構造的なホモフォビアが,HIVリスクのある性行動を世界中でどのように広めているか
Vincent Leroy1, Erik Lamontagne2, Bruno Spire1
1Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, France.
Social science & medicine (1982)
|February 20, 2026
まとめ
構造的ホモフォビアは,世界中のLGBTI集団におけるHIVリスクのある性行動を有意に予測しています. 制度的同性愛嫌悪に対処し,権利を推進することは,HIV流行を抑制するために極めて重要です.
科学分野:
- 社会心理学 社会心理学とは
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
背景:
- 差別とスティグマは,LGBTIの人々のHIVリスクのある性行為に影響を与える既知の要因です.
- これらの決定因子をHIVリスク性行動と結びつける特定の経路に関する研究は限られている.
研究 の 目的:
- 同性愛嫌悪,リスクを取る傾向,HIVリスク性行動の複数の次元間の関係を分析する.
- 同性愛嫌悪とHIVリスク性行為の間の経路に関する知識のギャップを,グローバルなLGBTIサンプルで埋める.
主な方法:
- UNAIDSのグローバルLGBTI幸福度調査 (115,000人,204カ国,2019/2020) のデータを活用した.
- 国レベル (法律,態度) で定義された構造的/制度的ホモフォビア.
- 69,640人の参加者 (シスジェンダー,トランスジェンダー,ノンバイナリー,インターセックス,ゲイ,バイセクシャル,クィア) の関連性を評価するために,構造方程式モデリングを使用しました.
主要な成果:
- 構造的ホモフォビアは,地元,職場,家族のホモフォビアと,HIVリスクのある性行為を予測した.
- 地元や職場でのホモフォビアは,HIVリスクのある性行為と直接的なポジティブな関連性を示した.
- 構造的ホモフォビアは,個人のホモフォビアによって媒介されたリスクとHIVリスクの性的行動に間接的に影響を与えた.
結論:
- 構造的ホモフォビアは,直接的・間接的な経路の両方で,HIVリスクのある性行為と関連しています.
- 同性愛嫌悪的な暴力を根絶し,性的およびジェンダーの多様性を持つ人々の権利を擁護する政策は,HIV流行を抑制するために不可欠です.
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