Department of Community Health Systems, School of Nursing, University of California-San Francisco, 2 Koret Way, N 505E, PO Box 0608, San Francisco, CA, 94143-0608, USA.
Gender Development Studies, Mona Campus Unit, University of the West Indies, Kingston, Jamaica.
Arch Sex Behav. 2019 May;48(4):1227-1238. doi: 10.1007/s10508-018-1219-2. Epub 2018 Jun 27.
The prevalence of HIV is exceptionally high among Jamaican men who have sex with men (JMSM) compared to similar populations within the Caribbean. A noticeable gap in the literature is the impact of childhood sexual abuse (CSA) and sexual assault on the state of the epidemic among this population. This study focused on JMSM's experiences with CSA and sexual assault and how these domains relate to HIV prevention. We analyzed qualitative data from 20 semi-structured in-depth interviews and focus group discussions with 10 men. Common themes emerged that highlight the patterns and nature of the abuse, the characteristics of the perpetrators, and the ways in which participants engage agency and resiliency as a basis to reclaim personal power. These findings serve as a catalyst for understanding how experiences with CSA and sexual assault affect the lives of young JMSM; how those experiences may impact attitudes and behaviors regarding HIV testing, engagement in care; and have implications for shaping legal policy, clinical, and mental health services for JMSM survivors.
在加勒比地区，与其他类似人群相比，牙买加男男性行为者（MSM）中的艾滋病毒感染率极高。文献中一个明显的空白是儿童性虐待（CSA）和性侵犯对该人群中疫情状况的影响。本研究关注的是 JMSM 经历 CSA 和性侵犯的情况，以及这些领域如何与 HIV 预防相关。我们分析了来自 20 名半结构化深入访谈和 10 名男性焦点小组讨论的定性数据。出现了一些共同的主题，突出了虐待的模式和性质、施虐者的特征，以及参与者作为重新获得个人权力基础的能动性和恢复力的方式。这些发现有助于理解 CSA 和性侵犯经历如何影响年轻 JMSM 的生活；这些经历可能如何影响 HIV 检测、参与护理的态度和行为；并对塑造法律政策、临床和心理健康服务以帮助 JMSM 幸存者具有重要意义。
