Made available in DSpace on 2016-04-27T18:47:32Z (GMT). No. of bitstreams: 1 Carlos Alexandre Costa Correia.pdf: 747330 bytes, checksum: 7dc32e072c783186f2b929ef7367bb23 (MD5) Previous issue date: 2009-05-15 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This paper deals with the representation of old age and by the look of older gay men. The issue of aging has been discussed around the world, for it is a population in adherence among this population quota is the gay old. The development of this research is presented by analyzing and interpreting the representations of the speech of older gay men. Through a qualitative methodology. The research seeks to know a little of this old world of homosexuals, new social arrangements, as well as new emotional relationships outside heterosexual dominant group in society. Understand how the prejudice and stigma in relation to group and described and analyzed. Seek to understand their offices on aging, family, sexual orientation in order to meet this social group. The analysis of the data were grouped into categories testimonies that are recurring themes in the discourse of the subject, and his analysis was based on the theoretical / Este trabalho tratada da representação sobre velho e velhice através do olhar de homens homossexuais velhos. A questão do envelhecimento tem sido debatida em todo o mundo, por se trata de uma população em acessão, dentre este contingente populacional encontra-se os homossexuais velhos. O desenvolvimento desta pesquisa é apresentado pela analise e interpretação das representações do discurso de homens homossexuais velhos. Através de uma metodologia qualitativa. A pesquisa busca conhecer um pouco deste universo dos homossexuais velhos, novos arranjos sociais, assim como também novas relações afetivas distintas do grupo heterossexual dominante na sociedade. Entender como o preconceito e o estigma em relação a grupo e descritos e analisados. Buscar compreender suas representações sobre velhice, família, orientação sexual de maneira a conhecer este grupo social. A analise dos dados os depoimentos foram agrupados em categorias que são temas recorrentes no discurso dos sujeitos, e sua analise foi fundamentada nos teóricos

介紹 / 愛滋病在中國男男性行為者中的流行持續增長，而新感染HIV的男男性行為者扮演著重要角色。本民族志研究採用了社會生態模式來探討與新感染HIV的男男性行為者中HIV二代傳播、心理健康、以及使用健康服務相關的問題。研究方法包括深入訪談、焦點小組訪談、非正式訪談和參與觀察。此外還採訪了志願者和醫護人員。資料分析採用主題內容分析法。 / 結果 / 在確診為HIV呈陽性後，大多數的男男性行為者經受過一定程度的心理及精神上的問題。與HIV相關的緊張性刺激影響著他們適應這個確診。HIV與一些重要的心理、社會和文化的條件呈現一種綜合流行。而大多數的男男性行為者通過自身的應變能力逐漸康復，其中一些人甚至體驗到某種程度的成長。人的應變能力是一種基於個人與環境互動的建構。 / 11名（占24.4%）HIV呈陽性的男男性行為者報告發生過無保護的肛交行為。基於性伴侶的不同類型，與無保護肛交行為相關的因素則有所不同。這些無保護的肛交行為往往同時伴隨著物質濫用、對風險的錯誤認識、以及消極的情緒或者心理和精神問題。阻礙無保護肛交行為發生的積極因素包括社會支援、自我保健、自我保護和志願服務。 / 自上而下的公共衛生服務傾向於控制和檢測而不是賦權于男男性行為人群，並且在很大程度上忽視了新感染HIV的男男性行為者的心理和精神健康、性健康、以及自我保健的能力。新感染HIV的男男性行為者的未滿足的需求已經被識別，且他們更願意到男男性行為人群的社區，尤其是感染者小組那裏去尋求服務和支援。但男男性行為人群的草根組織卻缺乏資金和技術的支持。 / 結論 / 新感染HIV的男男性行為者所遭遇的問題都植根於特定的個人際遇以及他們所生活的社會生態系統。是時候採取一種廣泛而綜合的“健康同志社區的觀點、促進自我保健的策略、以及具有文化敏感性和社會效能的措施來預防HIV的二代傳播以及促進新感染HIV的男男性行為者的社會福祉。人類行為的非線性的特徵要求愛滋病健康行為研究從強調生物行為的範式轉移到著重愛滋病的社會根源的範式中來。 / Introduction / Newly diagnosed HIV positive men who have sex with men (NHIVMSM) play an important role in accelerating the high HIV prevalence in China. This ethnographic study, employing a modified social ecological model integrating concepts of adaptation, cognition, affect and action, investigated the inter-related issues on secondary HIV transmission, mental health and services utilization in this population. Methodologies included in-depth interviews, focus groups, informal interviews and participant observations. Moreover, information was also obtained from volunteers and health care workers. Thematic content analysis was performed. / Results / Most respondents commonly experienced psychological or mental health problems (e.g. depressive symptoms and anxiety) after their HIV diagnosis. HIV stressors, such as constraints of being HIV positive, limited information and knowledge of HIV/AIDS, ART and its side effects, associated co-morbidities and significant costs in health care, appeared to shape their adaptation to the diagnosis. Moreover, a syndemic was apparent among NHIVMSM and some influential psycho-social and cultural conditions, such as adversities in their migrants’ life, social suffering as MSM, cultural trauma, stigma and discrimination. Most respondents drew on a range of personal resilience strategies and some respondents testified to have achieved post-traumatic growth. Resilience was presented within a person-situation interactional construct. / Eleven (24.4%) respondents reported practicing unprotected anal intercourse (UAI). Several respondents reported their UAI had occurred in the first few months after their diagnosis when they suffered considerably from uncertainty, perceived stigma and identity struggles. Factors associated with UAI were based on differing partner types, such as fear of losing partners in a context of non-serostatus disclosure in lovers or stable partners, tongzhi (gay) sauna setting and moral judgment in casual partners, and poor economic status in commercial partners. UAI usually happened simultaneously in context of substance use, risk misconceptions, encountering negative emotion or mental health problems. Positive factors against UAI included social support, self-care, self-protection and volunteerism. / The current top-down public health services tended to operate on control and surveillance instead of empowering MSM. This approach largely ignored psychological and mental health, sexual health and self-care capacities among NHIVMSM, whose unmet needs were identified as preferring to obtain services and support from MSM and/or PLWH communities. However, current MSM organizations lacked funding and technical support. Health care providers operated with suboptimal care protocols, training and technical support. Coordination and collaborations among health care institutes and MSM communities were relatively weak. Tailored participatory health care is warranted, such as volunteerism, greater involvement of PLWH, health navigators and building supportive environment and services. / Conclusions / The problems of psychological and mental health, risky sexual behavior (UAI) and health services utilization that NHIVMSM encountered resulted from interactions between personal experiences and the social ecological systems they inhabited. Recommendation drawn include adopting a comprehensive and inclusive “healthy MSM community“ approach and a strategy of facilitating self-care to carry out culturally sensitive and socially effective measures to prevent secondary HIV transmission and to promote wellbeing among NHIVMSM. An emerging theoretical implication is that the nonlinearity of human behaviour requires paradigm shifting from a bio-behavioural emphasis to the social origin of HIV/AIDS. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Li, Haochu. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2012. / Includes bibliographical references (leaves 425-457). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese; appendixes includes Chinese. / Abstract (English) --- p.iv / Abstract (Chinese) --- p.vii / Acknowledgements --- p.ix / Table of Contents --- p.xi / List of Tables and Figures --- p.xv / Glossary --- p.xvi / Abbreviation --- p.xviii / Chapter Chapter 1 --- Introduction --- p.1 / Chapter 1.1 --- Background --- p.1 / Chapter 1.1.1 --- High HIV prevalence and incidence among MSM in China --- p.1 / Chapter 1.1.2 --- Social and cultural environment faced by HIV positive MSM --- p.3 / Chapter 1.2 --- Sexual risk and secondary HIV transmission among HIV positive (and newly diagnosed) MSM --- p.7 / Chapter 1.3 --- Psychological and mental health among HIV positive (and newly diagnosed) MSM --- p.10 / Chapter 1.4 --- Health service utilization among HIV positive (and newly diagnosed) MSM --- p.13 / Chapter 1.5 --- Exploring complexities of secondary HIV transmission through qualitative studies --- p.14 / Chapter 1.6 --- Theories, concepts and the research framework --- p.15 / Chapter 1.6.1 --- Conceptualization of adaptation in medical anthropology --- p.15 / Chapter 1.6.2 --- The social ecological model --- p.17 / Chapter 1.6.3 --- Cognitive adaptation and self-control --- p.19 / Chapter 1.6.4 --- Emotion and motivation are influential in health behaviour --- p.21 / Chapter 1.6.5 --- Action world and its role in health behaviour --- p.24 / Chapter 1.6.6 --- Social control/social order --- p.26 / Chapter 1.6.7 --- Stigma --- p.27 / Chapter 1.6.8 --- Identity control --- p.29 / Chapter 1.6.9 --- Research framework --- p.32 / Chapter 1.7 --- Goals, objectives and research questions --- p.34 / Chapter Chapter 2 --- Methodology --- p.38 / Chapter 2.1. --- Entrée into the field --- p.38 / Chapter 2.1.1 --- The start of the research --- p.38 / Chapter 2.1.2 --- Pilot work --- p.39 / Chapter 2.2 --- The participants --- p.43 / Chapter 2.3 --- Data collection --- p.50 / Chapter 2.4 --- Data analysis --- p.58 / Chapter 2.5 --- Rigour --- p.62 / Chapter 2.6 --- Reflexivity --- p.68 / Chapter 2.7 --- Ethical considerations --- p.75 / Chapter Chapter 3 --- Social circumstances and MSM communities in Shenzhen --- p.78 / Chapter 3.1 --- Population and economic circumstances --- p.78 / Chapter 3.2 --- Shifting political situation --- p.80 / Chapter 3.3 --- A migrant society --- p.87 / Chapter 3.4 --- Shenzhen Culture --- p.93 / Chapter 3.5 --- MSM community and tongzhi subculture --- p.98 / Chapter 3.6 --- The subgroup of HIV positive MSM --- p.113 / Chapter 3.7 --- Public health implications --- p.117 / Chapter Chapter 4 --- Health care system and services related to HIV case detection and follow up --- p.118 / Chapter 4.1 --- Formal health care system --- p.118 / Chapter 4.2 --- Health insurance --- p.125 / Chapter 4.3 --- “Four Free and One Care“ policy --- p.126 / Chapter 4.4 --- Informal health care --- p.127 / Chapter 4.5 --- Services related to HIV case detection and follow up --- p.131 / Chapter Chapter 5 --- Psychological and mental health --- p.142 / Chapter 5.1 --- Negative mental health outcomes --- p.142 / Chapter 5.1.1 --- Depressive symptoms --- p.142 / Chapter 5.1.2 --- Anxiety symptoms --- p.146 / Chapter 5.1.3 --- Factors associated with negative mental health outcome --- p.150 / Chapter 5.1.3.1 --- Individual factors --- p.150 / Chapter 5.1.3.2 --- Interpersonal factors --- p.157 / Chapter 5.1.3.3 --- Cultural factors in community and family --- p.160 / Chapter 5.1.3.4 --- Institutional and structural factors --- p.163 / Chapter 5.2 --- Positive mental health outcomes --- p.166 / Chapter 5.2.1 --- Integrating negative experiences and recovery --- p.166 / Chapter 5.2.2 --- Resources for recovery --- p.169 / Chapter 5.2.3 --- Back to normal functioning --- p.170 / Chapter 5.2.4 --- Post-traumatic growth --- p.172 / Chapter 5.2.5 --- Factors associated with positive mental health outcome --- p.175 / Chapter 5.2.5.1 --- Individual factors --- p.175 / Chapter 5.2.5.2 --- Interpersonal factor --- p.181 / Chapter 5.2.5.3 --- Community-related factors --- p.184 / Chapter 5.2.5.4 --- Institutional factors --- p.187 / Chapter 5.3 --- Public health concern of suicidal ideation --- p.190 / Chapter 5.4 --- Impacts of psychological and mental health --- p.194 / Chapter 5.5 --- Summary of psychological and mental health in a modified socio-ecological mode --- p.195 / Chapter 5.6 --- Discussion --- p.197 / Chapter 5.6.1 --- The emerging of a syndemic in HIV and some psycho-social and cultural conditions --- p.197 / Chapter 5.6.2 --- Powerful social and cultural factors associated with mental health --- p.200 / Chapter 5.6.3 --- Resilience among newly diagnosed HIV positive MSM --- p.208 / Chapter 5.6.4 --- Service implications --- p.213 / Chapter Chapter 6 --- Sexual risk --- p.221 / Chapter 6.1 --- Continued unprotected anal intercourse (UAI) after being diagnosed HIV positive --- p.221 / Chapter 6.2 --- Changes in practising UAI during the study period --- p.222 / Chapter 6.3 --- Factors associated with UAI with non-commercial sex partners --- p.224 / Chapter 6.3.1 --- Individual factors --- p.225 / Chapter 6.3.2 --- Interpersonal factors --- p.229 / Chapter 6.3.3 --- Community-based factors --- p.231 / Chapter 6.3.4 --- Institutional factors --- p.234 / Chapter 6.4 --- UAI with commercial sex partners --- p.235 / Chapter 6.5 --- Comparing factors associated with UAI among commercial and non-commercial partners --- p.238 / Chapter 6.6 --- Reduced risky behaviour after diagnosis --- p.239 / Chapter 6.7 --- Factors associated with condom use --- p.241 / Chapter 6.7.1 --- Individual factors --- p.241 / Chapter 6.7.2 --- Interpersonal factors --- p.246 / Chapter 6.7.3 --- Community factors --- p.248 / Chapter 6.8 --- Other special issues related to risky sexual behaviour --- p.250 / Chapter 6.9 --- Summary of sexual risk in a modified socio-ecological model --- p.261 / Chapter 6.10 --- Discussion --- p.263 / Chapter 6.10.1 --- Prevalence of UAI --- p.263 / Chapter 6.10.2 --- Partner types and UAI --- p.265 / Chapter 6.10.2.1 --- Fear of losing partners in a context of non-serostatus disclosure --- p.266 / Chapter 6.10.2.2 --- Anonymous sexual encounters and moral judgment --- p.267 / Chapter 6.10.2.3 --- Economic barriers --- p.270 / Chapter 6.10.2.4 --- Intrapersonal contexts --- p.271 / Chapter 6.10.3 --- Critical views on some practices --- p.274 / Chapter 6.10.4 --- Emerging positive experiences from Shenzhen --- p.276 / Chapter 6.10.5 --- Service implications --- p.279 / Chapter Chapter 7 --- Health service seeking --- p.285 / Chapter 7.1 --- Problems identified in health service seeking --- p.285 / Chapter 7.2 --- Processes of adaptation --- p.289 / Chapter 7.3 --- Negative factors associated with health service seeking --- p.296 / Chapter 7.3.1 --- Individual factors --- p.296 / Chapter 7.3.2 --- Interpersonal factors --- p.302 / Chapter 7.3.3 --- Community-based factors --- p.304 / Chapter 7.3.4 --- Health care institution-based factors --- p.309 / Chapter 7.4 --- Positive factors associated with health service seeking --- p.319 / Chapter 7.4.1 --- Individual factors --- p.319 / Chapter 7.4.2 --- Interpersonal factors --- p.321 / Chapter 7.4.3 --- Community-based factors --- p.325 / Chapter 7.4.4 --- Factors in the health care institutes--free services --- p.328 / Chapter 7.5 --- Summary of health service seeking in a modified socio-ecological model --- p.329 / Chapter 7.6 --- Discussion --- p.331 / Chapter 7.6.1 --- Problems in health care institutes --- p.331 / Chapter 7.6.1.1 --- The top-down approach -- controlling instead of community building --- p.331 / Chapter 7.6.1.2 --- Problems among health care providers --- p.335 / Chapter 7.6.2 --- Tailored participatory approach to health care and education for HIV positive MSM --- p.339 / Chapter 7.6.3 --- Necessity for developing MSM communities --- p.342 / Chapter 7.6.4 --- Service implications --- p.349 / Chapter Chapter 8 --- Discussion and implications --- p.355 / Chapter 8.1 --- The occurrences of UAI and its hidden meaning --- p.355 / Chapter 8.2 --- Informing the future HIV epidemic among MSM in Shenzhen --- p.357 / Chapter 8.3 --- Difficulties of controlling the HIV epidemic among MSM --- p.361 / Chapter 8.4 --- New HIV prevention approach --- p.368 / Chapter 8.5 --- Critiquing theories for recommended changes --- p.386 / Chapter 8.6 --- Limitations of the study --- p.400 / Chapter 8.7 --- Conclusion --- p.405 / Appendix I to IX --- p.409 / Bibliography --- p.425

Introdução - A população de jovens gays apresenta particular vulnerabilidade à infecção pelo HIV/aids. Segundo tendência observada em pesquisas, nos últimos dez anos observouse aumento estatisticamente significativo da taxa de detecção do vírus em homens gays com idades entre 18 e 29 anos. Para aqueles que recebem o diagnóstico de HIV/aids, a nova realidade se encontra envolvida por fatores como a auto aceitação da orientação sexual, estigmas anteriores ao diagnóstico, suporte familiar e social, crenças sobre o vírus e restabelecimento de vínculos e comportamentos. Contudo, são escassos estudos que foquem nas vivências das relações afetivas e sexuais de jovens gays após o diagnóstico. Objetivo - Estabeleceu-se como objetivo geral desta pesquisa compreender as implicações e significados do diagnóstico do HIV nas relações afetivo sexuais de jovens gays. Método - O estudo proposto baseia-se na pesquisa qualitativa, como forma de privilegiar os discursos dos sujeitos como fonte de informação. Foram realizadas entrevistas semi dirigidas com 10 jovens, com idades entre 18 e 24 anos, portadores do HIV e infectados por via sexual, acompanhados no ambulatório do Instituto de Infectologia Emílio Ribas. Os dados foram transcritos, organizados e analisados por meio da análise de conteúdo. Resultados Para muitos jovens, no período anterior ao diagnóstico, o HIV não se mostrava como uma fonte de preocupação, devido à possibilidade de tratamento e diminuição das mortes. O uso de antirretrovirais é influenciado pelo receio de alterações corporais, sendo que a possibilidade da lipodistrofia se mostra como uma causa para o abandono do tratamento. Grupos e redes sociais online são fundamentais na busca de informações sobre o HIV e de pares na mesma situação. O conhecimento da sorologia não motiva o uso de preservativo, principalmente com parceiros sexuais esporádicos. De forma análoga, com estes parceiros, os participantes relatam não se sentirem responsabilizados por eventuais transmissões secundárias do vírus, avaliando como responsabilidade do outro o uso de preservativo. As relações afetivas são marcadas pelo receio da transmissão do vírus e da revelação diagnóstica aos parceiros, de forma que muitos preferem se relacionar com outros jovens vivendo com HIV/aids. Considerações finais - A partir dos resultados foi possível apreender que a vivência das relações afetivas e sexuais desses jovens é atravessada por questões ligadas ao preconceito e à insegurança frente à doença. No âmbito comportamental, nota-se que o conhecimento sobre as formas de prevenção não é eficaz para a mudança de atitudes e práticas sexuais, o que pode ser relacionado ao aumento de novos casos da infecção entre jovens gays nos últimos anos. É possível apontar que as campanhas preventivas pouco dialogam com as realidades dos jovens trazendo à tona a necessidade de repensar o cuidado e as políticas disponíveis para esta população. / Introduction - The population of young gay men is in particular vulnerability to HIV/AIDS infection. According to researches over the last decade, there was a statistically significant increase in HIV infection rates in gay men aged between 18 and 29 years. For those who are diagnosed with HIV/AIDS, the new reality is surrounded by factors such as self acceptance of sexual orientation, stigmas before the diagnosis, family and social support, beliefs about the virus and the need of re-establish relationships and behaviors. However, there are few studies that focus on the experiences of emotional and sexual experiences of young gay men after diagnosis. Objectives - It was determined as a general objective of this research to understand the implications and meanings of HIV diagnosis in sexual and affective relationships of gay youth. Method - The proposed study is based on the assumptions of qualitative research which means that the subjects discourse was the source of information. 10 young people living with HIV, aged 18 to 24, and in treatment at the Instituto de Infectologia Emílio Ribas were interviewed. Data were transcribed, organized and analyzed using content analysis. Results - For many young people, in the period before diagnosis, HIV wasn´t a source of concern because of the possibility of treatment and decreased of deaths. The use of antiretroviral drugs is influenced by fear of body changes, and the possibility of lipodystrophy is shown as a cause for non-adherence to highly active antiretroviral therapy. Groups and online social networks are essential to find information about HIV and peer in the same situation. Knowledge of serology does not motivate the use of condoms, especially with casual sexual partners. Similarly, with these partners, participants reported not feeling responsible for any secondary transmissions of the virus, evaluating as the partner responsibility to condom use. Affective relationships are marked by the fear of virus transmission and diagnostic disclosure, making that many prefer to relate to other young people living with HIV / AIDS. Final Considerations - From the results it was possible to comprehend that the experience of emotional and sexual experiences of these young people is crossed by issues of prejudice and insecurity about the disease. In the behavioral level, we note that the knowledge of how to prevent it is not effective in changing attitudes and sexual practices, which may be related to the increase of new cases of infection among young gay men in recent years. It is possible to point out that the preventive campaigns do not dialogue with the realities of young people bringing up the need to rethink the care and policies available for this population.

This research examined the representation of homosexual men in soap opera Generations. It reveals that while homosexual characters have been incorporated in the locally produced soap opera Generations, the representation of such characters is revealed as 'other’. This dissertation argued that the representation of homosexual men in soap opera Generations are categorized negatively often being seen to be morally degenerate consequently; the inclusion of homosexual men in Generations is often associated with negative stereotypes. This study argues that homosexual men in Generations are often represented as having problems to be solved. This include homosexual men being faced with secrecy, shame, guilt, homosexual violence, rejection and other negative stereotypes as represented in soap opera Generations. The research highlights the social constructions and gender stereotypes in mainstream media television which consider homosexuality as abnormal, unnatural and sickness. The secrecy of homosexuality implied by mainstream media television representation makes homosexuality to appear as something concealed and related to shame and regret. In addition, the dissertation also looks in-depth into categories of negative stereotypes where being a gay primarily realizes on the rigid gender schemas exploited by the mainstream media television to represent homosexual men as not men enough which appeared as natural rather than socially constructed. This study‟s theoretical frame work brought together the concepts of different area of enquiry such as negative representation of homosexuality, homophobia, secrecy, guilt, shame while using discourse analysis. The major areas addressing the coding includes the representation of homosexuality in the text, soap operas' (Generations) representation of homosexual men and the specific themes and objectives guiding each selected episode of Generations. / Thesis (M.Soc.Sc.)-Unversity of KwaZulu-Natal, Durban, 2012.

Thesis (Ph. D.)--University of New South Wales, 2002. / Includes bibliographic references. Also available online.

Thesis (Ph. D.)--Queen's University, 1996. / Includes bibliographical references (leaves 224-239).

Thesis (M.P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 2008. / Source: Masters Abstracts International, Volume: 47-01, page: . Includes bibliographical references

Thesis (Ph. D.)--University of Texas School of Public Health. Thesis (Ph. D.)--University of Texas Health Science Center at Houston, School of Public Health, 2008. / Source: Dissertation Abstracts International, Volume: 69-02, Section: B, page: 0973. Adviser: Michael W. Ross. Includes bibliographical references.

Made available in DSpace on 2014-09-09T12:22:49Z (GMT). No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) 69592.pdf: 1554008 bytes, checksum: a4164fd0e5077827e063c4790ee1d7f9 (MD5) Previous issue date: 2013 / Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Departamento de Ensino. Programa de Pós-Graduação em Saúde da Criança e da Mulher. Rio de Janeiro, RJ, Brasil. / Esta tese contem dois artigos, resultantes de uma pesquisa que objetivou analisar aspectos relacionados à prevenção contra a Aids em ambientes virtuais homossexuais masculinos que se centravam na veiculação do corpo. Tomou-se como referência a idéia de que o cibercorpo se encontra na cibersexualidade, onde o corpo do outro, virtualizado, passa a ser somente um lugar de visita, como uma página na Internet e o sexo entre eles é o ideal. O primeiro artigo traz uma proposta de reflexão sobre a relação entre a cibercultura e a saúde pública e sua utilização como meio para pesquisa, e não apenas como instrumento. O segundo traz os resultados da pesquisa de campo realizada em um website. O desenho metodológico utilizado foi de natureza qualitativa, focalizando tanto a análise dos sentidos subjacentes às ideias quanto a sua contextualização à luz de significados culturais mais amplos. Os artigos trazem reflexões sobre as necessidades da Saúde Pública, enquanto campo e área de estudos, voltar seu olhar para a cibercultura e as novas formas de interação, levando em consideração os aspectos sócio-virtuais. Entre os resultados encontrados destacam-se os seguintes: corpo masculino desejado formatado por músculos definidos e ausência de pelos; percepção de vantagens da internet na busca do parceiro sexual e uso ou não do preservativo como medida de proteção contra à Aids baseado em avaliações do parceiro. Conclui-se ser importante fazer do ambiente virtual um espaço de problematização de ideias e experiências em prol da realização do prazer entre as pessoas, do mesmo sexo ou de sexos diferentes, sem que haja adoecimento do corpo. / This thesis contains two papers, resulting from a research that aimed to analyze aspects related to AIDS prevention in virtual gay men environments which focused on the image of the body. It has taken, as a reference, the idea that the cyberbody meets in c i bersexuality , where the body of another , virtualized , becomes only a place to visit, as a web page and the sex between them is the ideal. The first article presents a proposal for a reflection on the relationship between cyberculture and public health a nd its use as a way of research, and not just as a tool. The second one presents the results of field research conducted in a website. The design methodology was qualitative in nature, focusing on both the analysis of the meanings underlying ideas as to th e context in the light of broader cultural meanings. Both articles bring reflections on the needs of Public Health as a field and field of study, returning his gaze to cyberculture and new forms of interaction, taking into account the socio - virtual aspec ts . Among the results , we highlight the following: the desired male body defined by muscles and without hair; perceived advantages of the internet in a search for sexual partners and use or nonuse of condoms as a protection against AIDS based on assessme nts partner. It is concluded that important to the virtual environment of a space questioning of ideas and experiences to assist the achievement of pleasure between people of the same sex or different sexes , without the body getting sick.

Introdução - A população de jovens gays apresenta particular vulnerabilidade à infecção pelo HIV/aids. Segundo tendência observada em pesquisas, nos últimos dez anos observouse aumento estatisticamente significativo da taxa de detecção do vírus em homens gays com idades entre 18 e 29 anos. Para aqueles que recebem o diagnóstico de HIV/aids, a nova realidade se encontra envolvida por fatores como a auto aceitação da orientação sexual, estigmas anteriores ao diagnóstico, suporte familiar e social, crenças sobre o vírus e restabelecimento de vínculos e comportamentos. Contudo, são escassos estudos que foquem nas vivências das relações afetivas e sexuais de jovens gays após o diagnóstico. Objetivo - Estabeleceu-se como objetivo geral desta pesquisa compreender as implicações e significados do diagnóstico do HIV nas relações afetivo sexuais de jovens gays. Método - O estudo proposto baseia-se na pesquisa qualitativa, como forma de privilegiar os discursos dos sujeitos como fonte de informação. Foram realizadas entrevistas semi dirigidas com 10 jovens, com idades entre 18 e 24 anos, portadores do HIV e infectados por via sexual, acompanhados no ambulatório do Instituto de Infectologia Emílio Ribas. Os dados foram transcritos, organizados e analisados por meio da análise de conteúdo. Resultados Para muitos jovens, no período anterior ao diagnóstico, o HIV não se mostrava como uma fonte de preocupação, devido à possibilidade de tratamento e diminuição das mortes. O uso de antirretrovirais é influenciado pelo receio de alterações corporais, sendo que a possibilidade da lipodistrofia se mostra como uma causa para o abandono do tratamento. Grupos e redes sociais online são fundamentais na busca de informações sobre o HIV e de pares na mesma situação. O conhecimento da sorologia não motiva o uso de preservativo, principalmente com parceiros sexuais esporádicos. De forma análoga, com estes parceiros, os participantes relatam não se sentirem responsabilizados por eventuais transmissões secundárias do vírus, avaliando como responsabilidade do outro o uso de preservativo. As relações afetivas são marcadas pelo receio da transmissão do vírus e da revelação diagnóstica aos parceiros, de forma que muitos preferem se relacionar com outros jovens vivendo com HIV/aids. Considerações finais - A partir dos resultados foi possível apreender que a vivência das relações afetivas e sexuais desses jovens é atravessada por questões ligadas ao preconceito e à insegurança frente à doença. No âmbito comportamental, nota-se que o conhecimento sobre as formas de prevenção não é eficaz para a mudança de atitudes e práticas sexuais, o que pode ser relacionado ao aumento de novos casos da infecção entre jovens gays nos últimos anos. É possível apontar que as campanhas preventivas pouco dialogam com as realidades dos jovens trazendo à tona a necessidade de repensar o cuidado e as políticas disponíveis para esta população. / Introduction - The population of young gay men is in particular vulnerability to HIV/AIDS infection. According to researches over the last decade, there was a statistically significant increase in HIV infection rates in gay men aged between 18 and 29 years. For those who are diagnosed with HIV/AIDS, the new reality is surrounded by factors such as self acceptance of sexual orientation, stigmas before the diagnosis, family and social support, beliefs about the virus and the need of re-establish relationships and behaviors. However, there are few studies that focus on the experiences of emotional and sexual experiences of young gay men after diagnosis. Objectives - It was determined as a general objective of this research to understand the implications and meanings of HIV diagnosis in sexual and affective relationships of gay youth. Method - The proposed study is based on the assumptions of qualitative research which means that the subjects discourse was the source of information. 10 young people living with HIV, aged 18 to 24, and in treatment at the Instituto de Infectologia Emílio Ribas were interviewed. Data were transcribed, organized and analyzed using content analysis. Results - For many young people, in the period before diagnosis, HIV wasn´t a source of concern because of the possibility of treatment and decreased of deaths. The use of antiretroviral drugs is influenced by fear of body changes, and the possibility of lipodystrophy is shown as a cause for non-adherence to highly active antiretroviral therapy. Groups and online social networks are essential to find information about HIV and peer in the same situation. Knowledge of serology does not motivate the use of condoms, especially with casual sexual partners. Similarly, with these partners, participants reported not feeling responsible for any secondary transmissions of the virus, evaluating as the partner responsibility to condom use. Affective relationships are marked by the fear of virus transmission and diagnostic disclosure, making that many prefer to relate to other young people living with HIV / AIDS. Final Considerations - From the results it was possible to comprehend that the experience of emotional and sexual experiences of these young people is crossed by issues of prejudice and insecurity about the disease. In the behavioral level, we note that the knowledge of how to prevent it is not effective in changing attitudes and sexual practices, which may be related to the increase of new cases of infection among young gay men in recent years. It is possible to point out that the preventive campaigns do not dialogue with the realities of young people bringing up the need to rethink the care and policies available for this population.