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Sex isn't that simple: Culture and context in HIV prevention interventions for gay and bisexual male adolescents

机译:性别不是那么简单:针对男同性恋和双性恋青少年的艾滋病毒预防干预措施中的文化和背景

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摘要

Gay and bisexual male adolescents and young adults in the United States have been disproportionately impacted by the HIV pandemic. Despite the steadily increasing rise in their HIV infection rates, there has not been a commensurate increase in HIV prevention programs targeted to the unique social and sexual lives of these youths. Programs that address cultural and contextual factors that influence sexual risk and protective behaviors need to be developed, implemented, and rigorously evaluated. These interventions should address the potential influences of sexual and gay culture on the HIV risk/protective behaviors of gay and bisexual adolescents, as well as the influence of more traditional cultural factors related to ethnicity. The influence of contextual developmental factors should also be addressed. This may include an incorporation into prevention programs of the societal-level influences of heterosexism and masculinity ideology and the individual-level influences of sexual identity and ethnic identity development. Researchers and interventionists need to be creative and innovative in their HIV prevention approaches and ensure that programs are grounded in the lives and realities of gay and bisexual adolescents and young adults.
机译:在美国,男同性恋和双性恋青少年和年轻人受到艾滋病毒大流行的影响尤其严重。尽管他们的艾滋病毒感染率稳步上升,但针对这些年轻人独特的社会和性生活的艾滋病毒预防计划却没有相应增加。需要开发,实施和严格评估解决影响性风险和保护行为的文化和背景因素的程序。这些干预措施应解决性文化和同性恋文化对同性恋和双性恋青少年的HIV风险/保护行为的潜在影响,以及与种族相关的更多传统文化因素的影响。情境发展因素的影响也应解决。这可能包括将异性恋和男性气概意识形态在社会层面的影响以及性认同和种族认同发展在个人层面的影响纳入预防计划。研究人员和干预人员在艾滋病毒预防方法上必须具有创新性,并确保计划以同性恋和双性恋青少年和年轻人的生活和现实为基础。

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