在纽约市保持 HIV 阴性的黑人男男性行为者中对 HIV 风险的认知。
Perceived HIV Risk Among Black MSM Who Maintain HIV-Negativity in New York City.
机构信息
HIV Center for Clinical and Behavioral Studies, Columbia University and New York State Psychiatric Institute, New York, NY, USA.
New York State Psychiatric Institute, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA.
出版信息
AIDS Behav. 2020 Nov;24(11):3044-3055. doi: 10.1007/s10461-020-02852-y.
Black men who have sex with men (MSM) are disproportionately burdened by the HIV epidemic. Although there has been an increased focus on reducing HIV prevalence in Black MSM, little attention has been given to how and why Black MSM are able to remain HIV-negative, beyond believing that they are lucky. The purpose of this qualitative study was to explore how Black MSM try to stay HIV-negative. Guided by constructivist grounded theory and a strengths-based approach, we conducted in-depth interviews to explicate how Black MSM demonstrate resilience by staying seronegative amidst high seroprevalence. Results from this study suggest that it is their perceptions of HIV risk that translate into protective strategies that enable them to prevent infection. Our study offers insight into their reasoning processes that guide their efforts to stay HIV-negative.
男男性行为者（MSM）中的黑人受艾滋病影响的比例过高。尽管人们越来越关注降低黑人男男性行为者中的艾滋病发病率，但很少有人关注他们如何以及为什么能够保持艾滋病毒阴性，而不仅仅是认为他们很幸运。这项定性研究的目的是探讨黑人男男性行为者如何努力保持艾滋病毒阴性。本研究以建构主义扎根理论和优势为指导，通过深入访谈来阐述黑人男男性行为者如何在高流行率下保持血清阴性从而展现出韧性。研究结果表明，正是他们对艾滋病毒风险的认识转化为保护策略，使他们能够预防感染。我们的研究深入了解了指导他们努力保持艾滋病毒阴性的推理过程。
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