背景:公共衛生部門以流行病學實證統計數據著眼,設定「愛滋病高危險族群」進行愛滋防治相關政策,如此設定方式使得「同性戀=愛滋病」之烙印與污名進而產生。而隨著青少年男同志感染愛滋病比率升高,使得該族群也成為被關注的新焦點。但於實務工作中所見,青少年男同志愛滋感染者看待愛滋病的態度、政府提供的協助與政策,是與公共衛生部門人員認知差距極大,甚至是矛盾或衝突的看法。 目的:從青少年男同志愛滋感染者之生命故事與性實踐為述說,經由他們的性經驗及生命故事,呈現出他們生活世界的面向,破除社會大眾、公共衛生政策制定者對於青少年男同志愛滋感染者的誤解、污名、歧視及刻板印象,冀望能為相關工作者提供更貼近需求的服務,在愛滋防治面向上能提供另類的觀點跟視野。 方法:本論文主要採用「女性主義方法論」與「性故事敘說」的分析觀點,輔佐以「深度訪談」作為本論文之研究方法。訪談8位,15歲至24歲的青少年男同志愛滋感染者,以他們的生命故事及性實踐經驗述說作為資料輔助。 結果:本論文發現青少年男同志(一)非因被騙或誘拐成為男同志(二)第一次性行為的發生是他們性認同確認的重要方式(三)他們感染前的性實踐並不只是性濫交(四)狹隘的兩性性教育課程影響他們日後的性態度(五)對他們而言,保險套的使用與否不單只是單純不愛用(六)衝量下的匿名篩檢導致崩潰及逃離(七)不告知是為了保護(八)感染後的性實踐他們懂得愛自己了。
Background: Public Health Department sets a series of AIDS prevention policies according to the statics of epidemiology aiming at “HIV high-risk behaviors”. In this way, people will think “homosexuality equals to AIDS/ HIV” and this stigma imprints on people’s mind. With the increase rate of teem male homosexuality infect AIDS, this group soon becomes the focus of attention. However in practical works, the attitude for AIDS, the governmental assistance & policies between the teen male homosexuality with HIV and Public Health officers, is quite different, even controversial or conflicting. Purpose: We start from the life experience and sex practice of the teen malehomosexuality with AIDS. Through their sex experience and life story to reveal the way they look to the world to break the misunderstanding, stigma, discrimination and stereotype upon them from the society and public policy makers. Hoping to provide more assistance to relative persons, and provide different point ofview to AIDS preventions. Method: This research mainly adapts” Feminism Research Method” and “sexual story telling” to analyze, supporting with” depth interview”, to interview 8 teenagers, aged from 15 to 24 male homosexuality with HIV, and evidence their life story and sexual experience. Conclusion: In this essay, we discover following facts: (They refers to male-homosexuality) 1. They are not being cheated or abducted to become male homosexuality. 2. Their first sex experience is an important way for their sexual identification. 3. Before infected, their sex practices are not indiscriminating finding sexual partners. 4. Restricted gender sex education lessons influence their sex attitude afterwards. 5. For them, using condoms or not is more than not loving using them. 6. The anonymous testing leads to their metal collapse and run away. 7. Not informing other people is for self-protection. 8. They understand to cherish themselves for the sex after they infect HIV.