Aguinaldo Jeffrey P, Myers Ted, Ryder Karen, Haubrich Dennis J, Calzavara Liviana
Department of Sociology, Wilfrid Laurier University, Waterloo, Ontario, Canada.
Qual Health Res. 2009 Oct;19(10):1395-406. doi: 10.1177/1049732309348362.
Statistical associations between substance use and seroconversion among gay and bisexual men abound. However, these associations often ignore men's own interpretations of their seroconversion. Using in-depth interviews with gay and bisexual men who reported using drugs or alcohol at the time of their seroconversion, we identify how these men explain the events that led to HIV transmission. Whereas a small minority of respondents reported substance use to explain their seroconversion, the majority reported three competing explanations. These participants claimed that they lacked sufficient knowledge about the behavioral risks that led to their seroconversion; that their decision to engage in unsafe sex was because of negative personal affect; and that they "trusted the wrong person." We link these findings to prevention and suggest that gay and bisexual men who use substances for recreational purposes will benefit from prevention efforts designed to address issues of gay and bisexual men rather than substance-using men.
男同性恋者和双性恋男性中物质使用与血清转化之间的统计关联比比皆是。然而，这些关联往往忽视了男性自身对其血清转化的解释。通过对在血清转化时报告使用过毒品或酒精的男同性恋者和双性恋男性进行深入访谈，我们确定了这些男性如何解释导致艾滋病毒传播的事件。虽然少数受访者报告称物质使用是其血清转化的原因，但大多数人给出了三种相互矛盾的解释。这些参与者声称，他们对导致血清转化的行为风险缺乏足够了解；他们进行不安全性行为的决定是由于负面的个人情绪；以及他们“信任了错误的人”。我们将这些发现与预防联系起来，并建议为娱乐目的使用物质的男同性恋者和双性恋男性将从旨在解决男同性恋者和双性恋男性问题而非物质使用男性问题的预防措施中受益。
