Gilles de la Londe Julie, Aïm-Eusébi Amélie, Cadwallader Delphine, Rincon Murillo Giovanna, Cadwallader Jean Sébastien, Aubert Jean Pierre
Département de Médecine Générale, Université Paris Cité, Paris, France.
Department of General Practice, Sorbonne University, Paris, France.
Arch Sex Behav. 2023 Nov;52(8):3541-3552. doi: 10.1007/s10508-023-02655-x. Epub 2023 Jul 14.
Regular physical activity should benefit HIV-positive transgender women because they are a particularly vulnerable population. However, engaging in physical activity seems particularly difficult among this population. To inform the development of interventions to increase adherence to physical activity, we explored perceptions of physical activity in 10 semi-structured interviews with HIV-positive transgender women. Interviews were subjected to a qualitative approach named interpretative phenomenological analysis (IPA). Inspired by Cooley's theory, we chose to illustrate the results according to a three-level structure, i.e., confronting oneself to oneself with a specific identity, then confronting oneself with others on an interpersonal level, and eventually confronting oneself with society as a normative frame through the specific prism of physical activity, and thus relationship to one's body. The idea of practicing physical activity meant for them: having to face what they tried to be kept hidden, being ostracized by the cis population, and facing social heteronormativity. The fears about health were mostly about HIV and the transitioning process side effects. The psychological issues were mostly about the fear of developing male shaped bodies and worsened by traumatic life stories. External factors were often related to the passing concept and violence caused by stigma and discrimination. The group appeared as a strong motivation factor, facilitating self-acceptance and socialization.
规律的体育活动应该会使感染艾滋病毒的跨性别女性受益，因为她们是一个特别脆弱的群体。然而，在这一人群中参与体育活动似乎特别困难。为了为增加体育活动依从性的干预措施的制定提供信息，我们通过对10名感染艾滋病毒的跨性别女性进行半结构化访谈，探讨了她们对体育活动的看法。访谈采用了一种名为解释现象学分析（IPA）的定性方法。受库利理论的启发，我们选择根据一个三级结构来说明结果，即，以特定身份面对自己，然后在人际层面上与他人对峙，最终通过体育活动这一特定视角，将自己作为规范框架与社会对峙，从而与自己的身体建立联系。对她们来说，进行体育活动意味着：不得不面对她们试图隐藏的东西，被顺性别群体排斥，以及面对社会异性规范。对健康的担忧主要是关于艾滋病毒和过渡过程的副作用。心理问题主要是担心长出男性体型，而创伤性的生活经历会使这种担忧加剧。外部因素往往与“蒙混过关”的观念以及耻辱和歧视所导致的暴力有关。群体似乎是一个强大的动机因素，有助于自我接纳和社交。
