AIDS optimism, condom fatigue, or self-esteem? Explaining unsafe sex among gay and bisexual men
AIDS optimism, condom fatigue, or self-esteem? Explaining unsafe sex among gay and bisexual men
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DOI：
10.1080/00224490509552278
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发表时间：
2005-08-01
影响因子：
3.6
通讯作者：
Maxwell, J
中科院分区：
文献类型：
--
作者：
Adam, BD;Husbands, W;Maxwell, J
本研究通过对多伦多102名高风险男同性恋和双性恋者的深入访谈，探讨了不安全性行为的主要解释，以了解他们在性关系中与社会环境和男性推理过程的关系。我们认为，一些主要的解释和高风险男性自己提供的话语账户之间存在不适当的匹配。他们的叙述集中在不安全的性行为上，这些性行为是为了解决安全套和勃起困难，通过短暂的失误和权衡，出于个人的混乱和抑郁，以及作为披露和直觉安全策略的副产品。这项研究特别审查了与那些认为自己的做法是“无鞍”的男子有关的情况和理由。“我们最后建议，根据最经常进行无保护性行为的男同性恋和双性恋男子的自我理解，向那些风险最大的人传达预防信息。
This study examines leading explanations for unsafe sex in light of in-depth interviews with 102 high-risk gay and bisexual men in Toronto to see how well they engage with the social circumstances and reasoning processes of men in their sexual relationships. We argue that there is an inadequate fit between some of the leading explanations and the discursive accounts provided by high risk men themselves. Their accounts focus on unsafe sex occurring as a resolution to condom and erectile difficulties, through momentary lapses and trade offs, out of personal turmoil and depression, and as a byproduct of strategies of disclosure and intuiting safety. This study examines, in particular, the circumstances and rationales associated with men who identify their practices as "barebacking." We conclude with recommendations for communicating prevention messages to those most at risk based on the self-understandings of gay and bisexual men who most frequently practice unprotected sex.