"My Sexuality…It Creates a Stress": HIV-Related Communication Among Bisexual Black and Latino Men, New York City.

"My Sexuality…It Creates a Stress": HIV-Related Communication Among Bisexual Black and Latino Men, New York City.
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DOI:
10.1007/s10508-018-1264-x
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发表时间:
2019-01
影响因子:
3.8
通讯作者:
Nanín J
Nanín J
中科院分区:
法学2区
文献类型:
--
作者:
Henny KD;Drumhiller K;Sutton MY;Nanín J

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在美国,男男性行为者和女同性恋者(包括双性恋男性)占所有男男性行为者 (MSM) 的 35%。据估计,美国过去一年内有 121,800 名活跃双性恋的男性感染了艾滋病毒。有关艾滋病毒的交流可能会导致降低风险的行为。然而,人们对双性恋男性之间艾滋病毒预防沟通的性质或背景知之甚少,特别是对于黑人和西班牙裔/拉丁裔来说,他们的艾滋病毒风险更大。因此,我们探讨了双性恋黑人和西班牙裔/拉丁裔男性个人社交网络中发生的与艾滋病毒相关的沟通模式和背景。 2011 年至 2012 年,我们采用受访者驱动的抽样方法,对居住在纽约市的 36 名参与者进行了半结构化访谈。我们使用计算机辅助主题分析检查了参与者对主题的采访回应。确定的三个主题是:(1)沟通策略(例如,“你可以通过一个人的语气来判断很多事情”),(2)障碍(例如,“我的性取向......它会产生压力”),以及(3)这些沟通的动机(例如,“我知道这是黑人社区的一个问题......如果我可以帮助另一个兄弟,我会这样做”)。我们的研究结果可以为艾滋病毒预防工作提供信息,例如社交信息宣传活动和其他专为双性恋男性设计的降低风险干预措施。
Men who have sex with men and women (including bisexual men) comprise 35% of all men who have sex with men (MSM) in the U.S. It is estimated that 121,800 men who have been bisexually active within the past year are living with HIV in the U.S. Communication about HIV may result in risk-reduction behaviors. However, little is known about the nature or context for HIV prevention communication among bisexual men, particularly for blacks and Hispanic/Latinos who are disproportionately at greater HIV risk. Therefore, we explored patterns and contexts of HIV-related communications occurring within personal social networks among bisexual black and Hispanic/Latino men. Using respondent-driven sampling methods, we conducted semi-structured interviews from 2011 to 2012 among 36 participants living in New York City. We examined interview responses from participants for main themes using computer-assisted thematic analyses. The three main themes identified were: (1) communication strategies (e.g., “You can tell a lot from how a person responds just by the tone of their voice”), (2) barriers (e.g., “My sexuality…it creates a stress”), and (3) motivations for these communications (e.g., “I know that’s a(n) issue in the black community…if I could help another brother, I will do it”). Our findings can inform HIV prevention efforts such as social messaging campaigns and other risk-reduction interventions designed for bisexual men.
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