BoRam Kim, BSN, RN, is a PhD Student, College of Nursing & Health Sciences, University of Massachusetts Boston, Boston, Massachusetts, USA. Teri Aronowitz, PhD, FNP-BC, FAAN, is an Associate Professor, College of Nursing & Health Sciences, University of Massachusetts Boston, Boston, Massachusetts, USA.
J Assoc Nurses AIDS Care. 2021;32(2):151-159. doi: 10.1097/JNC.0000000000000195.
Between 2010 and 2016, Asian Americans (AA) had a 35% increase in HIV diagnosis. Although mother-daughter sexual communication was found to be protective in minority populations, the opposite is true among AAs. The purpose of this study was to explore AA women's experiences of sexual communication with their mothers. Secondary qualitative analysis using analytic expansion with a phenomenological approach was used. Thematic analysis was used to search for common patterns and themes that emerged using qualitative description methodology. Twenty East and Southeast AA cisgender women, ages 18-33 years, were interviewed. The primary finding was an intergenerational gap with two themes: (a) mothers' attitudes about sexual communication and (b) content of sexual communication. Indirect sexual communication included cautionary messages consistent with previous studies. AA mothers' strong cultural beliefs created a barrier to communication. Future research should focus on the young women who want open sexual communication and could influence the next generation.
2010 年至 2016 年间，亚裔美国人（AA）的 HIV 诊断率增加了 35%。尽管在少数族裔群体中，母女间的性沟通被发现具有保护作用，但在 AA 群体中情况则恰恰相反。本研究旨在探讨 AA 女性与母亲进行性沟通的经历。使用分析扩展与现象学方法的二次定性分析被用于研究。使用定性描述方法，通过主题分析来寻找共同的模式和主题。共采访了 20 名年龄在 18-33 岁之间的东亚和东南亚顺性别 AA 女性。主要发现是存在代际差距，有两个主题：（a）母亲对性沟通的态度，以及（b）性沟通的内容。间接性沟通包括与先前研究一致的警示信息。AA 母亲强烈的文化信仰成为沟通的障碍。未来的研究应关注那些希望进行开放的性沟通的年轻女性，因为她们可能会影响下一代。
