Williams Whitney, Goldenberg Tamar, Andes Karen L, Finneran Catherine, Stephenson Rob
a Hubert Department of Global Health , Rollins School of Public Health, Emory University , Atlanta , MI , USA.
b Health Behavior and Health Education , School of Public Health, and The Center for Sexuality and Health Disparities, University of Michigan , Ann Arbor , MI , USA.
Cult Health Sex. 2016 Dec;18(12):1407-1419. doi: 10.1080/13691058.2016.1189595. Epub 2016 Jun 14.
Recent studies have called for more nuanced research into the relationships between behaviourally bisexual men and their sexual partners. To address this, we conducted a longitudinal qualitative study with self-identifying gay men; participants took part in timeline-based interviews and relationship diaries. We conducted a thematic analysis of verbatim transcripts to understand how relationship motivations, emotions and relationship dynamics influenced perceptions of HIV risk with behaviourally bisexual male partners. Participants described how partnership types (main and casual) and relationship dimensions (exclusivity, commitment, emotional attachment and relationship designation) strongly influenced perceptions of HIV risk and shaped their decisions to choose behaviourally bisexual male sex partners. Results reveal the crucial role relationship dynamics play in the shaping of HIV risk perceptions, sexual decision-making and HIV risk between partners, and provide potential insight on how to message HIV risk to gay men and their behaviourally bisexual male partners. It is imperative that HIV prevention is able to message key concepts of risk, decision-making and partner negotiation in a way that does not act to stereotype or create stigma against behaviourally bisexual men and their male partners.
近期研究呼吁对行为双性恋男性与其性伴侣之间的关系进行更细致入微的研究。为解决这一问题,我们对自我认定为男同性恋者开展了一项纵向定性研究;参与者参与了基于时间线的访谈和关系日记。我们对逐字记录的文字稿进行了主题分析,以了解关系动机、情感和关系动态如何影响与行为双性恋男性伴侣的艾滋病毒风险认知。参与者描述了伴侣类型(主要和随意)以及关系维度(排他性、承诺、情感依恋和关系认定)如何强烈影响艾滋病毒风险认知,并塑造了他们选择行为双性恋男性性伴侣的决定。结果揭示了关系动态在塑造艾滋病毒风险认知、性决策和伴侣间艾滋病毒风险方面所起的关键作用,并为如何向男同性恋者及其行为双性恋男性伴侣传达艾滋病毒风险提供了潜在见解。至关重要的是,艾滋病毒预防工作必须能够以一种不会对行为双性恋男性及其男性伴侣造成刻板印象或污名化的方式传达风险、决策和伴侣协商等关键概念。