Social risk, stigma and space: key concepts for understanding HIV vulnerability among black men who have sex with men in New York City.
Social risk, stigma and space: key concepts for understanding HIV vulnerability among black men who have sex with men in New York City.
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DOI：
10.1080/13691058.2016.1216604
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发表时间：
2017-03
期刊：
影响因子：
--
通讯作者：
Hirsch JS
中科院分区：
文献类型：
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作者：
Parker CM;Garcia J;Philbin MM;Wilson PA;Parker RG;Hirsch JS
在美国，与男性发生性关系的黑人男性面临着不成比例的艾滋病毒发病率。本文介绍了在纽约市进行的民族志研究的结果，探讨了结构和社会文化因素塑造男性的性关系，其目标是进一步了解他们的艾滋病毒相关的脆弱性。方法包括参与观察和深入访谈31名黑人男性与男性发生性关系（各三次）和17个关键的线人。我们发现，艾滋病毒的脆弱性被认为是通过结构性不平等产生的，包括经济不安全，住房不稳定，耻辱和歧视。社会风险的理论概念，交叉的耻辱，和空间的社会生产提供作为镜头，通过它来分析结构性不平等如何塑造艾滋病毒的脆弱性。我们发现，社会风险通过影响男性在四个领域的决定来塑造艾滋病毒的脆弱性：1）在哪里找到性伴侣，2）在哪里进行性关系，3）寻求何种关系，以及4）是否携带和使用避孕套。推进社会风险的概念化，我们表明，交叉的耻辱和空间的社会生产是关键过程，通过社会风险产生艾滋病毒的脆弱性之间的黑人男性与男性发生性关系。
Black men who have sex with men in the USA face disproportionate incidence rates of HIV. This paper presents findings from an ethnographic study conducted in New York City that explored the structural and socio-cultural factors shaping men’s sexual relationships with the goal of furthering understandings of their HIV-related vulnerability. Methods included participant observation and in-depth interviews with 31 Black men who have sex with men (three times each) and 17 key informants. We found that HIV vulnerability is perceived as produced through structural inequalities including economic insecurity, housing instability, and stigma and discrimination. The theoretical concepts of social risk, intersectional stigma, and the social production of space are offered as lenses through which to analyse how structural inequalities shape HIV vulnerability. We found that social risk shaped HIV vulnerability by influencing men’s decisions in four domains: 1) where to find sexual partners, 2) where to engage in sexual relationships, 3) what kinds of relationships to seek, and 4) whether to carry and to use condoms. Advancing conceptualisations of social risk, we show that intersectional stigma and the social production of space are key processes through which social risk generates HIV vulnerability among Black men who have sex with men.