HIV prevention and men who have sex with women and men in Mexico: Findings from a qualitative study with HIV-positive men
HIV prevention and men who have sex with women and men in Mexico: Findings from a qualitative study with HIV-positive men
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DOI：
10.1080/13691050601183629
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发表时间：
2007-01-01
影响因子：
2.2
通讯作者：
Campero, Lourdes
中科院分区：
文献类型：
--
作者：
Kendall, Tamil;Herrera, Cristina;Campero, Lourdes
在墨西哥和许多其他拉丁美洲国家，男性之间无保护的性行为是艾滋病毒感染的主要危险因素。有大量文献表明，性认同和性行为之间并不是二元或因果关系——与其他男性发生性行为的男性不一定认为自己是同性恋——而且人们对同时与男性和女性发生性行为的男性预防艾滋病毒越来越感兴趣。在墨西哥，对与女性和男性发生性行为以及与男同性恋者没有社会联系或认同的男性缺乏艾滋病毒预防。本文探讨了艾滋病毒呈阳性的墨西哥男性的性史和艾滋病毒风险认知，这些男性在筛选访谈中表示他们与女性发生过性行为，然后在深度访谈中也报告了与男性发生过性行为。我们考虑这些男性的性行为以及性和社会身份，检查他们对与其他男性发生性行为的解释、用于肯定其男性气质的策略、在社交网络中管理其性身份、诊断前的艾滋病毒风险认知以及诊断后的性行为。建议改善男男性行为者和女性发生性行为以及非同性恋或双性恋身份的男性的艾滋病毒预防。
Unprotected sex between men is the major risk factor for HIV infection in Mexico and many other Latin American countries. There is a substantial body of literature demonstrating that the relationship between sexual identity and sexual practice is not binary or causal-men who have sex with other men do not necessarily perceive themselves as gay-and there is increasing interest in HIV prevention with men who have sex with both men and women. In Mexico, HIV prevention with men who have sex with women and men and who are not socially affiliated or identified with gay men is lacking. This paper explores the sexual histories and HIV-risk perception of HIV-positive Mexican men who indicated that they have sex with women in a screening interview and then in the context of an in-depth interview also reported having had sex with men. We consider the sexual practices and sexual and social identities of these men, examining their explanations for having sex with other men, the strategies used to affirm their masculinity, the management of their sexual identity in their social networks, HIV-risk perception before diagnosis and sexual practices after diagnosis. Recommendations are made to improve HIV prevention for men who have sex with men as well as women and who do not assume a gay or bisexual identity.