Operating Without a Safety Net: Gay Male Adolescents and Emerging Adults' Experiences of Marginalization and Migration, and Implications for Theory of Syndemic Production of Health Disparities
Operating Without a Safety Net: Gay Male Adolescents and Emerging Adults' Experiences of Marginalization and Migration, and Implications for Theory of Syndemic Production of Health Disparities
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DOI：
10.1177/1090198110375911
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发表时间：
2011-08-01
影响因子：
4.2
通讯作者：
Harper, Gary W.
中科院分区：
文献类型：
--
作者：
Bruce, Douglas;Harper, Gary W.
男同性恋者之间的健康差异（艾滋病毒、药物使用、抑郁症）被描述为一种相互发生的“综合症”，是通过两种总体动态（边缘化和移徙）在社会上产生的。虽然流行病学理论提出了一个发展轨迹，它主要是基于成年男同性恋者的流行病学研究，并没有使用定性数据从男同性恋青少年和新兴的成年人描述他们的发展经验进行检查。我们在美国的四个地点对54名艾滋病毒阳性的男同性恋和双性恋青少年和新成年人进行了采访。这项研究提供了一些发展轨迹的例子，有助于解释一些男同性恋青少年和新兴成年人之间社会产生的健康差异的早期发病，以及一些男同性恋成年后可能出现的风险因素的发展。
Health disparities among gay men (HIV, substance use, depression) have been described as a mutually occurring "syndemic" that is socially produced through two overarching dynamics: marginalization and migration. Although the syndemic theory proposes a developmental trajectory, it has been largely based on epidemiological studies of adult gay men and has not been examined using qualitative data from gay male adolescents and emerging adults describing their developmental experience. We conducted interviews with 54 HIV-positive gay and bisexual male adolescents and emerging adults at four sites in the United States. This study provides examples of developmental trajectories that help explain the early onset of socially produced health disparities among some gay male adolescents and emerging adults, but also the development of risk factors that may follow some gay men into adulthood.