Doyal Lesley, Anderson Jane, Paparini Sara
School for Policy Studies, University of Bristol, 8 Priory Road, Bristol BS8 1TN, UK.
Soc Sci Med. 2009 May;68(10):1901-7. doi: 10.1016/j.socscimed.2009.02.032. Epub 2009 Mar 18.
It is now clear that gender is an essential factor shaping the narratives of men as well as women. However, there have been few studies of the daily lives or sexual activities of heterosexual men. Hence, strategies developed to prevent the spread of the HIV virus are rarely based on detailed knowledge of the men whose behaviours they are intended to change; this is especially evident in the developing world where the epidemic is most severe. Nor do we know very much about those men who have already been diagnosed as HIV positive. Around 13 million men are now living with HIV of whom around 96% are in low or middle income countries. Migrants from developing countries also make up the majority of positive people in a number of developed countries. In the UK, for example, heterosexual activity is now responsible for about half of all new HIV diagnoses with the majority of those involved being of African origin. But almost nothing is known about the ways in which different constructions of masculinity affect their experiences of illness. This study used qualitative methods to explore the experiences of a sample of black African men who defined themselves as heterosexual and were receiving treatment for HIV and/or AIDS in London. It explored their feelings, their needs, their hopes and their desires as they negotiated their lives in the diaspora.
现在很清楚，性别是塑造男性和女性故事的一个重要因素。然而，针对异性恋男性日常生活或性行为的研究却很少。因此，为预防艾滋病毒传播而制定的策略很少基于对那些行为旨在改变的男性的详细了解；在疫情最为严重的发展中世界，这一点尤为明显。我们对那些已被诊断为艾滋病毒呈阳性的男性也了解甚少。目前约有1300万男性感染了艾滋病毒，其中约96%在低收入或中等收入国家。来自发展中国家的移民在一些发达国家的艾滋病毒阳性人群中也占大多数。例如，在英国，异性性行为目前约占所有新增艾滋病毒诊断病例的一半，其中大多数感染者来自非洲。但对于不同的男性气质建构如何影响他们的患病经历，我们几乎一无所知。本研究采用定性方法，探索了一群自我定义为异性恋、在伦敦接受艾滋病毒和/或艾滋病治疗的非洲黑人男性的经历。研究探讨了他们在散居地生活过程中的感受、需求、希望和愿望。
