Growing up in the shadow of HIV: post-AIDS generation of HIV-negative men who have sex with men in Sweden and their perceptions of HIV and stigma.

IF 1.8 3区 医学 Q2 FAMILY STUDIES
Nicklas Dennermalm, Carl Fredrik Sjöland, Mats Christiansen, Lena Nilsson Schönnesson, Karin Laine, Erica Kanon, Daniel Suarez, Anna Mia Ekström, Helle Mølsted Alvesson
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Abstract

Despite growing understanding and acceptance of the concept of Undetectable = Untransmittable (U = U) among gay men, HIV stigma remains a burden for people living with HIV. This study explored perceptions of HIV among HIV seronegative gay men in Sweden in this new context. Using snowball sampling, 15 gay men born between 1980 and 2000 were recruited to the study. Semi-structured interviews were conducted and data were subjected to reflexive thematic analysis. Men grew up experiencing gay stigma and were repeatedly informed by parents, schools, communities, peers, and popular culture about the dangers of HIV, and that gay men were a high-risk group. As men grew older, and the premise of HIV shifted dramatically due to U = U, some remained emotionally anchored to the pre-U = U era, while others realigned their perceptions, often after a process of reconciling emotional responses (e.g. HIV = death) with the logical-rational claims made about U = U. The study highlights key areas for future efforts, namely establishing a balance between HIV education strategies and stigma reduction initiatives. Study findings underscore the need to care for the memory of those lost during the crisis years, while also addressing the stigma faced by those currently living with HIV.

在 HIV 的阴影下成长:瑞典 HIV 阴性男男性行为者在艾滋病后的一代及其对 HIV 和污名化的看法。
尽管男同性恋者对 "检测不到 = 无法传播"(U = U)这一概念的理解和接受程度在不断提高,但对 HIV 感染者来说,HIV 耻辱感仍然是一种负担。本研究探讨了在这一新背景下瑞典 HIV 血清阴性男同性恋者对 HIV 的看法。研究采用 "滚雪球 "抽样法,招募了 15 名 1980 年至 2000 年出生的男同性恋者。研究人员进行了半结构式访谈,并对数据进行了反思性主题分析。男同性恋者在成长过程中经历了同性恋污名化,父母、学校、社区、同龄人和流行文化反复告诉他们艾滋病的危害,以及男同性恋者是高危人群。随着年龄的增长,HIV 的前提条件因 U = U 而发生了巨大变化,一些人在情感上仍然停留在 U = U 前的时代,而另一些人则重新调整了他们的观念,通常是在情感反应(如 HIV = 死亡)与关于 U = U 的逻辑-理性主张相协调的过程之后。这项研究强调了未来工作的关键领域,即在艾滋病教育战略和减少污名化倡议之间建立平衡。研究结果强调,在解决目前艾滋病毒感染者所面临的污名化问题的同时,还需要缅怀那些在危机年代逝去的人们。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
4.50%
发文量
80
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