The inclusion of Men who have Sex with Men (MSM) in global health policies has resulted in significant resource prioritisations in order to treat and prevent the Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS). MSM policy inclusions and health prioritisations, however, are primarily motivated by an epidemiological understanding of male same-sex sexual behaviours, based on biological risks associated with HIV infection. Owing to South Africa's high HIV rates and MSM policy prioritisations, we aimed to examine experiences of engagement in urban MSM-targeted HIV interventions. Qualitative interviews were conducted with participants (n = 20) who previously engaged in MSM-HIV interventions, across a variety of historically marginalised “township” spaces in Cape Town, South Africa. Interviews were audio-recorded with the consent of all participants, transcribed verbatim, and verified, and anonymised using alpha-numeric codes. Data were analysed for core themes and in this paper we describe interactions between biological and social risks that shape city life for MSM in diverse township spaces. When positioned against the background of the Neuropolis, a recent sociological intervention by Des Fitzgerald, Nikolas Rose and Ilina Singh, our results portray urban life among MSM as a form of biological citizenship: (1) constructed by experiences that are constitutive of biosocial stressors, based on (2) health-seeking attitudes and behaviours, and (3) reinforced through socio-spatial engagements in peer-led and community-based HIV interventions. We conclude by offering critical insight into recent calls for the development of comprehensive and localised peer-led health programmes as a current void in the geographies of health and sexualities in the global south.

中文翻译：

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“我们必须创建自己的社区”：解决 Neuropolis 男男性行为者 (MSM) 中的艾滋病毒/艾滋病问题

将男男性行为者 (MSM) 纳入全球卫生政策已导致重要的资源优先次序，以治疗和预防人类免疫缺陷病毒 (HIV)/获得性免疫缺陷综合症 (AIDS)。然而，基于与 HIV 感染相关的生物学风险，对男性同性性行为的流行病学了解推动了 MSM 政策的包含和健康优先事项。由于南非的高 HIV 感染率和 MSM 政策的优先级，我们旨在研究参与以城市 MSM 为目标的 HIV 干预措施的经验。对参与者进行了定性访谈 ( n = 20) 谁以前在南非开普敦的各种历史上边缘化的“乡镇”空间中参与 MSM-HIV 干预。在所有参与者同意的情况下对访谈进行录音，逐字转录，并使用字母数字代码进行验证和匿名化。针对核心主题分析了数据，在本文中，我们描述了在不同城镇空间中塑造 MSM 城市生活的生物和社会风险之间的相互作用。当以神经城为背景时，Des Fitzgerald、Nikolas Rose 和 Ilina Singh 最近进行了社会学干预，我们的结果将 MSM 中的城市生活描述为一种生物公民形式：（1）由构成生物社会压力源的经验构建，基于 (2) 寻求健康的态度和行为，(3) 通过社会空间参与以同伴为主导和以社区为基础的艾滋病毒干预措施得到加强。最后，我们对最近呼吁制定全面的、本地化的、由同行领导的健康计划提出了批判性的见解，因为目前全球南方的健康和性地理领域存在空白。