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Sociocultural facilitators and barriers to condom use during anal sex among men who have sex with men in Guangzhou, China: an ethnographic study.

机译:中国广州,与男性发生性关系的男性在肛交期间使用社会文化促进因素和使用避孕套的障碍。

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摘要

This ethnographic study explored how cultural belief systems shaped sexual risk practices among men who have sex with men (MSM) in Guangzhou, China. A specific focus was on how these men's sexual practices varied across sexual venues and among different partners in order to better understand sociocultural facilitators and barriers to condom use in the Guangzhou community. Qualitative data were obtained through semi-structured in-depth interviews with MSM and ethnographic observations in MSM sexual venues in the city. The thematic analysis focused specifically on the accounts of unprotected sex occasions. We found that an erotic idea of "rouyu" (desire of physical flesh) embedded in a subculture of MSM and a metaphor for condom use as being inferior and promoting distance posed a considerable barrier to condom use among these MSM. Some men reported gaining a positive self-concept related to same-sex identity through unprotected sex. These MSM's subjective evaluations of HIV risk were closely tied to the perceived characteristics of sex partners and sexual venues. We conclude by advocating specific sociocultural interventions in emerging risk venues, such as saunas/bathhouses, to better meet the needs of the MSM community in Guangzhou.
机译:这项人种学研究探讨了文化信仰体系如何影响中国广州市与男性发生性关系的男性的性风险行为。为了更好地了解广州市社区的社会文化促进因素和使用安全套的障碍,特别关注的是这些男性的性行为在性场所和不同伴侣之间如何变化。通过对该城市MSM性场所中的MSM进行半结构化深度访谈和人种学观察获得定性数据。专题分析专门针对未受保护的性爱场合的说法。我们发现,在男男性接触者的亚文化中嵌入的“肉欲”(一种肉体的欲望)的色情观念和安全套使用的隐喻是劣等的和促进距离的,这对这些男男性接触者使用安全套构成了相当大的障碍。一些男人报告说,通过不受保护的性行为,获得了与同性身份有关的积极自我概念。这些MSM对HIV风险的主观评估与性伴侣和性场所的感知特征密切相关。最后,我们提倡在新兴风险场所(例如桑拿/浴室)进行特定的社会文化干预,以更好地满足广州MSM社区的需求。

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