The 'loss of community' and other problems for sexual citizenship in recent HIV prevention

The 'loss of community' and other problems for sexual citizenship in recent HIV prevention
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DOI:
10.1111/j.1467-9566.2007.01050.x
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发表时间:
2008-03-01
影响因子:
2.9
通讯作者:
Davis, Mark
Davis, Mark
中科院分区:
医学2区
文献类型:
--
作者:
Davis, Mark

文献摘要

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据报道,男同性恋中不安全性行为的增加被解释为对艾滋病毒预防的抵制,或者最近的观点是,性行为的高度个性化导致了性社区的丧失。艾滋病预防的这一转变已经开始通过以下框架关注艾滋病男同性恋者的性行为:性侵犯,有时被称为“光背”;和利他主义。本文采用性公民的视角,结合定性访谈,探讨了在越轨/利他的双重话语下,男同性恋者如何解释他们的性行为。这篇论文将论证,感染艾滋病毒的男同性恋者深刻地意识到越轨/利他主义对他们的身份和性关系意味着什么,这表明社区对性行为的持续关注。此外,在与安全性行为的道德劳动有关的指责情况下,携带艾滋病毒的男同性恋者正在努力制定一种基于自我照顾、适度利他主义和性伴侣自愿行为的艾滋病预防合作实践。
Increases in reported unsafe sex among gay men have been explained as resistance to HIV prevention, or most recently, with the idea that a hyper-individualisation of sexual action contributes to the loss of sexual community. This turning in HIV prevention has come to focus on the sexual action of gay men with HIV through the frames of: sexual transgression, sometimes called 'barebacking'; and altruism. Adopting the perspective of sexual citizenship in connection with qualitative interviews, this paper considers how gay men with HIV account for their sexual practice in light of the dual discourse of transgression/altruism. The paper will argue that gay men with HIV are deeply aware of what transgression/altruism implies for their identities and sexual relations, indicating the continued salience of community for sexual practice. Further, in the circumstances of blaming in relation to the moral labour of safer sex, gay men with HIV are trying to work out a co-operative practice for HIV prevention based on self-care, a moderated altruism and the voluntary action of sexual partners.