉及个人有意义的话题，将会取得成功。讨论了这些发现的意义。
