Nation Austin, Waters Catherine M, Dawson-Rose Carol
J Assoc Nurses AIDS Care. 2018 Sep-Oct;29(5):737-748. doi: 10.1016/j.jana.2018.04.010. Epub 2018 Apr 25.
In the United States, Black men who have sex with men (MSM), between the ages of 18 and 34 years, have the highest rates of new HIV infections. The prevalence of HIV in this population is three to four times higher than their White MSM counterparts. Twelve Black MSM from the Bay Area, nine with HIV and three without HIV, were interviewed regarding their experiences and perceived risks of acquiring HIV. Narrative analysis revealed these themes: (a) tested regularly for HIV, (b) HIV knowledge varied before arriving in San Francisco, (c) condom use typically nonexistent when under the influence of alcohol and other drugs, (d) inability to negotiate sex and condom usage, and (e) sense of anticipation, resignation, and acceptance about acquiring HIV. Implications of this study highlight the need for Black MSM to have earlier HIV prevention education, including condom negotiation skills, particularly when under the influence of drugs and/or alcohol.
在美国，年龄在18至34岁之间的与男性发生性关系的黑人（MSM），其新发艾滋病毒感染率最高。该人群中的艾滋病毒流行率比白人男男性行为者高出三到四倍。对来自湾区的12名黑人男男性行为者进行了访谈，其中9人感染了艾滋病毒，3人未感染艾滋病毒，了解他们感染艾滋病毒的经历和感知到的风险。叙事分析揭示了以下主题：（a）定期进行艾滋病毒检测；（b）在抵达旧金山之前，对艾滋病毒的了解程度各不相同；（c）在酒精和其他药物的影响下，通常不使用避孕套；（d）无法就性行为和避孕套使用进行协商；（e）对感染艾滋病毒的预期、顺从和接受感。这项研究的意义凸显了黑人男男性行为者需要更早地接受艾滋病毒预防教育，包括避孕套协商技巧，尤其是在受到药物和/或酒精影响时。
