Is 'bareback' a useful construct in primary HIV-prevention? Definitions, identity and research
Is 'bareback' a useful construct in primary HIV-prevention? Definitions, identity and research
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DOI：
10.1080/13691050802419467
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发表时间：
2009-01-01
影响因子：
2.2
通讯作者：
Rowe, M.
中科院分区：
文献类型：
--
作者：
Carballo-Dieguez, A.;Ventuneac, A.;Rowe, M.
“无鞍”和“无鞍身份”这两个术语越来越多地在有关艾滋病毒/艾滋病的学术讨论中使用，但没有明确的可操作性。这项研究通过对纽约市网上招募的 120 名艾滋病毒感染者和未感染者的不同种族样本进行深入、面对面的访谈，探讨了受访者对无鞍性行为的定义、意向性和风险在这些定义中所扮演的角色，以及受访者是否认为自己是“无鞍者”。结果显示，总体上同意无套性行为的基本定义为无套肛交，但其他要素存在相当大的差异。从公共卫生预防的角度来看，任何对裸露者的识别似乎都过于宽松，无法使用。为了帮助集中艾滋病毒预防工作，我们提出了一种重新概念化，将危险的无套肛交置于情境中，并区分故意的和可能导致艾滋病毒初次传播的行为与非故意的行为。
The terms bareback and bareback identity are increasingly being used in academic discourse on HIV/AIDS without clear operationalisation. Using in-depth, face-to-face interviews with an ethnically diverse sample of 120 HIV-infected and -uninfected men, mainly gay-identifying and recruited online in New York City, this study explored respondents' definitions of bareback sex, the role that intentionality and risk played in those definitions, and whether respondents identified as 'barebackers'. Results showed overall agreement with a basic definition of bareback sex as condomless anal intercourse, but considerable variation on other elements. Any identification as barebacker appeared too loose to be of use from a public health prevention perspective. To help focus HIV-prevention efforts, we propose a re-conceptualisation that contextualises risky condomless anal intercourse and distinguishes between behaviours that are intentional and may result in HIV-primary transmission from those that are not.