Exploring the "Bisexual Bridge": A Qualitative Study of Risk Behavior and Disclosure of Same-Sex Behavior Among Black Bisexual Men
Exploring the "Bisexual Bridge": A Qualitative Study of Risk Behavior and Disclosure of Same-Sex Behavior Among Black Bisexual Men
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DOI：
10.2105/ajph.2008.158725
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发表时间：
2010-01-01
影响因子：
12.7
通讯作者：
Patel, Shilpa N.
中科院分区：
文献类型：
--
作者：
Malebranche, David J.;Arriola, Kimberly Jacob;Patel, Shilpa N.
目标.我们探讨了影响黑人双性恋男性性行为、同性行为披露和安全套使用的因素。我们对格鲁吉亚州亚特兰大的38名黑人男性进行了半结构化采访，他们报告在过去6个月内与男性和女性发生过口交、阴道性行为或肛交。结果。参与者描述了披露同性行为的方法，这是受情境和个人因素影响的复杂决策平衡的一部分，范围从完全披露到完全保密。影响性行为和安全套使用的因素包括：（1）关系类型，（2）性别差异，（3）舒适感或信任感，（4）对疾病或怀孕的恐惧。在我们的研究中，披露同性行为对黑人双性恋男性的性行为和安全套使用行为没有重大影响，他们在性行为、披露同性行为和安全套使用行为方面表现出异质性。需要进行更多的研究，以评估这一人群性风险的社会决定因素。未来的艾滋病毒预防工作应包括鼓励风险评估和在临床环境中收集性史的准确性的举措。(Am J公共卫生。2010;100：159-164. doi：10.2105/AJPH.2008.158725）
Objectives. We explored factors influencing sexual behavior, disclosure of same-sex behavior, and condom-use practices among Black bisexual men.Methods. We conducted semistructured interviews with 38 Black men in Atlanta, Georgia, who reported having had oral, vaginal, or anal sex with both men and women in the prior 6 months.Results. Participants described approaches to disclosure of same-sex behavior as part of a complex decisional balance influenced by both situational and individual factors and ranging from full disclosure to total secrecy. Influences on sexual behavior and condom-use practices included: (1) type of relationship, (2) gender-specific considerations, (3) perceptions of comfort or trust, and (4) fear of disease or pregnancy.Conclusions. Disclosure of same-sex behavior was not a major influence on the sexual behavior and condom-use practices of the Black bisexual men in our study, who demonstrated heterogeneity in approaches to sexual behavior, disclosure of same-sex behavior, and condom-use practices. Additional research is needed to assess the social determinants of sexual risk for this population. Future HIV-prevention efforts should include initiatives to encourage accuracy in risk assessment and in taking sexual histories in clinical settings. (Am J Public Health. 2010;100:159-164. doi:10.2105/AJPH.2008.158725)