重庆市城区农民工男男性行为者艾滋病性病知识及性行为的定性研究

目的了解重庆市城区农民工中男男性行为者(MSM)的人群特征、艾滋病性病相关知识、态度及性行为方式等。方法采用定性研究的方法,对农民工中的MSM进行深入访谈。结果共访谈12名农民工MSM,他们经济条件差,居住环境简陋,境遇性MSM广泛存在;文化程度较低,艾滋病性病健康知识匮乏;健康意识薄弱,同性高危性行为较多;婚姻压力大,已婚MSM多,与异性发生高危性行为多;专门聚集活动场所较少,更倾向于在公共场所寻找陌生性伴;艾滋病相关服务可及性较差。结论农民工MSM的艾滋病性病防治现状不容乐观,需加强对该人群的干预。

Qualitative study on AIDS/STDs related knowledge and sexual behaviors among MSM migrant workers in Chongqing

Objective To study the group characteristics of MSM(men who have sex with men) who are migrant workers in Chongqing,their knowledge of and attitude towards AIDS and STDs(Sexually Transmitted Diseases),and the patterns of their sexual behavior.Method An in-depth interview was conducted with 12 key personages who played an essential role in anti-AIDS campaigns among MSM migrant workers.Results The interviewed MSM migrant workers had poor financial and living conditions,and causal sex among them was fairly common;the migrant workers were less educated,and lacked AIDS/STDs related knowledge and health awareness,resulting in high-risk homosexual behaviors.In addition,they were faced with high pressure for marriage.Most of them were married and had high risk heterosexual behaviors;there were fewer public gathering places,and so they had a tendency to look for unfamiliar sex partners in the public places.They also had poor accessibility to AIDS-related services.Conclusion The current situation of AIDS prevention and treatment among MSM migrant workers seems not optimistic and interventions shall be enhanced among them.