"I Always Felt IHad to Prove My Manhood": Homosexuality, Masculinity, Gender Role Strain, and HIV Risk Among Young Black Men Who Have Sex With Men
"I Always Felt IHad to Prove My Manhood": Homosexuality, Masculinity, Gender Role Strain, and HIV Risk Among Young Black Men Who Have Sex With Men
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DOI：
10.2105/ajph.2013.301866
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发表时间：
2015-01-01
影响因子：
12.7
通讯作者：
Schuster, Mark A.
中科院分区：
文献类型：
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作者：
Fields, Errol Lamont;Bogart, Laura M.;Schuster, Mark A.
目标。本研究探讨了年轻黑人男男性行为者（MSM）中由于同性恋与男性气质文化观念的冲突而产生的性别角色压力（GRS）。我们对2001年至2006年进行的研究数据进行了分类分析（定性、三阶段、迭代分析），访谈了35名年龄在18至24岁之间的男性，分别来自纽约3个城市和佐治亚州亚特兰大市。参与者描述了他们的家庭、同龄人和社区对男子气概的刻板、通常是反同性恋的期望。与GRS一致的是，尽管他们是同性恋，但这种冲突和符合这些期望的压力导致了心理困扰，努力掩饰他们的同性恋，并采取策略来证明他们的男子气概。参与者认为，这种冲突和与之相关的GRS经历可能会通过社会孤立、缺乏自尊、获得艾滋病毒预防信息的机会减少、父母和家庭在性发展和早期性决策方面的参与有限，从而增加艾滋病毒风险。在人际关系依恋至关重要的发展阶段，对男性气概的反同性恋期望孤立了年轻的黑人男同性恋者。GRS可能影响性危险行为和艾滋病毒风险，是艾滋病毒预防的重要目标。
Objectives. We explored gender role strain (GRS) arising from conflict between homosexuality and cultural conceptions of masculinity among young Black men who have sex with men (MSM).Methods. We conducted a categorical analysis (a qualitative, 3-stage, iterative analysis) of data from studies conducted in 2001 to 2006, which interviewed 35 men aged 18 to 24 years in 3 New York cities and Atlanta, Georgia.Results. Participants described rigid, often antihomosexual expectations of masculinity from their families, peers, and communities. Consistent with GRS, this conflict and pressure to conform to these expectations despite their homosexuality led to psychological distress, efforts to camouflage their homosexuality, and strategies to prove their masculinity. Participants believed this conflict and the associated experience of GRS might increase HIV risk through social isolation, poor self-esteem, reduced access to HIV prevention messages, and limited parental-family involvement in sexuality development and early sexual decision-making.Conclusions. Antihomosexual expectations of masculinity isolate young Black MSM during a developmental stage when interpersonal attachments are critical. GRS may influence sexual risk behavior and HIV risk and be an important target for HIV prevention.