HIV risk among Australian men travelling overseas: networks and context matter
HIV risk among Australian men travelling overseas: networks and context matter
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DOI：
10.1080/13691058.2012.678015
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发表时间：
2012-01-01
影响因子：
2.2
通讯作者：
Langdon, Trish
中科院分区：
文献类型：
--
作者：
Brown, Graham;Ellard, Jeanne;Langdon, Trish
日益增加的国际流动性带来了传染病传播的风险。在澳大利亚各司法管辖区，越来越多地观察到海外获得的艾滋病毒感染。这包括从艾滋病毒流行率高的国家移居国外的男子和出国旅行的男子。目前很少有研究探讨国际流动性和艾滋病毒风险，因此，人们对男子在海外旅行时感染艾滋病毒的人数增加知之甚少。本文利用定性研究的数据，探讨了2000年至2009年期间在海外旅行时感染艾滋病毒的14名澳大利亚男子的风险观点和经验。与会者表达了与游客身份保持距离的强烈愿望。与会者强调，社交网络是与其他外国游客和外籍人士交往的重要切入点。这些网络具有很大的影响力，参与者都知道，这些网络为他们提供了指导，指导他们如何应对当地的情况，包括在哪里会见性伴侣。在这些情况下，对安全性行为和艾滋病毒的讨论有限。研究结果表明，流行的社会规范和社交网络在参与者如何在海外环境中协商性和社会关系方面发挥着重要作用。这些网络有可能为有效的艾滋病毒预防方案提供场所。
Increasing international mobility presents a risk for communicable disease transmission. Overseas-acquired HIV infections have been increasingly observed across Australian jurisdictions. This includes a mix of men emigrating from countries with high HIV prevalence and men travelling abroad. There is currently little research exploring international mobility and HIV risk, and as a consequence the increase of men acquiring HIV while travelling overseas is poorly understood. This paper draws on data from a qualitative study exploring the risk perspectives and experiences of 14 Australian men who acquired HIV while travelling overseas in the years between 2000 and 2009. Participants articulated a strong desire to distance themselves from the identity of a tourist. Social networks were highlighted as important entry points to engage with other foreign travellers and expatriates. These networks were highly influential and were understood by the participants to provide guidance on how they should negotiate the local scene, including where to meet sex partners. Limited discussion of safe sex and HIV was mentioned in these contexts. The findings suggest that prevalent social norms and social networks play an influential role in how participants negotiate sex and social relations in overseas settings. These networks could potentially provide sites for effective HIV-prevention programmes.