Abstract

HIV infection continues to be a serious health concern, especially among men who have sex with men (MSM). MSM account for over one-half (57%) of the estimated 1.2 million cases in the United States. Hispanic/Latino individuals accounted for 24% of new HIV diagnoses, with male-to-male sexual contact responsible most cases. Effective sexual negotiation may be a way to decrease risk for HIV infection, but relatively little is known about sexual negotiation among Hispanic MSM. The purpose of this study was to describe the process by which sexual decision-making occurs among Hispanic MSM. Nineteen in-depth, semi-structured interviews were collected from participants (ages 25 to 65) living in South Florida using grounded theory methodology. Interviews were audio-recorded, transcribed verbatim, and were analyzed to identify categories and subcategories. A theory grounded in the data called Circumventing vs. Guiding emerged that described the sexual negotiation process. The theory consists of four main categories: Contextualizing Negotiation, Strategizing Sexual Negotiation, Negotiating Strategies, and Reviewing Consequences. Some Hispanic MSM may experience challenges in negotiating safer sex behaviors with partners. More research is needed to develop culturally-specific interventions to assist Hispanic MSM with sexual negotiation.

抽象的

HIV感染仍然是严重的健康问题，尤其是在与男性发生性关系（MSM）的男性中。在美国估计的120万例病例中，MSM占一半以上（57％）。西班牙裔/拉丁美洲人占新诊断出的HIV的24％，大多数情况下是男性对男性的性接触。有效的性交可能是降低HIV感染风险的一种方法，但对于西班牙裔MSM之间的性交知之甚少。这项研究的目的是描述西班牙裔MSM中发生性决策的过程。使用扎根的理论方法，从居住在南佛罗里达州的参与者（25岁至65岁）中收集了19次深度，半结构化访谈。对访谈进行录音，逐字记录，并进行分析以识别类别和子类别。规避与指导的过程出现了，它描述了性谈判的过程。该理论包括四个主要类别：情境化谈判，战略化性谈判，谈判策略和审查后果。一些西班牙裔男男性接触者可能在与伴侣协商更安全的性行为方面遇到挑战。需要开展更多研究来开发针对特定文化的干预措施，以帮助西班牙裔MSM进行性谈判。