Secret encounters: Black men, bisexuality, and AIDS in Alabama
Secret encounters: Black men, bisexuality, and AIDS in Alabama
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DOI：
10.1525/maq.2000.14.3.374
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发表时间：
2000-09-01
影响因子：
2.2
通讯作者：
Lichtenstein, B
中科院分区：
文献类型：
--
作者：
Lichtenstein, B
在亚拉巴马，黑人男性的艾滋病毒感染率最高。然而，人们对这部分人口的艾滋病毒风险知之甚少，主要是因为目前的公共卫生重点是妇女和儿童。缺乏研究艾滋病毒的风险在亚拉巴马黑人男性中解决的焦点小组，启发，并从一个正在进行的艾滋病流行病学研究在该州的关键线人的数据。这些产生假设的定性访谈被用来确定三个高风险的情况：“性金钱或毒品“;“监狱性“;和“偷偷摸摸的性“的已婚或名义上的异性恋男子。研究发现，在双性恋活跃的黑人男性中，隐蔽和无保护的性行为是司空见惯的，原因包括卖淫，在监禁期间习惯于同性关系，以及在同性恋恐惧症社区中保持异性恋外表的愿望。得出的结论是，双性恋活动与保密和无保护的性行为高度相关。黑人男性中双性恋的风险因监禁、同性恋恐惧症、吸毒而加剧，监狱和公共卫生关注的是监视而不是预防。
Black men suffer the highest rates of HIV infection in Alabama. However, little is known about the HIV risks of this sector of the population, primarily because the current public health focus is on women and children. The dearth of research on HIV risk among black men in Alabama is addressed by drawing on focus group, elicitation, and key informant data from an ongoing epidemiologic study on AIDS in that state. These hypothesis-generating qualitative interviews were used to identify three high-risk scenarios: "sex for money or drugs "; "prison sex "; and "sneaky sex " by married or nominally heterosexual men. It was found that covert and unprotected sex among bisexually active black men was commonplace for reasons that included prostitution, habituation to same-sex relations during incarceration, and the desire to maintain a facade of heterosexuality in homophobic communities. It was concluded that bisexual activity is highly correlated with secrecy and unprotected sex. The risks of bisexuality among black men are exacerbated by incarceration, homophobia, drug use, and the prison and public health focus on surveillance rather than prevention.