要不要说,说什么:中国异性已婚男男性行为者艾滋病信息披露的定性研究》(Whether and What to Tell: A Qualitative Study of HIV Disclosure Among Heterosexually Married Men Who Have Sex with Men in China.

IF 2.1 3区 心理学 Q2 FAMILY STUDIES Journal of Sex & Marital Therapy Pub Date : 2024-01-01 Epub Date: 2024-10-28 DOI:10.1080/0092623X.2024.2418542
Changhui Song, Hui Xie, Runze Ding, Joan Blakey
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引用次数: 0

摘要

在中国,艾滋病病毒传播对男男性行为者(MSM)和异性婚姻中的男性的影响越来越大。在以家庭为导向的文化背景下,这项研究填补了人们对传统异性婚姻中艾滋病病毒和性取向披露的认识空白。异性婚姻中感染艾滋病毒的男男性行为者(HIV+ MMSM)面临着复杂的身份动态以及 "同性恋圈子 "与婚姻生活之间的相互作用。这种披露充满了潜在的影响,包括 "婚姻欺诈 "指控、与 HIV 相关的污名化以及离婚。这项描述性定性研究于 2022 年进行,旨在探讨影响中国 HIV+ MMSM 向妻子公开 HIV 感染状况的共同因素。研究人员进行了 16 次半结构式访谈,以分析与披露过程模型相关的因素。访谈中出现了四个关键主题:(a) 对妻子福祉的关注,(b) 所感知的婚姻强度,(c) 所获得的社会支持程度,以及 (d) 希望在异性恋社会中保持身份的愿望。与这四个主题相关的接近目标和回避目标都影响了(不)披露的决定。研究结果强调,有必要采取具有文化敏感性的策略,在家庭动态、减少污名化和艾滋病护理管理之间取得平衡,并强调采取量身定制的方法为这一人群提供有效支持。
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Whether and What to Tell: A Qualitative Study of HIV Disclosure Among Heterosexually Married Men Who Have Sex with Men in China.

In China, HIV transmission increasingly affected men who have sex with men (MSM) and those in heterosexual marriages. This study addressed a critical gap in understanding HIV and sexual orientation disclosure within conventional heterosexual marriages, framed within a family-oriented cultural context. Heterosexually married MSM living with HIV (HIV+ MMSM) faced complex identity dynamics and interactions between "gay circles" and marital life. Such disclosure was fraught with potential repercussions, including accusations of "marriage fraud", HIV-related stigma, and divorce. This descriptive qualitative study, conducted in 2022, aimed to explore the common factors influencing HIV status disclosure to wives among Chinese HIV+ MMSM. Sixteen semi-structured interviews were conducted to analyze the factors related to the disclosure process model. Four key themes emerged: (a) concern for wives' well-being, (b) perceived marriage strength, (c) the degree of social support they had, and (d) a desire to maintain their status in a heterosexual society. The decision to (non)disclose was shaped by both approach-focused and avoidant-focused goals related to these four themes. The findings underscored the need for culturally sensitive strategies that balance family dynamics, stigma reduction, and HIV care management, emphasizing tailored approaches to effectively support this population.

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来源期刊
CiteScore
4.70
自引率
12.00%
发文量
107
期刊介绍: The Journal of Sex and Marital Therapy is one of the top independent journals in the field. Under the prestigious leadership of R. Taylor Seagraves, M.D. - one of the world" foremost experts in sex and marital therapy -- JSMT is an active and contemporary forum reflecting the most viable developments emanating from the U.S. and abroad. JSMT continues to break new ground with innovative research and clinical writing, and the editor is committed to showcasing the most far-reaching traditional and contemporary thinking from all sources. You will read about therapeutic techniques, outcome, special clinical and medical problems, and the theoretical parameters of sexual functioning, and marital relationships.
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