Aholou Tiffiany M, Nanin Jose, Drumhiller Kathryn, Sutton Madeline Y
1 Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention , Atlanta, Georgia .
2 Community Health Program at Kingsborough Community College, City University of New York , New York, New York.
AIDS Patient Care STDS. 2017 Jan;31(1):33-40. doi: 10.1089/apc.2016.0220. Epub 2016 Nov 28.
Conversations about HIV prevention before engaging in sex may result in safer sex practices and decreased HIV transmission. However, partner communication for HIV prevention has been understudied among black/African American men who have sex with men (BMSM), a group that is disproportionately affected by HIV. We explored and described encounters and perceptions about HIV prevention conversations among BMSM and their sex partner(s) in New York City. We conducted an inductive thematic analysis of semi-structured interviews with BMSM who reported sex with a man in the previous 3 months. Interviews were professionally transcribed; Nvivo was used for data analysis. Twenty-two BMSM were included in this analysis; median age = 29.1 years; 71.4% self-identified as MSM; 85.7% were ever HIV tested; and 52.6% reported no disclosure or discussion about HIV status with their previous sex partner. The main themes were: (1) missed opportunities for HIV prevention conversations (e.g., no HIV prevention conversations or HIV prevention conversations after sex had occurred); (2) barriers to HIV prevention conversations (e.g., being in the moment; not wanting to pause); (3) emotional thoughts after sex (e.g., feeling worried about possible HIV exposure); and (4) rethinking relationships and sexual health (e.g., changed sex practices by asking partners' HIV status before sex; started using condoms). These findings offer insight into HIV prevention conversations by BMSM around the time of or during sexual encounters and may inform and strengthen partner-level HIV prevention communication interventions for BMSM.
在进行性行为之前就艾滋病病毒（HIV）预防展开对话，可能会促使人们采取更安全的性行为方式，并减少HIV传播。然而，在男男性行为的黑人/非裔美国男性（BMSM）群体中，针对HIV预防的性伴间沟通情况尚未得到充分研究，而该群体受HIV影响的比例过高。我们对纽约市BMSM及其性伴关于HIV预防对话的经历和看法进行了探索与描述。我们对过去3个月内有过男性性行为的BMSM进行了半结构化访谈，并开展了归纳主题分析。访谈内容进行了专业转录；使用Nvivo软件进行数据分析。本分析纳入了22名BMSM；中位年龄为29.1岁；71.4%自认为是男男性行为者；85.7%曾接受过HIV检测；52.6%报告称未与之前的性伴披露或讨论过HIV感染状况。主要主题包括：（1）HIV预防对话的错失机会（例如，未进行HIV预防对话或在性行为发生后才进行HIV预防对话）；（2）HIV预防对话的障碍（例如，当时的情境；不想停顿）；（3）性行为后的情绪想法（例如，担心可能接触到HIV）；以及（4）对关系和性健康的重新思考（例如，通过在性行为前询问性伴的HIV感染状况来改变性行为方式；开始使用避孕套）。这些发现为了解BMSM在性接触前后关于HIV预防的对话提供了见解，并可能为针对BMSM的性伴层面HIV预防沟通干预措施提供参考并予以加强。
