Silence, assent and HIV risk

Silence, assent and HIV risk
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DOI:
10.1080/13691050802172157
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发表时间:
2008-01-01
影响因子:
2.2
通讯作者:
Maxwell, John
Maxwell, John
中科院分区:
医学3区
文献类型:
--
作者:
Adam, Barry D.;Husbands, Winston;Maxwell, John

文献摘要

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本文基于对 34 名男性的采访,记录了“无鞍”性行为情境中的互动过程、叙事元素和意义构建,他们几乎都在大部分时间或全部时间与男性发生无保护性行为。叙事显示了在男同性恋和双性恋男性的不同回路中循环的差异化文化资本,这些文化资本定义了理所当然的性互动行为规则,并引发了高风险情况。许多积极的男性表示,他们所处的社会环境“人人都知道”有一套规则,根据这些规则,不戴安全套的性行为可以作为默认情况发生,只有当伴侣声称需要保护自己时,才会被打断。无论是在互联网上还是在面对面的性互动中,实际的推理过程和互动的来回显示了血清分类的不平衡和容易出错的结果,以及来自不同微观文化的男性彼此相遇时产生的高艾滋病毒风险和脆弱性情况。
Based on interviews with 34 men, almost all of whom have unprotected sex with men most or all of the time, this paper documents the interactional process, narrative elements and meaning construction in situations of 'bareback' sex. Narratives show the differentiated cultural capital circulating among distinct circuits of gay and bisexual men that define the taken-for-granted rules of conduct for sexual interactions and give rise to high-risk situations. Many of the positive men speak of being part of a social environment where 'everybody knows' a set of rules whereby sex without condoms can happen as a default circumstance to be interrupted only when a partner asserts a need to protect himself. The practical reasoning processes and interactional back-and-forth in the unfolding of sexual interactions, both on the internet and in person, show the uneven and fallible accomplishment of sero-sorting and the generation of situations of high HIV risk and vulnerability when men from different micro-cultures encounter each other.