Center for Research on Gender and Sexuality, San Francisco State University, San Francisco, CA, USA.
Cult Health Sex. 2011 Mar;13(3):299-312. doi: 10.1080/13691058.2010.528032.
HIV-prevention efforts with gay men in relationships frequently omit primary partners. When they are considered, examinations of race/ethnicity are often overlooked despite higher infection rates among gay men of colour. Acknowledging both the need to contextualise the behaviours that may affect HIV risk for gay men of colour and the disproportionate impact of HIV on Latino gay men, the present study utilised semi-structured, qualitative interviews to explore relationship dynamics, sexual agreements and behaviours, safer sex choices and HIV risk among nine Latino gay male couples. All participants were HIV-negative and in concordant negative relationships. Additionally, nearly all reported closed agreements. Analysis revealed participants engaging in four behaviours that may actively reduce their HIV risk: approaching sexual agreements from a practical standpoint, maintaining a high literacy around HIV, having exposure to social support groups for Latino gay men and finding support in their relationship with another Latino gay man. Additional issues are raised where long-term HIV prevention is concerned. Intimate relationships are an important context for understanding both HIV risk and prevention among Latino gay men. Likewise, race/ethnicity provides an indispensable perspective on all research with gay couples. Future prevention efforts with gay men must strive to include both.
在针对男同性恋者的艾滋病预防工作中，经常会忽略他们的主要伴侣。然而，尽管有色人种男同性恋者的感染率更高，但在考虑他们时，往往会忽略对其种族/民族的研究。本研究采用半结构化的定性访谈，探索了九对拉丁裔男同性恋伴侣的关系动态、性协议和行为、安全性行为选择和艾滋病毒风险，既承认需要对可能影响有色人种男同性恋者艾滋病毒风险的行为进行背景化分析，也承认艾滋病毒对拉丁裔男同性恋者的不成比例的影响。所有参与者均为艾滋病毒阴性，且处于一致的阴性关系中。此外，几乎所有人都报告了封闭协议。分析显示，参与者采取了四种可能积极降低其艾滋病毒风险的行为：从实际角度处理性协议，保持对艾滋病毒的高度了解，接触针对拉丁裔男同性恋者的社会支持团体，并在与另一位拉丁裔男同性恋者的关系中找到支持。在长期的艾滋病毒预防方面还提出了其他问题。亲密关系是理解拉丁裔男同性恋者艾滋病毒风险和预防的重要背景。同样，种族/民族为所有关于同性恋伴侣的研究提供了不可或缺的视角。未来针对男同性恋者的预防工作必须努力将两者都包括在内。
