Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Johns Hopkins School of Nursing, Baltimore, MD, USA.
Cult Health Sex. 2020 Oct;22(10):1191-1206. doi: 10.1080/13691058.2019.1666429. Epub 2019 Oct 9.
In the USA, Black sexual minority men (BSMM) remain disproportionately impacted upon by HIV and other sexual health issues. Individuals who attend church have lower rates of morbidity and mortality than those that do not; however, church attendance presents a paradox of being protective for some health outcomes and a risk for others among this population. Lesbian, gay, bisexual, and transgender (LGBT) affirming churches may offer support, but little is known about the role of LGBT-affirming churches in the lives of BSMM and how they may impact HIV and other health outcomes. This study explored the role of LGBT-affirming churches in the lives of BSMM. Nine focus groups (N = 52) were conducted in Baltimore City, Maryland between December 2017 and April 2018. Thematic analysis evaluated domains related to how men perceived, experienced, and engaged with LGBT-affirming churches. Three primary themes identified: (1) preferring traditional church environments over LGBT-affirming churches; (2) experiencing the LGBT-affirming church as a space of acceptance, emotional healing, and modelling loving same-sex relationships; and (3) perceiving LGBT-affirming churches as opportunities to engage community members to promote the well-being of BSMM. A secondary theme identified involvement in the house and ballroom community as an LGBT-affirming religious experience.
在美国，黑人性少数群体男性（BSMM）仍然不成比例地受到 HIV 和其他性健康问题的影响。与不参加教堂活动的人相比，参加教堂活动的人发病率和死亡率较低；然而，对于该人群中的一些健康结果，教堂出席率表现出保护的悖论，而对于其他健康结果则是风险。同性恋、双性恋、跨性别（LGBT）肯定的教堂可能会提供支持，但人们对 LGBT 肯定教堂在 BSMM 生活中的作用知之甚少，也不知道它们如何影响 HIV 和其他健康结果。本研究探讨了 LGBT 肯定教堂在 BSMM 生活中的作用。2017 年 12 月至 2018 年 4 月，在马里兰州巴尔的摩市进行了九次焦点小组（N=52）。主题分析评估了与男性如何感知、体验和参与 LGBT 肯定教堂相关的领域。确定了三个主要主题：（1）更喜欢传统的教堂环境而不是 LGBT 肯定的教堂；（2）将 LGBT 肯定的教堂体验为一个接受、情感治疗和塑造充满爱意的同性关系的空间；（3）将 LGBT 肯定的教堂视为与社区成员接触以促进 BSMM 福祉的机会。一个次要主题是将参与家庭和舞厅社区视为一种 LGBT 肯定的宗教体验。
