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男同性恋家庭与社交网络中的艾滋病预防:促进自主决定权与性安全

HIV Prevention in Gay Family and House Networks: Fostering Self-Determination and Sexual Safety.

作者信息

Levitt Heidi M, Horne Sharon G, Freeman-Coppadge Darren, Roberts Tangela

机构信息

Department of Psychology, University of Massachusetts Boston, McCormack Hall, 4-411, Boston, MA, 02125, USA.

Department of Counseling and School Psychology, University of Massachusetts Boston, Boston, MA, 02125, USA.

出版信息

AIDS Behav. 2017 Oct;21(10):2973-2986. doi: 10.1007/s10461-017-1774-x.

DOI:10.1007/s10461-017-1774-x
PMID:28451890
Abstract

Many gay, bisexual, and transgender (GBT) people of color (POC) join house and/or constructed family communities, which serve as support networks composed mostly of other non-biologically related GBT/POC. These networks can decrease or increase the risk of exposure to HIV via multiple mechanisms (e.g., providing informal sexual safety education versus stigmatizing family members with HIV, encouraging sexual safety practices versus unsafe escorting, teaching self-care versus substance use) but act to support family members in the face of social and economic hardship. Researchers interviewed ten members of these social networks in the Boston metro area of the US and produced a saturated grounded theory analysis to explore the role of gay family/house networks in HIV risk management. While network members utilized HIV prevention resources, interviewees described how their efficacy was related to the intentions of leadership and strength of kinship boundaries within their community, economic opportunities, and communication skills. Clinical and research implications are discussed.

摘要

许多有色人种的同性恋、双性恋和跨性别者(GBT)加入了家庭或组建的家庭社区,这些社区是主要由其他无血缘关系的GBT/有色人种组成的支持网络。这些网络可以通过多种机制降低或增加感染艾滋病毒的风险(例如,提供非正式的性安全教育,而不是污名化感染艾滋病毒的家庭成员;鼓励安全性行为,而不是不安全的陪同服务;教授自我护理,而不是物质使用),但在面对社会和经济困难时会支持家庭成员。研究人员采访了美国波士顿都会区这些社交网络的十名成员,并进行了饱和扎根理论分析,以探讨同性恋家庭/家庭网络在艾滋病毒风险管理中的作用。虽然网络成员利用了艾滋病毒预防资源,但受访者描述了这些资源的效果如何与社区内领导层的意图、亲属关系界限的强度、经济机会和沟通技巧相关。本文还讨论了临床和研究意义。

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