The social constructions of sexuality: Marital infidelity and sexually transmitted disease - HIV risk in a Mexican migrant community
The social constructions of sexuality: Marital infidelity and sexually transmitted disease - HIV risk in a Mexican migrant community
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DOI：
10.2105/ajph.92.8.1227
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发表时间：
2002-08-01
影响因子：
12.7
通讯作者：
Nathanson, CA
中科院分区：
文献类型：
--
作者：
Hirsch, JS;Higgins, J;Nathanson, CA
目标。本文探讨了墨西哥西部与移民相关的艾滋病毒流行的社会背景。方法。数据收集涉及亚特兰大的移民妇女及其在墨西哥的姐妹或嫂子的生活史和参与观察。结果。年轻和年长的女性都承认，男性移民的性行为可能会让她们感染艾滋病毒和其他性传播疾病。两个社区的年轻墨西哥女性都表达了一种婚姻理想，其特征是相互亲密、沟通、共同决策和性快感，但不愿意使用安全套作为艾滋病毒预防策略。结论。墨西哥移民妇女对忠诚的幻想将阻碍针对她们的艾滋病毒预防举措。此外，婚姻性行为含义的变化可能会让说服年轻夫妇使用安全套作为艾滋病毒预防策略变得更加困难。如果要在这个社区中断异性婚姻艾滋病毒传播链，预防计划必须针对男性。
Objectives. This article explores the social context of the migration-related HIV epidemic in western Mexico.Methods. Data collection involved life histories and participant observation with migrant women in Atlanta and their sisters or sisters-in-law in Mexico.Results. Both younger and older women acknowledged that migrant men's sexual behavior may expose them to HIV and other sexually transmitted diseases. Younger Mexican women in both communities expressed a marital ideal characterized by mutual intimacy, communication, joint decisionmaking, and sexual pleasure, but not by willingness to use condoms as an HIV prevention strategy.Conclusions. Migrant Mexican women's commitment to an illusion of fidelity will hinder HIV prevention initiatives targeted toward them. Furthermore, the changing meanings of marital sex may make it harder to convince young couples to use condoms as an HIV prevention strategy. If the chain of heterosexual marital HIV transmission is to be interrupted in this community, prevention programs must target men.