Systemic Challenges, Stigma, and Solutions: Experiences of Black Men Who Have Sex with Men in Tennessee

Sandra L. Barnes
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Abstract

Much of the research on black Men Who Have Sex with Men (BMSM) focuses on health disparities in HIV occurrence and retroantiviral medication adherence. Although important, this emphasis is often at the expense of other areas of their lives. This study endeavors to better understand systemic challenges, including stigma, and responses for a group of BMSM who reside in a moderately-sized metropolitan city in Tennessee. Focus group results, black feminism, and content analysis are used to examine their experiences and coping mechanisms. Respondents describe circumstances they associate with inequities linked to race, class, sexual orientation, gender and their intersection. Other themes emerged around: self-help; innovative family forms; and, the need for collective mobilization. Equally important was the desire for group and individual identities that do not reduce BMSM to stereotypes linked to HIV/AIDS. In addition to illustrating the usefulness of black feminism to illumine the lives of historically marginalized groups beyond women, results suggest the need for solutions that attend to the unique challenges and capacities of BMSM.
系统性挑战、耻辱和解决方案:田纳西州黑人男同性恋者的经历
许多关于黑人男男性行为者(BMSM)的研究集中在艾滋病毒发病率和抗逆转录病毒药物依从性方面的健康差异。虽然很重要,但这种强调往往是以牺牲他们生活的其他方面为代价的。本研究试图更好地理解系统性挑战,包括污名,以及居住在田纳西州一个中等规模的大都市的一群BMSM的反应。采用焦点小组结果、黑人女权主义和内容分析来考察她们的经历和应对机制。受访者描述了他们认为与种族、阶级、性取向、性别及其交集相关的不平等情况。其他主题还包括:自助;创新家庭形式;还有,集体动员的必要性。同样重要的是,人们希望获得群体和个人身份,而不是将男同性恋行为贬低为与艾滋病毒/艾滋病有关的陈规定型观念。除了说明黑人女权主义在照亮历史上被边缘化群体的生活方面的有用性之外,研究结果还表明,需要解决BMSM的独特挑战和能力。
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