Cult Health Sex. 2004 Jan;6(1):19-29. doi: 10.1080/13691050310001607241.
The aim of this study was to describe gay and bisexual men's experiences of bathhouses and their perceptions of HIV risk associated with sex in this context. Face-to-face, semi-structured interviews were conducted with a purposive sample of gay and bisexual men-14 HIV-positive and 9 HIV-negative-who reported ever frequenting a bathhouse. The sample was selected from the Polaris HIV Seroconversion Study, a longitudinal open cohort study of documented recent seroconverters and HIV-negative controls in Ontario, Canada. Interview transcripts were analysed using a narrative approach. Four major themes were identified concerning views of gay bathhouse culture and environments; moral conceptions of self and others at a bathhouse; identity management at a bathhouse; and psychosocial functions of gay bathhouses. HIV transmission is a salient component of bathhouse culture; therefore, bathhouses are critical environments for the promotion of safer sex activities among gay and bisexual men.
本研究旨在描述男同性恋和双性恋者在浴室中的体验，以及他们对与这种情况下的性行为相关的 HIV 风险的看法。我们采用目的性抽样方法，对曾经常光顾浴室的男同性恋和双性恋者进行了面对面、半结构化访谈。这些参与者包括 14 名 HIV 阳性和 9 名 HIV 阴性者，他们均来自加拿大安大略省的 Polaris HIV 血清转换研究，这是一项针对有记录的近期血清转化者和 HIV 阴性对照者的纵向开放性队列研究。我们使用叙事方法分析了访谈记录。研究确定了四个主要主题，分别是对男同性恋浴室文化和环境的看法、在浴室中对自我和他人的道德观念、在浴室中管理身份，以及男同性恋浴室的心理社会功能。HIV 传播是浴室文化的一个显著组成部分；因此，浴室是促进男同性恋和双性恋者安全性行为的重要环境。
