Woods William J, Sheon Nicolas, Morris Joseph A, Binson Diane
Center for AIDS Prevention Studies, Department of Medicine, University of California San Francisco.
Sex Res Social Policy. 2013 Jun 1;10(2):77-86. doi: 10.1007/s13178-013-0112-y.
Many HIV prevention interventions have been launched in gay bathhouses and sex clubs since the onset of the AIDS epidemic, such as condom distribution and HIV testing. Perhaps none of these are as intrusive to the venue's environment as what is called "monitoring," which involves staff, during every shift, repeatedly walking throughout the public areas of a bathhouse to check on patrons' sexual behavior. Yet, monitoring has received little evaluation. Between 2002 and 2004, we conducted qualitative interviews with venue managers, staff and patrons in New York City, Los Angeles, and the San Francisco Bay Area. An analysis found that monitoring was influenced by the kinds of space available for sex, suggesting three approaches to monitoring: 1) monitoring all sex in clubs that only had public areas where men had sex ; 2) monitoring some sex in clubs with private rooms for sex; and 3) no monitoring of sex, regardless of the kinds of space for sex. This paper explores each approach as described by club managers, staff, and patrons to understand the potential effectiveness of monitoring as an HIV prevention intervention.
自艾滋病流行以来，许多预防艾滋病的干预措施已在同性恋澡堂和性俱乐部开展，如分发避孕套和进行艾滋病毒检测。或许这些措施中，没有哪一项像所谓的“监控”那样对场所环境造成如此大的侵扰，“监控”是指工作人员在每个班次期间，反复在澡堂的公共区域走动，检查顾客的性行为。然而，对监控的评估却很少。2002年至2004年期间，我们对纽约市、洛杉矶和旧金山湾区的场所经理、工作人员和顾客进行了定性访谈。一项分析发现，监控受到可用于性行为的空间类型的影响，由此提出了三种监控方式：1）在只有男性进行性行为的公共区域的俱乐部中，监控所有性行为；2）在设有私人房间用于性行为的俱乐部中，监控部分性行为；3）无论有无用于性行为的空间类型，都不监控性行为。本文探讨了俱乐部经理、工作人员和顾客所描述的每种方式，以了解监控作为一种预防艾滋病干预措施的潜在效果。
