Ethnography of Men Who Have Sex With Male-to-Female Transgender Individuals

艾滋病毒/艾滋病研究和干预措施针对的是高风险的男变女变性人，但他们的男性伴侣在很大程度上被忽视了。 由于MTF感染艾滋病毒的比例很高，因此MTF的男性伴侣（MSMTF）也面临着感染艾滋病毒的高风险。 然而，MSMTF在艾滋病毒/艾滋病流行病学中所占的位置仍然未知。 除了艾滋病毒风险外，男、女工作人员和家庭成员还因与男、女工作人员-一个已经被边缘化的群体-有联系而遭受耻辱，这对他们的心理健康产生负面影响，反过来又给艾滋病毒预防工作造成另一个障碍。 MSMTF仍然缺席男性健康的研究，因此，没有公认的标签或语言来描述他们的身份和行为。 这项研究的总体目标是为正在进行的关于MSMTF的研究奠定基础，这将促进将其纳入艾滋病毒/艾滋病和公共卫生研究议程。 这是一项民族志研究，将描述MSMTF样本的行为，描述MSMTF构建个人身份的方式，并探索HIV风险的社会地理。 这种对行为、身份和社会空间的探索有可能捕捉到这些类型做法的复杂性，将其纳入更广泛的男性文化结构，并为公共卫生战略提供信息，以在个人和机构层面预防艾滋病毒感染和传播。

HIV/AIDS research and interventions have targeted high risk, male-to-female transgender individuals (MTFs), but their male partners have been largely overlooked. Because of the high rates of HIV infected MTFs, the male partners of MTFs (MSMTFs) are also at high risk of HIV infection. However, the location that MSMTFs occupy in the epidemiology of HIV/AIDS remains unknown. In addition to HIV risk, MSMTFs encounter the negative mental health effects of stigma resulting from their affiliation with MTFs--an already marginalized population--which in turn creates yet another barrier to HIV prevention efforts. MSMTFs remain absent from studies of men's health and, as a result, there are no recognized labels or language available to describe their identities and behavior. The overall goal of this study is to establish a foundation for ongoing research on MSMTFs that will foster their inclusion in HIV/AIDS and public health research agendas. This is an ethnographic study that will describe the behaviors of a sample of MSMTFs, describe the ways MSMTFs construct personal identities, and explore the social geography of HIV risk. This exploration of behaviors, identities and social spaces has the potential to capture the complexities of these types of practices, situate them in a wider cultural construction of masculinity, and inform public health strategies to prevent HIV infection and transmission at individual and institutional levels.