Ideologies of Black churches in New York City and the public health crisis of HIV among Black men who have sex with men.

Ideologies of Black churches in New York City and the public health crisis of HIV among Black men who have sex with men.
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DOI:
10.1080/17441692.2011.605068
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发表时间:
2011
影响因子:
3.3
通讯作者:
Parker R
Parker R
中科院分区:
医学3区
文献类型:
--
作者:
Wilson PA;Wittlin NM;Muñoz-Laboy M;Parker R

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在纽约市,与男性发生性关系的黑人男性(MSM)受到艾滋病毒和艾滋病的影响不成比例。纽约市的黑人教会有参与社区动员的历史;然而,研究表明,教会在促进对黑人男男性行为者的污名化方面发挥了作用,这阻碍了预防工作。本研究的目的是探讨教会的意识形态性和健康,以及这些意识形态的关系,教会动员在应对艾滋病毒/艾滋病的黑人男男性行为者。我们对纽约黑人教堂的牧师和教区居民进行了访谈和焦点小组讨论。确定了三个突出的主题:(1)“爱罪人,恨罪”-区分行为和身份;(2)“不问不说”-保持同性行为的私密性;(3)“你的身体是一座圣殿”-将身体和精神健康联系起来。我们讨论了这些意识形态对教会动员和艾滋病毒预防工作的影响。在这样做的时候,我们密切关注意识形态如何可能阻碍和促进教会围绕性问题的对话,并加强对影响黑人男男性行为者的艾滋病毒危机的反应。
Black men who have sex with men (MSM) are disproportionately affected by the HIV and AIDS in New York City (NYC). Black churches in NYC have a history of engaging in community mobilisation; however, research suggests that churches play a role in promoting stigma against Black MSM, which impedes prevention efforts. The goal of this study was to explore church ideologies surrounding sexuality and health, and the relationship of these ideologies to church mobilisation in response to HIV/AIDS among Black MSM. We conducted interviews and focus groups with pastors and parishioners at Black churches in NYC. Three prominent themes were identified: (1) `Love the sinner, hate the sin' – distinguishing behaviour and identity; (2) `Don't ask, don't tell' – keeping same-sex behaviour private; and (3) `Your body is a temple' – connecting physical and spiritual health. We discuss the implications of these ideologies for church mobilisation and HIV prevention efforts. In doing so, we pay close attention to how ideologies may both impede and facilitate church dialogue around sexuality and heightened responses to the HIV crisis affecting Black MSM.
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