Antabe Roger, Miller Desmond, Kohoun Bagnini, Okonufua Osagie, Husbands Winston
Department of Geography, University of Western Ontario, Social Science Centre, 1151 Richmond Street, London, N6A 5C2, Ontario, Canada.
Ryerson University, Toronto, Ontario, M5B 2K3, Canada.
J Racial Ethn Health Disparities. 2022 Jun;9(3):756-766. doi: 10.1007/s40615-021-01011-w. Epub 2021 Mar 8.
Black people's disproportionate burden of HIV in Canada has raised questions about whether they are sufficiently resilient to HIV, and how to promote resilience. In this paper, we critically examine the issue of resilience among heterosexual Black men in four large Canadian cities (Ottawa, Toronto, London, and Windsor). In 2016, a team of researchers engaged self-identified heterosexual Black men in critical reflection on HIV-related resilience and vulnerability, with the goal of identifying pathways to strengthen their involvement in community responses to HIV. In total, 56 men participated in in-depth interviews and 154 participated in 21 focus groups. The team also organized six focus groups (N = 41) with policymakers, service providers, and community leaders. All four cities participated in a multi-stage iterative process to identify the thematic content of the data. Three overarching sources of resilience emerged from our critical interpretive analysis: (1) bonding with other men, (2) strong commitment to family and community, and (3) demonstrating self-confidence and self-determination. These sources of resilience illustrate the value of love as a driving force for collective action on social justice, support for family and community, and self-determination. These expressions of love support heterosexual Black men to resist or negotiate the structural challenges and gendered ideologies that make them vulnerable to HIV. Based on our analysis, we propose the concept of Black resilience that transcends merely bouncing back from or accommodating to adversity; instead, we understand Black resilience as a predisposition that motivates strategic resistance to systemic disadvantage that undermines Black people's health and wellbeing.
加拿大黑人在艾滋病病毒方面承担的过重负担引发了一些问题，即他们对艾滋病病毒是否具有足够的适应力，以及如何增强这种适应力。在本文中，我们批判性地审视了加拿大四个大城市（渥太华、多伦多、伦敦和温莎）中异性恋黑人男性的适应力问题。2016年，一组研究人员让自我认定的异性恋黑人男性对与艾滋病病毒相关的适应力和脆弱性进行批判性反思，目的是确定增强他们参与社区艾滋病应对措施的途径。总共有56名男性参与了深度访谈，154名男性参与了21个焦点小组。该团队还与政策制定者、服务提供者和社区领袖组织了6个焦点小组（N = 41）。所有四个城市都参与了一个多阶段的迭代过程，以确定数据的主题内容。通过我们的批判性解释分析，出现了三个总体的适应力来源：（1）与其他男性建立联系，（2）对家庭和社区的坚定承诺，以及（3）展现自信和自主。这些适应力来源说明了爱作为推动社会正义集体行动、支持家庭和社区以及自主的驱动力的价值。这些爱的表达支持异性恋黑人男性抵制或应对使他们易感染艾滋病病毒的结构性挑战和性别意识形态。基于我们的分析，我们提出了黑人适应力的概念，它不仅仅是从逆境中恢复或适应逆境；相反，我们将黑人适应力理解为一种倾向，即激发对破坏黑人健康和福祉的系统性劣势进行战略性抵抗。
