黑人男同性恋和双性恋者的性行为定位实践和性风险：生命历程视角。
Sexual Positioning Practices and Sexual Risk Among Black Gay and Bisexual Men: A Life Course Perspective.
机构信息
The REACH Initiative, Johns Hopkins School of Nursing, Baltimore, MD, 2120532, USA.
Division of Global Public Health, University of California, La Jolla, San Diego, CA, USA.
出版信息
AIDS Behav. 2018 Jun;22(6):1919-1931. doi: 10.1007/s10461-017-1948-6.
Abstract
Increased attention has highlighted the role of age and sexual development on HIV risk among Black MSM (BMSM); limited focus has been given to the relationship of sexual positioning to HIV risk along the life course. This study examined BMSM's life course sexual positioning practices and accompanying HIV/STI risks. Twenty-six Black gay and bisexual men ages 24-61 completed life history interviews in Los Angeles, California, between September and November 2015. Thematic analysis evaluated domains including major life events, substance use, social support, and partner selection. Varying exposure to HIV treatment and prevention options and venues to meet male partners revealed generational differences in sexual risks. Childhood sexual abuse and internalized homonegativity impacted personal development, sexual positioning, and condom negotiation. BMSM also assumed sexual positioning using masculinity stereotypes and body language. Clarifying the sexual development and HIV/STI risk contexts among BMSM could better inform current treatment and prevention needs.
摘要
人们越来越关注年龄和性发育对黑人男男性行为者（BMSM）中艾滋病毒风险的作用；而对性取向在整个生命过程中与艾滋病毒风险的关系关注较少。本研究调查了 BMSM 的生命历程性取向实践及其伴随的艾滋病毒/性传播感染（STI）风险。2015 年 9 月至 11 月期间，26 名年龄在 24-61 岁之间的黑人男同性恋和双性恋男性在加利福尼亚州洛杉矶完成了生活史访谈。主题分析评估了包括重大生活事件、物质使用、社会支持和伴侣选择在内的领域。不同的艾滋病毒治疗和预防选择以及与男性伴侣见面的场所的暴露情况，揭示了不同代际之间的性风险差异。童年期性虐待和内化的同性恋负面态度影响了个人发展、性取向和避孕套谈判。BMSM 还使用男性气质刻板印象和肢体语言来假设性取向。阐明 BMSM 中的性发育和艾滋病毒/STI 风险背景，可以更好地满足当前的治疗和预防需求。
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