'He's still with these girls': exploring perceptions of HIV risk among men with behaviourally bisexual male partners.
'He's still with these girls': exploring perceptions of HIV risk among men with behaviourally bisexual male partners.
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DOI：
10.1080/13691058.2016.1189595
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发表时间：
2016-12
期刊：
影响因子：
--
通讯作者：
Stephenson R
中科院分区：
文献类型：
--
作者：
Williams W;Goldenberg T;Andes KL;Finneran C;Stephenson R
最近的研究呼吁对行为上的双性恋男性和他们的性伴侣之间的关系进行更细致的研究。为了解决这个问题，我们进行了一项纵向定性研究与自我认同的男同性恋者，参与者参加了时间线为基础的采访和关系日记。我们对逐字记录进行了主题分析，以了解关系动机，情感和关系动态如何影响行为双性恋男性伴侣对艾滋病毒风险的看法。参与者描述了伙伴关系类型（主要和休闲）和关系维度（排他性，承诺，情感依恋和关系指定）如何强烈影响对艾滋病毒风险的看法，并塑造他们选择行为上双性恋男性性伴侣的决定。结果显示，关系动态在塑造艾滋病毒风险认知、性决策和伴侣之间的艾滋病毒风险方面发挥着至关重要的作用，并就如何向男同性恋者及其行为上的双性恋男性伴侣传递艾滋病毒风险提供了潜在的见解。艾滋病毒预防工作必须能够传达风险、决策和伙伴谈判等关键概念，而不是对行为上的双性恋男子及其男性伙伴形成陈规定型观念或污名化。
Recent studies have called for more nuanced research into the relationships between behaviourally bisexual men and their sexual partners. To address this, we conducted a longitudinal qualitative study with self-identifying gay men; participants took part in timeline-based interviews and relationship diaries. We conducted thematic analysis of verbatim transcripts to understand how relationship motivations, emotions and relationship dynamics influenced perceptions of HIV risk with behaviourally bisexual male partners. Participants described how partnership types (main and casual) and relationship dimensions (exclusivity, commitment, emotional attachment, and relationship designation) strongly influenced perceptions of HIV risk and shaped their decisions to choose behaviourally bisexual male sex partners. Results revealed the crucial role relationship dynamics play in the shaping of HIV risk perceptions, sexual decision-making and HIV risk between partners and provide potential insight on how to message HIV risk to gay men and their behaviourally bisexual male partners. It is imperative that HIV prevention is able to message key concepts of risk, decision-making and partner negotiation in a way that does not act to stereotype or create stigma against behaviourally bisexual men and their male partners.
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