Masculinity and HIV Risk among Homeless Men in Los Angeles.
Masculinity and HIV Risk among Homeless Men in Los Angeles.
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DOI：
10.1037/a0027570
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发表时间：
2013
影响因子：
2.7
通讯作者：
Wertheimer, Samuel R.
中科院分区：
文献类型：
--
作者：
Kennedy, David P.;Brown, Ryan A.;Golinelli, Daniela;Wenzel, Suzanne L.;Tucker, Joan S.;Wertheimer, Samuel R.
艾滋病毒对男女性行为者(MSW)来说仍然是一个严重的公共卫生问题，特别是无家可归的MSW。尽管对性别的考虑改善了艾滋病毒预防干预措施，但大多数研究和干预发展都针对妇女艾滋病毒风险如何受到性别角色的影响。性别角色对城市生活垃圾的影响相对较少受到关注。以前的研究在调查男性性别角色内部化与艾滋病毒风险之间的关联时，结果喜忧参半。这些研究使用了各种量表来衡量个人对男子气概不同方面的内化。然而，这忽视了性别角色的动态和文化建构的本质。目前的研究使用文化共识分析(CCA)来测试洛杉矶无家可归的MSW中是否存在文化认同的男性气概和性别角色信念，以及这些信念与艾滋病毒相关行为和态度之间的关系。采访包括对洛杉矶贫民区无家可归的MSW进行的30次定性采访和305次结构化采访。分析确定了现有男子气概量表没有代表的与文化相关的男子气概方面，主要与与妇女关系的障碍有关。与艾滋病毒相关的行为、态度和知识与男性对男子气概的认同程度显著相关。根据对MSW HIV干预发展的影响，对这些发现进行了讨论。
HIV continues to be a serious public health problem for men who have sex with women (MSW), especially homeless MSW. Although consideration of gender has improved HIV prevention interventions, most of the research and intervention development has targeted how women’s HIV risk is affected by gender roles. The effect of gender roles on MSW has received relatively little attention. Previous studies have shown mixed results when investigating the association between internalization of masculine gender roles and HIV risk. These studies use a variety of scales that measure individual internalization of different aspects of masculinity. However, this ignores the dynamic and culturally constructed nature of gender roles. The current study uses cultural consensus analysis (CCA) to test for the existence of culturally agreed upon masculinity and gender role beliefs among homeless MSW in Los Angeles, as well as the relationship between these beliefs and HIV-related behaviors and attitudes. Interviews included 30 qualitative and 305 structured interviews with homeless MSW in Los Angeles’s Skid Row area. Analysis identified culturally relevant aspects of masculinity not represented by existing masculinity scales, primarily related to barriers to relationships with women. Behaviors, attitudes, and knowledge related to HIV were significantly associated with men’s level of agreement with the group about masculinity. The findings are discussed in light of implications for MSW HIV intervention development.
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影响因子：
3.5
作者：
Handwerker, WP
通讯作者：
Handwerker, WP
影响因子：
2.2
作者：
Hunter, M
通讯作者：
Hunter, M
影响因子：
2.9
作者：
Devries, Karen M.;Free, Caroline
通讯作者：
Free, Caroline
影响因子：
2.2
作者：
Hunt, LM
通讯作者：
Hunt, LM
影响因子：
5.4
作者：
CAMPBELL, CA
通讯作者：
CAMPBELL, CA