Centre for Global Public Health, the University of Manitoba, R070 Med Rehab Bldg, 771, McDermot Avenue, Winnipeg, Manitoba, Canada.
Health Place. 2011 Sep;17(5):1090-7. doi: 10.1016/j.healthplace.2011.05.015. Epub 2011 Jun 13.
Employing community-based approaches, the spatialization of sexual risk among men-who-have-sex-with-men (MSM) at local cruising spots was explored in South India. To move beyond individualistic and structural deterministic understandings of sexual risk the study examined how erotic associations and networks formed and dissolved as social actors connect to each other through their material world (which includes other bodies). Crowding was important for safely establishing intimacy in public but also created contexts of discrimination and violence, particularly for feminine-acting males. Risk itineraries drawn by MSM anticipated fluctuating levels of risk, enabling them to avoid dangerous situations. Although sexual typologies connected gender nonconforming males to HIV prevention networks, they reinforce the exclusion of men who did not identify with sexual minority identities. Future work must therefore address the HIV prevention needs of men whose identities cannot be readily separated from "the general population".
采用社区为基础的方法,在印度南部探讨了男男性行为者(MSM)在当地巡游点的性风险的空间化。为了超越对性风险的个体主义和结构决定论的理解,该研究考察了性吸引和网络是如何形成和瓦解的,因为社会行为者通过他们的物质世界(包括其他身体)相互联系。拥挤对于在公共场合安全地建立亲密关系很重要,但也会造成歧视和暴力的环境,特别是对女性化的男性。MSM 绘制的风险路线图预测了风险水平的波动,使他们能够避免危险情况。尽管性类型将性别不符合常规的男性与 HIV 预防网络联系起来,但它们强化了那些不认同性少数群体身份的男性的排斥。因此,未来的工作必须解决那些身份无法轻易与“普通人群”区分开来的男性的 HIV 预防需求。