Sustaining sexual safety in relationships: HIV positive people and their sexual partners.
Sustaining sexual safety in relationships: HIV positive people and their sexual partners.
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DOI：
10.1080/13691050050174468
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发表时间：
2000-01-01
期刊：
影响因子：
--
通讯作者：
Rhodes, T.
中科院分区：
文献类型：
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作者：
Cusick, L.;Rhodes, T.
本文介绍了如何在关系中维持性安全的调查结果。1996年3月至9月，进行了一项定性研究，收集73名艾滋病毒阳性者及其性伴侣的性谈判和安全社会关系的数据[英国]。艾滋病毒阳性者被发现避免亲密关系，因为难以与固定伴侣保持安全的性行为。作为回应，许多人寻求艾滋病毒阳性的和谐伴侣，在这些关系中无保护的性行为被认为是“可以接受的”。暂停保护性行为的行动有助于将关系定义为亲密和重要的关系。随着关系中情感内容的发展，风险的可接受性也在增加。在艾滋病时期，关系风险管理既是为了保护亲密、爱和安全的关系，也是为了确保病毒的安全。在抗体不一致关系中尤其如此。在这里，“爱情关系”被呈现为与生命本身一样重要。在不和谐的关系中，艾滋病毒阴性的伴侣最经常为无保护措施的性行为进行谈判。男同性恋者比异性恋者更能在长期的爱情关系中维持安全的性行为。同性恋者和异性恋者之间以及艾滋病毒阳性者和阴性者之间维持安全性行为能力的差异可能反映了性安全和关系规范的差异。我们根据这些发现讨论艾滋病毒预防措施。
This paper presents findings on how sexual safety is sustained in relationships. Between March and September 1996, a qualitative study was undertaken to gather data on the social relations of sexual negotiation and safety among 73 HIV positive people and their sexual partners [UK]. HIV positive people were found to avoid close relationships because of the difficulties of sustaining safer sex with regular partners. In response, many sought HIV positive concordant partners, and unprotected sex in these relationships was considered 'acceptable'. Action that suspended protected sex helped define relationships as intimate and important. As the emotional content of relationships developed, the acceptability of risk increased. Relationship risk management in the time of AIDS is as much an effort to protect relationships as intimate, loving and secure, as it is an effort to ensure viral safety. This was particularly the case in antibody discordant relationships. Here, 'love relationships' were presented as important as life itself. It was HIV negative partners in discordant relationships who most often negotiated for unprotected sex. Gay men were better able than heterosexuals to sustain safer sex in long term, love relationships. These differences in capacity to sustain safer sex between gay and straight people and between HIV positive and negative people may reflect differences in exposure to sexual safety and relationship norms. We discuss HIV prevention initiatives in light of these findings.