Sastre Francisco, Sheehan Diana M, Gonzalez Arnaldo
Florida International University, Miami, FL, USA
Florida International University, Miami, FL, USA.
Am J Mens Health. 2015 Mar;9(2):139-49. doi: 10.1177/1557988314532940. Epub 2014 May 2.
HIV-positive men are living long and healthier lives while managing HIV as a chronic illness. Although research has extensively documented the experiences of illness of people living with HIV, dating, marriage, and fatherhood among heterosexual Latino men has not been examined. To address this gap, this study used a qualitative study design to examine patterns and strategies for dating, marriage, and parenthood among 24 HIV-positive heterosexual Puerto Rican men living in Boston. The findings in our study indicate that an HIV diagnosis does not necessarily deter men from having an active sexual life, marrying, or having children. In fact, for some of the men, engaging in these social and life-changing events is part of moving on and normalizing life with HIV; these men planned for, achieved, and interpreted these events in the context of establishing normalcy with HIV. Although the HIV diagnosis discouraged some men from engaging in sexual relations, getting married, or having children, others fulfilled these desires with strategies aimed to reconciling their HIV status in their personal life, including dating or marrying HIV-positive women only. Additional important themes identified in this study include the decision to disclose HIV status to new sexual partners as well as the decision to accept the risk of HIV transmission to a child or partner in order to fulfill desires of fatherhood. Understanding the personal struggles, decision-making patterns, and needs of HIV-positive heterosexual men can aid in designing interventions that support healthy living with HIV.
感染艾滋病毒的男性在将艾滋病毒作为慢性病进行管理的同时，正过着长寿且更健康的生活。尽管研究广泛记录了艾滋病毒感染者的患病经历，但尚未对异性恋拉丁裔男性的约会、婚姻和为人父等情况进行研究。为填补这一空白，本研究采用定性研究设计，对居住在波士顿的24名艾滋病毒呈阳性的异性恋波多黎各男性的约会、婚姻和为人父的模式及策略进行了研究。我们研究中的结果表明，艾滋病毒诊断不一定会阻止男性拥有积极的性生活、结婚或生育。事实上，对一些男性来说，参与这些社会和改变生活的事件是继续前行并使感染艾滋病毒后的生活正常化的一部分；这些男性在与艾滋病毒共存建立正常生活的背景下规划、实现并诠释了这些事件。尽管艾滋病毒诊断使一些男性不愿发生性关系、结婚或生育，但其他人通过旨在在个人生活中协调其艾滋病毒感染状况的策略实现了这些愿望，包括只与艾滋病毒呈阳性的女性约会或结婚。本研究中确定的其他重要主题包括向新性伴侣披露艾滋病毒感染状况的决定，以及为了实现为人父的愿望而接受将艾滋病毒传播给孩子或伴侣的风险的决定。了解艾滋病毒呈阳性的异性恋男性的个人挣扎、决策模式和需求有助于设计支持艾滋病毒感染者健康生活的干预措施。
