The limitations of 'Black MSM' as a category: Why gender, sexuality, and desire still matter for social and biomedical HIV prevention methods.
The limitations of 'Black MSM' as a category: Why gender, sexuality, and desire still matter for social and biomedical HIV prevention methods.
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DOI：
10.1080/17441692.2015.1134616
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发表时间：
2016-08
影响因子：
3.3
通讯作者：
Hirsch JS
中科院分区：
文献类型：
--
作者：
Garcia J;Parker RG;Parker C;Wilson PA;Philbin M;Hirsch JS
美国面临着不成比例的和不断增加的艾滋病毒发病率之间的黑人男子与男子发生性关系（BMSM）。新的生物医学技术，如暴露前预防（PrEP）已经开发出来，以解决他们的艾滋病毒风险。然而，很少有人考虑到被“BMSM”作为一个类别所掩盖的多样性，这种多样性如何与男性的性伙伴关系战略有关，或者这些问题与新的艾滋病毒预防方法的相关性。我们从2013年6月至2014年5月进行了一项基于社区的人种志研究，记录了影响BMSM接受和坚持PrEP的因素。我们对31名BMSM和17名社区利益相关者进行了深入访谈，并进行了参与观察。为了展示社会身份的多样性，我们提出了一个分类的土著类别组织沿着轴的性身份，性定位和性别表现。我们分析了艾滋病毒预防策略，如PrEP，可能会更有效，如果程序考虑如何性别，性行为和性欲塑造性伙伴关系的战略。这篇文章强调了出席的重要性，性和社会主体性的多样性BMSM之间，使性研究回到艾滋病预防，并将生物医学预防方法融入社区为基础的计划。
The USA faces disproportionate and increasing HIV incidence rates among Black men who have sex with men (BMSM). New biomedical technologies such as pre-exposure prophylaxis (PrEP) have been developed to address their HIV risk. Very little consideration, however, has been given to the diversity obscured by ‘BMSM’ as a category, to how this diversity relates to men’s sexual partnering strategies, or to the relevance of these issues for new HIV prevention methods. We conducted a community-based ethnography from June 2013 to May 2014 documenting factors that affect the acceptance of and adherence to PrEP among BMSM. We conducted in-depth interviews with 31 BMSM and 17 community stakeholders, and participant observation. To demonstrate the diversity of social identities, we present a taxonomy of indigenous categories organised along the axes of sexual identity, sexual positioning, and gender performance. We analyse how HIV prevention strategies, such as PrEP, may be more effective if programs consider how gender, sexuality, and sexual desire shape sexual partnering strategies. This article underlines the importance of attending to the diversity of sexual and social subjectivities among BMSM, of bringing the study of sexuality back into HIV prevention, and of integrating biomedical prevention approaches into community-based programs.