'It's my inner strength': spirituality, religion and HIV in the lives of young African American men who have sex with men.
'It's my inner strength': spirituality, religion and HIV in the lives of young African American men who have sex with men.
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DOI：
10.1080/13691058.2011.600460
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发表时间：
2011-10
期刊：
影响因子：
--
通讯作者：
Kegeles SM
中科院分区：
文献类型：
--
作者：
Foster ML;Arnold E;Rebchook G;Kegeles SM
在美国13-29岁艾滋病毒阳性的男男性行为者（MSM）中，年轻的黑人男性（YBMSM）占48%。必须根据青年男子的生活情况制定有效的艾滋病毒预防办法。为了实现这一目标，我们在旧金山-奥克兰海湾地区对18-30岁的YBMSM进行了31次访谈。本文考察了宗教和灵性在黑人黑人生活中的作用，这是许多非裔美国人生活的中心。出现了六个突出的主题：(1)儿童参与正式的宗教机构；(2)灵性在YBMSM中的持续重要性；(3)传统黑人教堂的同性恋恐惧症和污名化；(4)男同性恋者与基督徒之间的紧张关系；(5)宗教信仰对男性个人赋权意识和应对能力的影响；(6)善待他人，培养同情心。研究结果表明，将精神实践纳入艾滋病毒预防可能有助于项目更有文化基础，从而吸引更多的男性，并与他们的经历和价值观产生共鸣。此外，支持艾滋病毒阳性男同性恋者的基于信仰的艾滋病毒/艾滋病事工可能特别有帮助。最后，通过反污名课程针对牧师和其他教会领袖是至关重要的。
Young black men who have sex with men (YBMSM) account for 48% of 13–29 year old HIV-positive men who have sex with men (MSM) in the USA. It is important to develop an effective HIV prevention approach that is grounded in the context of young men’s lives. Towards this goal, we conducted 31 interviews with 18–30 year old YBMSM in the San Francisco-Oakland Bay Area. This paper examines the roles of religion and spirituality in YBMSM’s lives, which is central in the lives of many African Americans. Six prominent themes emerged: (1) childhood participation in formal religious institutions; (2) the continued importance of spirituality among YBMSM; (3) homophobia and stigmatisation in traditional black churches; (4) tension between being an MSM and Christian; (5) religion and spirituality’s impact on men’s sense of personal empowerment and coping abilities; and (6) treatment of others and building compassion. Findings suggest that integrating spiritual practice into HIV prevention may help programmes be more culturally grounded, thereby attracting more men and resonating with their experiences and values. In addition, faith-based HIV/AIDS ministries that support HIV-positive YBMSM may be particularly helpful. Finally, targeting pastors and other church leaders through anti-stigma curricula is crucial.
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