Abstract

Young sexual minority men are disproportionately affected by HIV in Mexico. Little is known about their thoughts about childbearing, an issue complicated by sexual identity and HIV serostatus. We conducted 16 in-depth qualitative interviews to explore the parenting desires of young sexual minority men living with HIV in Mexico City. Domains of the questionnaire included (1) parenting desires, (2) preferences about different methods (e.g. adoption, in-vitro fertilisation), and (3) perceived barriers to becoming a father. A modified grounded theory approach was used for qualitative analysis. Participants ranged in age from 17 to 21 years and had been living with HIV for an average of 15 months. Most expressed the desire to have a child in the future but were uninformed as to their options for doing so. Participants largely preferred adoption, citing the perceived risk of HIV transmission as a deterrent to using assisted reproductive technologies. Some participants expressed the desire to have a child that was genetically their own, but shared doubts as to the feasibility. The majority of participants stated that the topic of childbearing had never come up during the course of their HIV care.

摘要

在墨西哥，年轻的性少数男性受到艾滋病毒的影响尤为严重。他们对生育的想法知之甚少，这是一个因性别认同和 HIV 血清状况而复杂化的问题。我们进行了 16 次深入的定性访谈，以探索墨西哥城年轻的性少数男性艾滋病病毒感染者的养育需求。问卷的领域包括（1）养育子女的愿望，（2）对不同方法（例如收养、体外受精）的偏好，以及（3）成为父亲的感知障碍。改进的扎根理论方法用于定性分析。参与者的年龄从 17 岁到 21 岁不等，平均感染 HIV 15 个月。大多数人表示希望将来有一个孩子，但不知道他们这样做的选择。参与者在很大程度上倾向于采用，引用艾滋病毒传播的感知风险作为使用辅助生殖技术的威慑。一些参与者表示希望生一个在基因上属于自己的孩子，但对可行性表示怀疑。大多数参与者表示，在他们的艾滋病毒护理过程中，生育的话题从未出现过。