Center for Sexuality and Health Disparities, University of Michigan School of Nursing, Ann Arbor, MI, 48109, USA.
Department of Sociology, Emory University, Atlanta, GA, USA.
Arch Sex Behav. 2018 May;47(4):1221-1230. doi: 10.1007/s10508-017-1058-6. Epub 2017 Sep 5.
Young gay, bisexual, and other men who have sex with men (MSM) are at elevated risk for HIV infection, highlighting the need to understand the elements of prevention and risk associated with their relationships. We employed a phenomenological approach to explore how young MSM become involved in different romantic and sexual experiences. We analyzed 28 semi-structured interviews conducted with young MSM living in Michigan. Using a phenomenological approach, we analyzed the data using an inductive coding strategy and thematic analysis. Participants defined their romantic and sexual interactions with a limited set of partner classifications (e.g., dating, hooking up, friends-with-benefits), but recognized how these classifications were shifting, sometimes unexpectedly so (e.g., a date turning into a hook up and vice versa). Young MSM described relationships in transition that at times defied available typologies or hybridized elements of multiple partner types at once. Based on our analyses, we underscore the need to acknowledge the fluctuating and contextual nature of young MSM's romantic and sexual experiences. We discuss the relevance of our findings in terms of the developmental period of young adulthood and the implications our findings have HIV prevention efforts among young MSM.
年轻的男同性恋、双性恋和其他与男性发生性关系的男性(MSM)感染艾滋病毒的风险较高,这突出表明需要了解与他们的关系相关的预防和风险因素。我们采用现象学方法探讨了年轻 MSM 如何参与不同的浪漫和性体验。我们对居住在密歇根州的年轻 MSM 进行了 28 次半结构化访谈。使用现象学方法,我们采用归纳式编码策略和主题分析对数据进行了分析。参与者用有限的伴侣分类来定义他们的浪漫和性行为(例如,约会、 hookup、炮友),但认识到这些分类是如何变化的,有时甚至是出乎意料的(例如,约会变成 hookup,反之亦然)。年轻的 MSM 描述了处于过渡状态的关系,有时这些关系违反了现有的类型学,或者同时混合了多种伴侣类型的元素。基于我们的分析,我们强调需要认识到年轻 MSM 的浪漫和性体验的多变和情境性质。我们讨论了我们的研究结果在青年期发展阶段以及我们的研究结果对年轻 MSM 的 HIV 预防工作的相关性。