Social and psychological context for HIV risk in non-gay-identified African American men who have sex with men
Social and psychological context for HIV risk in non-gay-identified African American men who have sex with men
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DOI：
10.1521/aeap.2008.20.4.347
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发表时间：
2008-08-01
影响因子：
1.8
通讯作者：
Kegeles, Susan
中科院分区：
文献类型：
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作者：
Operario, Don;Smith, Carla Dillard;Kegeles, Susan
本研究采用定性的方法来探讨非裔美国人非同性恋身份的男性与男性发生性关系的性行为和艾滋病毒风险的社会和心理背景。对男子叙述其性行为的分析揭示了四个导致艾滋病毒感染风险的社会和心理因素：（a）将同性行为划分开来并从个人角度脱离的倾向，（B）传统的性别角色强化了男性对男性形象的坚持和对女性的矛盾态度，（c）有利于对任何个人事务保密和隐私的文化规范，和（d）与其他男性发生自发和计划外的性行为。研究结果表明，创新的艾滋病毒预防和降低风险的战略是必要的，以达到这一群体和质疑传统的性取向类别的合法性，这些男子。干预措施必须解决风险的社会背景决定因素，加强男性作为直/异性恋者的公共认同，并保持男性对同性行为隐私的需要。
This study used qualitative methods to explore the social and psychological context of sexual behavior and HIV risk among African American non-gay-identified men who have sex with men. Analysis of men's narratives on their sexual behaviors revealed four social and psychological factors contributing to risk for HIV infection: (a) a tendency to compartmentalize and personally disengage from same-sex behavior, (b) traditional gender roles that reinforce men's adherence to masculine images and ambivalent attitudes toward women, (c) cultural norms that favor secrecy and privacy about any personal matters, and (d) spontaneous and unplanned sexual episodes with other men. Findings indicate that innovative HIV prevention and risk reduction strategies are necessary to reach this group and question the legitimacy of conventional sexual orientation categories for these men. Interventions must address social contextual determinants of risk, reinforce men's public identifications as straight/heterosexual, and maintain men's need for privacy about same-sex behaviors.