Perry Nicholas S, Roman Laporte Roberto L, Rhoades Galena K, Pla Serrano Lorenzo, Harkness Audrey
Department of Psychology, University of Denver, Denver, CO, USA.
School of Nursing, University of Miami, Coral Gables, FL, USA.
J Sex Marital Ther. 2025;51(6):612-628. doi: 10.1080/0092623X.2025.2529852. Epub 2025 Jul 9.
Latino sexual minority men (LSMM) experience sexual and mental health disparities relative to heterosexual men and, in some cases, White sexual minority men. These may be partially addressable through enhancing LSMM's romantic and sexual relationship skills. However, there have been no adapted relationship education programs for LSMM. The aim of the current study was to use community input to identify needed adaptations to an evidence-based relationship education program (Within My Reach) to make it culturally-grounded for LSMM. We first conducted a "theater test" to provide training in the original curriculum to eight LSMM in South Florida. We also conducted two focus groups with topical experts. We elicited feedback about curriculum content to add, re-frame, or remove and used rapid qualitative analysis to distill themes and responsive adaptations. The data converged into four themes: (1) navigating Latino culture as a sexual minority man, (2) traversing sexual minority developmental experiences within Latino culture, (3) centering sex and sexual health, and (4) infusing strengths and optimism. Participants voiced a need for this type of tailored relationship skills program for LSMM. Findings point to key intersectional themes to incorporate when adapting relationship-focused programs for LSMM, which may also be translatable to other types of sexual and behavioral health interventions for LSMM.
拉丁裔性少数男性（LSMM）与异性恋男性相比，在性健康和心理健康方面存在差异，在某些情况下，与白人性少数男性相比也是如此。这些差异可能通过提高LSMM的浪漫和性关系技能得到部分解决。然而，目前还没有针对LSMM的适应性关系教育项目。本研究的目的是利用社区意见来确定对基于证据的关系教育项目（“触手可及”）所需的调整，使其在文化上适合LSMM。我们首先进行了一次“剧场测试”，向南佛罗里达的八名LSMM提供原始课程的培训。我们还与主题专家进行了两个焦点小组讨论。我们征求了关于课程内容的添加、重新构建或删除的反馈意见，并使用快速定性分析来提炼主题和相应的调整。数据汇聚成四个主题：（1）作为性少数男性应对拉丁裔文化，（2）在拉丁裔文化中经历性少数发展历程，（3）以性和性健康为核心，（4）注入力量和乐观精神。参与者表示需要为LSMM提供这种量身定制的关系技能项目。研究结果指出了在为LSMM调整以关系为重点的项目时需要纳入的关键交叉主题，这些主题也可能适用于针对LSMM的其他类型的性健康和行为健康干预措施。
