Sexual violence experiences among black gay, bisexual, and other men who have sex with men and transgender women in South African townships: contributing factors and implications for health.

Sexual violence experiences among black gay, bisexual, and other men who have sex with men and transgender women in South African townships: contributing factors and implications for health.
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DOI:
10.1177/0081246319859449
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发表时间:
2020-06
期刊:
South African journal of psychology = Suid-Afrikaanse tydskrif vir sielkunde
影响因子:
--
通讯作者:
Sandfort TGM
Sandfort TGM
中科院分区:
其他
文献类型:
--
作者:
Kaighobadi F;Collier KL;Reddy V;Lane T;Sandfort TGM

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本研究探讨了南非比勒陀利亚周边乡镇的非洲黑人同性恋、双性恋和其他男男性行为者(GBMSM)和变性妇女(TGW)的性暴力经历。在接受访谈的81名GBMSM和TGW中,有17人报告曾遭受其他男子的性暴力。访谈的定性分析揭示了这些经验的社会和关系背景,以及他们的心理和健康后果。所描述的情况包括在私人和公共场所的单一和多个肇事者的攻击,出于偏见的攻击,以及来自已知伙伴的暴力行为。一些参与者报告说,拒绝性提议是受害的一个原因。与整个样本相比,幸存者中艾滋病毒抗体呈阳性的人数过多。受害后,参与者描述了痛苦,恐惧,愤怒和自责的感觉。结果表明,需要采取干预措施,以(a)防止对GBMSM和TGW在这一人群中的性暴力,(B)减少性受害的负面心理和健康后果。讨论还强调,需要更密切地审查性暴力经历与感染艾滋病毒风险之间的联系。
This study examined experiences with sexual violence among Black African gay, bisexual, and other men who have sex with men (GBMSM) and transgender women (TGW) in townships surrounding Pretoria, South Africa. Of 81 GBMSM and TGWs interviewed, 17 reported to have experienced sexual violence perpetrated by other men. Qualitative analysis of interviews revealed the social and relational context of these experiences as well as their psychological and health consequences. The described context included single- and multiple-perpetrator attacks in private and public spaces, bias-motivated attacks, and violence from known partners. Several participants reported refusing propositions for sex as a reason for being victimized. HIV-positive individuals were overrepresented among survivors compared to the sample as a whole. Following victimization, participants described feelings of pain, fear, anger and self-blame. The results demonstrate the need for interventions designed to (a) prevent sexual violence against GBMSM and TGW in this population, and (b) reduce the negative psychological and health outcomes of sexual victimization. The discussion also highlights the need to examine more closely the link between experiences of sexual violence and risk for HIV infection.
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