a Public Health Program , Santa Clara University , Santa Clara , USA.
Cult Health Sex. 2019 Feb;21(2):175-187. doi: 10.1080/13691058.2018.1459845. Epub 2018 Apr 19.
This paper calls for a critical reframing of masculinity as an intersectional construct in the HIV epidemic and in public health. In-depth qualitative interviews were conducted with a sample of 56 Black men who have sex with men and women in the San Francisco Bay Area. Men described their sexual identities and practices via complex narratives of masculinity that drew on subordinated and resourceful adaptations to the structural effects of racism, economic marginalisation and homophobia. By focusing on men whose experience of masculinity operates outside fixed identity categories, the paper draws attention to the intersectionality that is, by necessity, constitutive of men's lived experiences. Findings suggest the value of an integrative framework for understanding Black masculinities as processes and practices simultaneously informed by structural inequalities (racism, economic marginalisation and/or homophobia, in particular) and cultural meanings of gender. By utilising an intersectional approach, public health and sociology can better understand the concurrent resilience and vulnerability of masculinities, while building an interdisciplinary understanding of the symbolic role of Black masculinities in the USA, as well as a means by which to promote health and well-being in and through these gendered contexts.
本文呼吁将男性气质作为 HIV 流行和公共卫生中的一个交叉结构进行批判性重构。在旧金山湾区，对 56 名与男性和女性发生性关系的黑人男性进行了深入的定性访谈。男性通过对男性气质的复杂叙述描述了他们的性身份和性行为，这些叙述借鉴了对种族主义、经济边缘化和恐同的结构性影响的从属和资源丰富的适应。通过关注那些其男性气质体验超出固定身份类别的男性，本文提请注意交叉性，即男性的生活经历必然具有交叉性。研究结果表明，采用一种综合框架来理解黑人男性气质作为同时受到结构不平等（特别是种族主义、经济边缘化和/或恐同）和性别文化意义影响的过程和实践是有价值的。通过利用交叉方法，公共卫生和社会学可以更好地理解男性气质的同时存在的韧性和脆弱性，同时建立对美国黑人男性气质的象征性角色的跨学科理解，以及促进这些性别背景下的健康和福祉的手段。
