Department of Social and Behavioral Sciences, City University of Hong Kong, Hong Kong 852, China.
Int J Environ Res Public Health. 2024 Aug 26;21(9):1125. doi: 10.3390/ijerph21091125.
In China, an emerging social issue involves a subset of rural women who, because of family and culture, become inadvertently matched up with and married to closeted men who have sex with men (MSM). These women-referred to as -often discover they are in a loveless marriage, but any effort to change their situation results in intense backlash, discrimination, and stigma from families, village communities, and even government and healthcare institutions. This study explores the experiences of , examining the influence of social interaction, community relationships, and macrostructural factors that coalesce to create an environment of chronic enacted stigma. In-depth interviews were conducted with 59 rural , 11 of whom contracted human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS) from their spouses. The findings reveal the significant role of extended kinship networks and macrostructural elements, such as hukou (household registration) and government officers, as well as village-level lineage structures. Informant data highlights how lineage relationships, interwoven with gender practices, contribute to the enacted stigma impacting the physical and psychological health of report psychological effects such as an array of symptoms reflecting post-traumatic stress, chronic depression, and attempted suicide. also report adverse physical health concerns involving reproductive health, unwanted pregnancies, sexually transmitted infections (STIs), and pregnancy complications. These findings helped produce possible policy recommendations to address the most pressing issues faced by .
在中国，一个新出现的社会问题涉及到一部分农村妇女，由于家庭和文化的原因，她们无意间与男同性恋者（MSM）秘密结婚。这些女性通常发现自己陷入了没有爱情的婚姻，但任何试图改变这种状况的努力都会遭到家庭、村庄社区，甚至政府和医疗机构的强烈反对、歧视和污名化。本研究探讨了这些女性的经历，考察了社会互动、社区关系和宏观结构因素的影响，这些因素共同构成了一个长期实施污名化的环境。对 59 名农村女性进行了深入访谈，其中 11 人从配偶那里感染了人类免疫缺陷病毒（HIV）或获得性免疫缺陷综合征（AIDS）。研究结果揭示了扩展的亲属网络和宏观结构要素的重要作用，如户籍和政府官员，以及村庄一级的家族结构。受访者数据突出了家族关系如何与性别实践交织在一起，对影响的身心健康产生影响。报告了一系列反映创伤后应激、慢性抑郁和自杀企图的心理症状等心理影响。还报告了一些与生殖健康、意外怀孕、性传播感染（STIs）和妊娠并发症有关的不良身体健康问题。这些发现有助于提出可能的政策建议，以解决面临的最紧迫问题。
