男男性接触者人群艾滋病防治相关信息定性研究

目的]了解男男性接触者（MSM）人群与艾滋病相关的行为及其对艾滋病防治工作的看法和需求。方法]在社区通过“滚雪球”抽样和方便样本招募男男性接触者,对其进行个人深入访谈。结果]共调查49名MSM,分布在各个年龄段,文化程度和职业与社会大众人群没有区别。多数城市有MSM活动的固定场所,如公园、酒吧等,但经常到公共场所活动的人数与经济发展水平和社会开放程度有关。多数MSM认为导致艾滋病在该人群传播的主要原因是多性伴、性伴不固定、安全套使用率低等不安全性行为。大部分MSM认为在该人群中开展艾滋病防治工作是非常有必要的,希望及时了解艾滋病流行形势和国家艾滋病防治政策,获得艾滋病检测、咨询和安全套服务。多数MSM不愿意参加艾滋病防治活动的原因是怕暴露身份,担心自己和家人受到社会的歧视。结论]MSM是客观存在的,并且来自社会各个阶层。不安全性行为是影响艾滋病在该人群传播的重要因素。在艾滋病防治工作中应重视该人群的服务需求和特点。

QUALITATIVE INVESTIGATION ON AIDS RELATED INFORMATION AMONG MSM

Objective]To understand AIDS related behaviors of men who have sex with men(MSM)and their attitude and demand towards work for AIDS control and prevention.Methods]Convenience sampling and snowball sampling techniques were applied to recruit MSM participants in community,and every subject was investigated by person in-depth interview.Results]A total of 49 MSM were investigated,whose age distribution,educational level and occupations were the same as the general population.There were certain places for MSM in most cities,such as park,bar and so on.But the number of MSM who appeared in public places more often was relevant with the economic development and opening degree of the city.Most MSM thought that the main causes leading to AIDS spreading in MSM were multiple and unsteady sexual partners,the low rate of condom using and so on.Most MSM regarded that it was very necessary to develop work for AIDS prevention and control among MSM,and expected to know some information about the AIDS epidemic situation and national policies for AIDS prevention and control,and desired to obtain some service of AIDS testing,AIDS consultation and condom providing.The reasons that most MSM were unwilling to participate in relevant work for AIDS prevention and control were afraid of exposure of their MSM identity and social discrimination towards themselves and their family members.Conclusions]MSM are impersonal and from every social stratum.Unsafe sexual behaviors are the important factor influencing the spread of AIDS among MSM.The demand and features of AIDS service among MSM should be emphasized in AIDS prevention and control work.