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“你是被虐待的公开目标”：一项针对与男性发生性关系的黑人男性的耻辱感和 HIV 自我披露的定性研究。

"You're an open target to be abused": a qualitative study of stigma and HIV self-disclosure among Black men who have sex with men.

机构信息

Jason D. P. Bird is with the Department of Social Work, College of Arts and Sciences, Rutgers University, Newark, NJ. Dexter R. Voisin is with the School of Social Service Administration, University of Chicago, Chicago, IL, and the STI/HIV Intervention Network, Chicago.

出版信息

Am J Public Health. 2013 Dec;103(12):2193-9. doi: 10.2105/AJPH.2013.301437. Epub 2013 Oct 17.

DOI:10.2105/AJPH.2013.301437
PMID:24134345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3828976/
Abstract

The HIV/AIDS epidemic is a health crisis among Black men who have sex with men (MSM). HIV-related stigma presents a primary barrier to sexual communication and effective HIV prevention. Using in-depth, qualitative interviews conducted with 20 HIV-positive Black MSM between 2007 and 2008 in Chicago, Illinois, we explored the themes related to HIV-related stigma and the underlying messages HIV-positive Black MSM receive regarding their status. Stigmatizing messages stem from family, churches, and the gay community and from negative, internalized, beliefs HIV-positive Black MSM held about infected individuals before their own infection. HIV stigma influences sexual silence around HIV disclosure, especially to sexual partners.

摘要

艾滋病毒/艾滋病疫情是男男性行为者（MSM）中黑人男性面临的健康危机。与艾滋病毒相关的耻辱感是性沟通和有效艾滋病毒预防的主要障碍。本研究使用 2007 年至 2008 年间在伊利诺伊州芝加哥对 20 名艾滋病毒阳性黑人男男性行为者进行的深入定性访谈，探讨了与艾滋病毒相关耻辱感相关的主题以及艾滋病毒阳性黑人男男性行为者收到的关于其状况的潜在信息。污名化信息源于家庭、教堂和同性恋社区，以及艾滋病毒阳性黑人男男性行为者在感染之前对感染者持有的负面、内化的信念。艾滋病毒耻辱感影响了艾滋病毒披露方面的性沉默，尤其是对性伴侣。

相似文献

[1]
"You're an open target to be abused": a qualitative study of stigma and HIV self-disclosure among Black men who have sex with men.

Am J Public Health. 2013-10-17

[2]
Internalized stigma and HIV status disclosure among HIV-positive black men who have sex with men.

AIDS Care. 2013

[3]
"You just can't trust everybody": the impact of sexual risk, partner type and perceived partner trustworthiness on HIV-status disclosure decisions among HIV-positive black gay and bisexual men.

Cult Health Sex. 2017-8

[4]
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[5]
Unhealthy environments, unhealthy consequences: Experienced homonegativity and HIV infection risk among young men who have sex with men.

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[6]
Trauma symptoms, internalized stigma, social support, and sexual risk behavior among HIV-positive gay and bisexual MSM who have sought sex partners online.

AIDS Care. 2016

[7]
Social network predictors of disclosure of MSM behavior and HIV-positive serostatus among African American MSM in Baltimore, Maryland.

AIDS Behav. 2012-4

[8]
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[9]
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[10]
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[1]
"We Live in Different Chicagos": Racial/Ethnic Differences in the Neighborhood Affiliations of Young Men Who Have Sex with Men as Drivers of HIV Risk.

AIDS Behav. 2025-4-24

[2]
Effective Messages to Reduce Stigma among People Newly Diagnosed with HIV during Rapid ART Initiation.

Int J Environ Res Public Health. 2024-8-27

[3]
Life and love under criminalization: The experiences of people living with HIV in Canada.

PLoS One. 2024

[4]
Barriers, Facilitators and Opportunities for HIV Status Disclosure Among Young Men Who Have Sex With Men: Qualitative Findings from the Tough Talks Intervention.

AIDS Behav. 2024-10

[5]
Status-neutral community-based multilevel intervention to address intersectional stigma and discrimination, and increase HIV testing, PrEP, and ART uptake among YGBMSM in Ghanaian Slums: A clustered randomized control trial protocol.

Res Sq. 2024-5-30

[6]
Community stigma, victimization, and coping strategies among gay, bisexual, and other cis-gender men who have sex with men in slum communities in Ghana. BSGH-003.

BMC Public Health. 2024-4-5

[7]
The Ongoing Process of HIV-Stigma (Re)Production.

Sociol Perspect. 2023-4

[8]
Sexual Orientation, HIV Vulnerability-Enhancing Behaviors and HIV Status Neutral Care Among Black Cisgender Sexual Minority Men in the Deep South: The N2 Cohort Study.

AIDS Behav. 2023-8

[9]
Effects of Experienced Discrimination in Pediatric Sickle Cell Disease: Caregiver and Provider Perspectives.

J Racial Ethn Health Disparities. 2023-12

[10]
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本文引用的文献

[1]
Ideologies of Black churches in New York City and the public health crisis of HIV among Black men who have sex with men.

Glob Public Health. 2011

[2]
Ethnic differences in HIV-disclosure and sexual risk.

AIDS Care. 2011-4

[3]
Serosorting may increase the risk of HIV acquisition among men who have sex with men.

Sex Transm Dis. 2010-1

[4]
HIV serosorting in men who have sex with men: is it safe?

J Acquir Immune Defic Syndr. 2008-10-1

[5]
Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward.

AIDS. 2008-8

[6]
HIV/AIDS and the African-American community: a state of emergency.

J Natl Med Assoc. 2008-1

[7]
Explaining disparities in HIV infection among black and white men who have sex with men: a meta-analysis of HIV risk behaviors.

AIDS. 2007-10-1

[8]
Serosorting can potentially increase HIV transmissions.

AIDS. 2007-5-31

[9]
Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings.

MMWR Recomm Rep. 2006-9-22

[10]
The role of HIV serostatus disclosure in antiretroviral medication adherence.

AIDS Behav. 2006-9

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