Is Optimism Enough? Gay Men's Beliefs About HIV and Their Perspectives on Risk and Pleasure
Is Optimism Enough? Gay Men's Beliefs About HIV and Their Perspectives on Risk and Pleasure
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DOI：
10.1097/olq.0b013e31823e67a9
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发表时间：
2012-03-01
影响因子：
3.1
通讯作者：
Hurley, Michael
中科院分区：
文献类型：
--
作者：
Prestage, Garrett;Down, Ian Alan;Hurley, Michael
背景资料：艾滋病毒治疗乐观的措施，开发在男同性恋者之间的风险行为增加，但在他们的能力有限，以帮助了解男同性恋者的风险behaviors.Methods：我们探讨了目前的信念，艾滋病毒的健康和传播和性欲和风险行为的在线调查2306澳大利亚男同性恋者。该调查包括自由文本组件。我们进行了40次定性访谈，以探讨男性的信念如何影响风险行为的决定。我们进行了主成分因子分析的乐观信念项目在调查中，和定性材料的主题分析被用来询问的概念支撑这些believes.Results：我们确定了两个艾滋病毒乐观的措施：健康乐观（α = 0.791）和传输乐观（α = 0.795）。在多因素分析中，无保护的肛交与随意性伴仅与HIV传播乐观相关，而与HIV血清状态无关（P < 0.001）。使用定性数据，我们确定了4个主题，男性如何看待艾滋病毒：“关心”，“不关心”，“恐惧”和“无关紧要”。“每个主题interpellates 2 optimistic measures.Conclusion：HIV乐观仍然是男同性恋者冒险的可能性的有用指标，但技术知识，经验，欲望和对风险的态度都可能影响人们如何应对，并且往往是多个，有时是矛盾的，方向。男性对艾滋病毒传播风险的信念尤其可能反映出他们愿意追求快乐而不是风险，或者对任何风险都有病态的恐惧。对艾滋病毒乐观程度的衡量应辅之以对个人在特定性环境中对风险和快乐评估的复杂性的分析。
Background: Measures of HIV treatments optimism were developed in response to increased risk behavior among gay men, but were limited in their capacity to help understand gay men's risk behavior.Methods: We explored current beliefs about HIV health and transmission and sexual desire and risk behavior in an online survey of 2306 Australian gay men. The survey included free text components. We conducted 40 qualitative interviews to explore how men's beliefs affected decisions about risk behavior. We conducted a principal components factor analysis on the optimism belief items in the survey, and thematic analysis of the qualitative material was used to interrogate the concepts underpinning these beliefs.Results: We identified two measures of HIV optimism: Health Optimism (alpha = 0.791) and Transmission Optimism (alpha = 0.795). In multivariate analysis, unprotected anal intercourse with casual partners was only associated with HIV transmission optimism regardless of HIV serostatus (P < 0.001). Using the qualitative data, we identified 4 themes in how men think about HIV: "concerned," "unconcerned," "fearful," and "irrelevant." Each theme interpellates the 2 optimism measures.Conclusion: HIV optimism remains a useful indicator of gay men's likelihood to take risk, but technical knowledge, experience, desire, and attitudes to risk may all affect how people respond and often in multiple, sometimes contradictory, directions. Men's beliefs about HIV transmission risk in particular may reflect willingness to pursue pleasure over risk, or, alternatively, morbid fear of any risk. Measures of HIV optimism should be complemented by analysis of the complexities of individuals' assessments of both risk and pleasure in specific sexual contexts.