Department of Sociomedical Sciences, Columbia University, New York, NY, USA.
Glob Public Health. 2011;6 Suppl 2(Suppl 2):S227-42. doi: 10.1080/17441692.2011.605068.
Black men who have sex with men (MSM) are disproportionately affected by HIV and AIDS in New York City (NYC). Black churches in NYC have a history of engaging in community mobilisation; however, research suggests that churches play a role in promoting stigma against Black MSM, which impedes prevention efforts. The goal of this study was to explore church ideologies surrounding sexuality and health, and the relationship of these ideologies to church mobilisation in response to HIV/AIDS among Black MSM. We conducted interviews and focus groups with pastors and parishioners at Black churches in NYC. Three prominent themes were identified: (1) 'Love the sinner, hate the sin'--distinguishing behaviour and identity; (2) 'Don't ask, don't tell'--keeping same-sex behaviour private; and (3) 'Your body is a temple'--connecting physical and spiritual health. We discuss the implications of these ideologies for church mobilisation and HIV prevention efforts. In doing so, we pay close attention to how ideologies may both impede and facilitate church dialogue around sexuality and heightened responses to the HIV crisis affecting Black MSM.
在纽约市（NYC），与男性发生性关系的黑人男性（MSM）不成比例地受到艾滋病毒和艾滋病的影响。纽约市的黑人教堂有着参与社区动员的历史；然而，研究表明，教堂在助长针对黑人 MSM 的污名化方面发挥了作用，这阻碍了预防工作的开展。本研究的目的是探讨教会在性和健康方面的意识形态，以及这些意识形态与教会在回应黑人 MSM 中的艾滋病毒/艾滋病方面的动员之间的关系。我们在纽约市的黑人教堂采访了牧师和会众。确定了三个突出的主题：（1）“爱罪人，恨罪”——区分行为和身份；（2）“不问，不说”——将同性性行为保密；以及（3）“你的身体是圣殿”——将身体和精神健康联系起来。我们讨论了这些意识形态对教会动员和艾滋病毒预防工作的影响。在这样做的过程中，我们密切关注意识形态如何既阻碍又促进教会围绕性和对影响黑人 MSM 的艾滋病毒危机的高度反应进行对话。
