Emotions and emotion work before, during and after HIV disclosure among Black gay and bisexual men living with HIV.

Emotions and emotion work before, during and after HIV disclosure among Black gay and bisexual men living with HIV.
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DOI:
10.1111/1467-9566.13372
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发表时间:
2021-09
影响因子:
2.9
通讯作者:
Campbell CK
Campbell CK
中科院分区:
医学2区
文献类型:
--
作者:
Campbell CK

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在美国,黑人同性恋和双性恋男性占艾滋病毒感染者的四分之一,他们沿着种族、性取向和阶级的轴心,面临着交叉的社会和结构性耻辱。对于那些被诊断为艾滋病毒感染者来说,这些不平等塑造了他们的生活经历,其中包括艾滋病毒的披露。公共卫生部门将艾滋病毒状况披露视为保护性伴侣、减少耻辱感和获得社会支持的适当道德和负责任的选择。虽然对黑人同性恋和双性恋男性艾滋病毒披露的情感方面知之甚少,或者他们是如何被社会和结构背景塑造的。使用健康主义和情感工作的框架,我探讨艾滋病毒的披露之间的样本30黑人同性恋和双性恋男子艾滋病毒感染者在南方腹地。借鉴深入,定性访谈,我确定的情绪工作,男人从事管理自己的情绪和保护他人的情绪之前,期间和之后的披露或不披露。这些发现挑战了公共卫生研究,探讨披露作为离散的可衡量的事件,说明艾滋病毒的披露是如何嵌入在正在进行的社会和结构关系,并提供见解,可以指导新的方法,重点是结构性不平等,构成艾滋病毒的披露。
In the US, Black gay and bisexual men account for a quarter of HIV infections, and face intersecting social and structural stigmas along the axes of race, sexuality, and class. For those diagnosed with HIV, these inequities shape their lived experiences which include HIV disclosure. Public health has privileged HIV status disclosure as the appropriate moral and responsible choice to protect sex partners, reduce stigma, and obtain social support. Though little is known about the emotional aspects of HIV disclosure for Black gay and bisexual men, or how they are shaped by social and structural contexts. Using the frameworks of healthism and emotion work, I explore HIV disclosure among a sample of 30 Black gay and bisexual men living with HIV in the Deep South. Drawing on in-depth, qualitative interviews, I identify the emotion work that men engaged in to manage their own emotions and protect the emotions of others before during and after disclosure or nondisclosure. These findings challenge public health research that has explored disclosure as discrete measurable events by illustrating how HIV disclosure is embedded in ongoing social and structural relations and provide insights that can guide new approaches focused on structural inequities that constitute HIV disclosure.
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