SHORE & Whāriki Research, College of Health, Massey University, Auckland, New Zealand.
Department of Nursing, Auckland University of Technology, Auckland, New Zealand.
Ethn Health. 2020 May;25(4):508-524. doi: 10.1080/13557858.2018.1439893. Epub 2018 Feb 15.
To identify ways Chinese and South Asian gay and bisexual men living in Auckland talk about issues related to sexuality and experiences of living 'gay social lives.' Results will be available to inform health policy and practice. A qualitative design with individual interviews and thematic analysis was used. Semi-structured digitally recorded interviews were undertaken with 27 Chinese and 17 South Asian gay and bisexual men living in Auckland. Four themes in the data related to talk about sexuality and living gay social lives are reported: (a) 'Happy in my skin': Being gay is Ok! (b) 'To come out or not': Managing sexual identity, (c) 'Places to go, people to see': Connecting with others, and (d) 'What's wrong with being Asian': Tolerating discrimination. There are many similarities in the ways these men talked about their identity and sexuality that can be usefully considered by health policy makers and service planners. The concept of gay (and bisexual) sexuality had some salience for the men interviewed, despite the adoption and acknowledgement of same-sex identity being a relatively new phenomenon in some Asian countries. This supports the use of these terms in local health interventions. However, as these men closely managed their gay identity and typically had not disclosed their sexuality to others, including healthcare professionals, interventions to address the skills and comfort of healthcare providers in addressing sexuality in clinical settings appear warranted to facilitate optimal healthcare. These men are not well connected with others and this has implications for HIV health promotion that is based on creating cultural norms among networks to encourage safe sex. Discrimination results in many Chinese and South Asian gay and bisexual men disengaging from connecting with others and should be addressed.
为了确定生活在奥克兰的中国和南亚男同性恋和双性恋者谈论与性行为相关的问题以及他们的“同性恋社交生活”体验的方式,我们将开展此项研究。研究结果将为卫生政策和实践提供信息。我们采用了定性设计,进行了个人访谈和主题分析。对生活在奥克兰的 27 名中国男同性恋和双性恋者以及 17 名南亚男同性恋和双性恋者进行了半结构式数字记录访谈。报告了与谈论性行为和过同性恋社交生活相关的四个主题:(a) “快乐在我的皮肤里”:做同性恋是可以的!(b) “出柜还是不出柜”:管理性身份,(c) “有地方去,有人可看”:与他人建立联系,以及 (d) “做亚洲人有什么错”:忍受歧视。这些人谈论自己的身份和性行为的方式有很多相似之处,卫生政策制定者和服务规划者可以从中受益。尽管在一些亚洲国家,同性恋(和双性恋)的性取向概念具有一定的重要性,但对于接受和承认同性身份是相对较新的现象的一些国家的男性来说,同性恋的概念仍然存在。这支持在当地卫生干预中使用这些术语。然而,由于这些人密切管理自己的同性恋身份,并且通常没有向他人,包括医疗保健专业人员,透露自己的性取向,因此似乎需要干预措施来提高医疗保健提供者在临床环境中处理性问题的技能和舒适度,以促进最佳的医疗保健。这些人与他人的联系并不紧密,这对基于在网络中建立文化规范来鼓励安全性行为的艾滋病毒健康促进产生影响。歧视导致许多中国和南亚男同性恋和双性恋者不再与他人建立联系,应加以解决。