Finding the "community" in community-level HIV/AIDS interventions: Formative research with young African American men who have sex with men

Finding the "community" in community-level HIV/AIDS interventions: Formative research with young African American men who have sex with men
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DOI:
10.1177/109019810002700406
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发表时间:
2000-08-01
影响因子:
4.2
通讯作者:
Peterson, JL
Peterson, JL
中科院分区:
医学3区
文献类型:
--
作者:
Kraft, JM;Beeker, C;Peterson, JL

文献摘要

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从76定性访谈的数据与18- 29岁的非洲裔美国男性谁与男性发生性关系(MSM)在芝加哥和亚特兰大进行了检查,以确定“社区”和社区一级的艾滋病毒/艾滋病干预的组成部分的看法。许多男性报告说,由于对同性恋的恐惧和种族主义,他们感到自己被非洲裔美国人和同性恋白色社区边缘化。那些报告感觉自己是同性恋非裔美国人社区的一部分的人在环境,社会结构和功能方面对社区进行了表征,包括社会支持,社会化和流动性。尽管有这些积极的功能,男男性行为者群体之间的分裂,缺乏与其他男男性行为者进行非性互动的环境,缺乏领导力,以及对同性恋的消极态度,可能使男性难以参与改变影响行为的社区环境的活动。相反,改变规范、增加社会支持和社区建设应成为社区一级初步干预措施的一部分。社区建设可以确定领导人,创造新的环境,并创造机会,男男性接触者和非洲裔美国人社区团体之间的对话,以解决同性恋的负面看法。
Data from 76 qualitative interviews with 18- to 29-year-old African American men who have sex with men (MSM) in Chicago and Atlanta were examined to identify perceptions of "communily" and components of a community-level HIV/AIDS intervention. Many men reported feeling marginal to African American and gay White communities because of perceived homophobia and racism. Those who reported feeling part of gay African American communities characterized communities in terms of settings, social structures, and functions, including social support, socialization, and mobility. Despite these positive functions, divisions among groups of MSM, lack of settings for nonsexual interaction with other MSM, lack of leadership, and negative attitudes toward homosexuality may make it difficult for men to participate in activities to alter community contexts that influence behavior. Rather, changing norms, increasing social support, and community building should be part of initial community-level interventions. Community building might identify leaders, create new settings, and create opportunities for dialogue between MSM and African American community groups to address negative perceptions of homosexuality.