School of Social Work, San José State University, San José, CA, United States of America.
Research Education Institute for Diverse Scholars (REIDS), Center for Interdisciplinary Research on AIDS (CIRA), Yale University, New Haven, CT, United States of America.
PLoS One. 2022 Jun 16;17(6):e0268742. doi: 10.1371/journal.pone.0268742. eCollection 2022.
Hispanic/Latino men who have sex with men (MSM) have the second largest HIV infection rate in the United States and Puerto Rico (PR) has ranked number five with the greatest number of Hispanics living with HIV. This study aims to understand how family affects HIV risk and protective factors for young adults. PR MSM ages 21 through 30 in San Juan, PR completed semi-structured interviews exploring the influence interpersonal family relationships have on HIV risk and protective factors. PR MSM (N = 15) completed a semi-structured in-depth individual interview. NVivo was used for administering a thematic analysis based on the transcripts in the original language of the interview, 14 in Spanish and one in English. The following five general themes emerged from the data analysis: 1) Immediate versus Extended Family; 2) The Matriarch; 3) Fractured Paternal Relationships; 4) Siblings Influence; and 5) Fictive Kin-Creating My Own Family. Findings suggest that the immediate family play an integral role in enhancing HIV protective factors for PR MSM as young adults. This study highlights the importance for developing family-based interventions that reinforce cultural beliefs and values through a strengths-based approach towards enhancing HIV protective behaviors for PR MSM.
美国和波多黎各（PR）的西班牙裔/拉丁裔男男性行为者（MSM）的 HIV 感染率位居第二，PR 拥有感染 HIV 的最大数量的西班牙裔人口，排名第五。本研究旨在了解家庭如何影响年轻人的 HIV 风险和保护因素。波多黎各圣胡安的年龄在 21 至 30 岁的 PR MSM 完成了半结构化访谈，探讨了人际家庭关系对 HIV 风险和保护因素的影响。PR MSM（N=15）完成了半结构化深入个人访谈。根据访谈的原始语言的记录，使用 NVivo 进行了主题分析，其中 14 个是西班牙语，1 个是英语。数据分析得出了以下五个一般主题：1）直系亲属与扩展亲属；2）女家长；3）破裂的父系关系；4）兄弟姐妹的影响；5）虚构的亲属关系——创造我自己的家庭。研究结果表明，直系亲属在增强 PR MSM 作为年轻成年人的 HIV 保护因素方面发挥着重要作用。本研究强调了制定基于家庭的干预措施的重要性，这些干预措施通过以优势为基础的方法来加强文化信仰和价值观，从而增强 PR MSM 的 HIV 保护行为。
