This article examines narratives about promiscuity that are emphasized by some gay and bisexual men who are themselves living with HIV. We used semi‐structured interviews to assess the processes, outcomes, and meanings of HIV diagnosis among 10 young gay and bisexual men aged between 18 and 30 years old. Interviews were conducted in health service settings for the diagnosis and treatment of HIV and AIDS in Salvador, Brazil. Based on a socioculturally oriented approach, the narratives suggest that discourse about promiscuity seems to persist, or is even strengthened, in order to explain HIV infection among young gays/bisexual men and to emphasize a more restrained sexual life following HIV diagnosis. Despite the biotechnologies and biomedical advances, some difficulties and tensions also persist in the daily life of young people living with HIV. Difficulties in starting new relationships, dilemmas around responsibility for infection/transmission, fear and guilt are elements that stand out in these narratives, demonstrating that HIV discourses and practices may produce greater stigma and discrimination in current times, individualizing and blaming certain people for the infection/transmission of the virus, and marginalizing practices that do not conform to hegemonic heteronormativity.

中文翻译：

---

男同性恋和双性恋男性艾滋病毒预防和护理的道德障碍：巴西保守主义时期的挑战

本文考察了一些本身感染艾滋病毒的男同性恋和双性恋男性所强调的关于滥交的叙述。我们使用半结构化访谈来评估 10 名年龄在 18 至 30 岁之间的年轻男同性恋和双性恋男性的 HIV 诊断过程、结果和意义。访谈是在巴西萨尔瓦多的 HIV 和 AIDS 诊断和治疗卫生服务机构中进行的。基于社会文化导向的方法，这些叙述表明，关于滥交的讨论似乎持续存在，甚至得到加强，以解释年轻男同性恋/双性恋男性中的艾滋病毒感染，并强调艾滋病毒诊断后更加克制的性生活。尽管生物技术和生物医学取得了进步，但感染艾滋病毒的年轻人的日常生活中仍然存在一些困难和紧张局势。