他们告诉我们“我们不属于这个世界，我们不应该占据一席之地”：双性恋群体中的艾滋病毒话语。
They tell us "we don't belong in the world and we shouldn't take up a place": HIV discourse within two-spirit communities.
作者信息
Argüello Tyler M, Walters Karina
机构信息
California State University, Sacramento, Sacramento, California.
Indigenous Wellness Research Institute, University of Washington, Seattle, WA.
出版信息
J Ethn Cult Divers Soc Work. 2018;27(2):107-123. doi: 10.1080/15313204.2017.1362616. Epub 2017 Sep 13.
OBJECTIVES
We investigated how HIV discourse is negotiated and given meaning in the lives of young, male two-spirit leaders, when considering their communities' and their own health and wellness. These menare also unique in that they have always lived under the specter and dominant discourse of HIV, that is, they are part of a second generation since the time of HIV/AIDS.
METHODS
We conducted a Discourse Analysis of six qualitative interviews from the HONOR Project, a multi-site, mixed-methods study of the two-spirit community across the United States, foregrounding the relationships amongst trauma, coping, and health.
RESULTS
HIV functions discursively in four ways, as a: shadow presence, professionalized identity, health sub-/priority, and vehicle for belonging and (re)claiming.
CONCLUSIONS
This study is important to social work as well as HIV prevention and care as it affords voice to two-spirit men, a highly marginalized community and one often silenced in scientific discourse. And, it centralizes language and context, complicating social epidemiological characterizations of HIV/AIDS, risk, and historically traumatized populations.
目标
我们探究了在考虑到年轻的男性双灵领袖所在社区以及他们自身的健康状况时，艾滋病话语在他们生活中是如何被协商并赋予意义的。这些男性也很独特，因为他们一直生活在艾滋病的阴影和主导话语之下，也就是说，自艾滋病流行以来，他们属于第二代。
方法
我们对“荣誉计划”中的六次定性访谈进行了话语分析，该计划是一项针对美国双灵社区的多地点、混合方法研究，重点关注创伤、应对和健康之间的关系。
结果
艾滋病在话语中以四种方式发挥作用，即：作为一种隐性存在、专业化身份、健康子类别/优先事项以及归属感和（重新）认同的载体。
结论
这项研究对社会工作以及艾滋病预防和护理都很重要，因为它让双灵男性有了发声的机会，双灵男性是一个高度边缘化的群体，在科学话语中常常被忽视。而且，它将语言和背景置于中心位置，使对艾滋病/艾滋病病毒、风险以及历史上受过创伤的人群的社会流行病学特征描述变得复杂。
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