Serovich Julianne M, Craft Shonda M, McDowell Tiffany L, Grafsky Erika L, Andrist David
Department of Human Development and Family Science, Ohio State University, Columbus, Ohio 43210, USA.
AIDS Educ Prev. 2009 Feb;21(1):1-13. doi: 10.1521/aeap.2009.21.1.1.
The purpose of this article is to report results of a qualitative investigation into the methods that HIV-positive men who have sex with men (MSM) use to initiate safer sex with casual sexual partners. In-depth, qualitative interviews were conducted with 57 HIV-positive adult MSM living in a large midwestern city. Using an inductive approach to data analysis, participants revealed a typology of safer sex strategies that can be placed into four primary categorizations: having a nonnegotiable sexual behavior policy, behaviorally controlling the interaction, being verbally direct, and being verbally indirect. Strategies varied by degree of explicitness and partner involvement. Men in this study often employed multiple strategies if their partner was not initially receptive to engaging in safer sex behaviors. The strategies described can be especially beneficial to those working in the area of HIV prevention. Providing MSM a variety of options to initiate safer sex may enhance current prevention efforts.
本文旨在报告一项定性调查的结果，该调查针对与男性发生性关系的艾滋病毒阳性男性（男男性行为者）与临时性伴侣开始安全性行为所采用的方法。对居住在中西部一个大城市的57名艾滋病毒阳性成年男男性行为者进行了深入的定性访谈。采用归纳法进行数据分析，参与者揭示了安全性行为策略的一种类型学，可分为四个主要类别：拥有不可协商的性行为政策、行为上控制互动、言语上直接表达以及言语上间接表达。策略因明确程度和伴侣参与度而异。如果他们的伴侣最初不接受进行安全性行为，本研究中的男性通常会采用多种策略。所描述的策略可能对从事艾滋病毒预防领域工作的人员特别有益。为男男性行为者提供多种开始安全性行为的选择可能会加强当前的预防工作。
