某社区MSM群体中HIV危险行为的成因分析  

Causal Analysis of HIV Risk Behavior among Male Who Have Sex with Male in a Community

作　　者：刘雅琼[1] 吴龙[1] 王太武[1] 林辉[1] 李亚斐[1] 许斌[1] 熊鸿燕[1] 陈晓月[2] 刘虹宏 陈思源[3] 

机构地区：[1]第三军医大学军事预防医学院军队流行病学教研室,重庆400038 [2]重庆市沙坪坝区疾病预防控制中心,重庆400038 [3]重庆市公共卫生医疗救治中心,重庆400036

出　　处：《中国循证医学杂志》2013年第11期1288-1293,共6页Chinese Journal of Evidence-based Medicine

摘　　要：目的探讨男男性行为人群（MSM）HIV危险行为的影响因素。方法以某卒十区36名MSM为对象，以行为量表测试和定性研究方法测定、分析并掌握该群体的HIV危险行为特点、社会环境状况及埘危险性行为暴露的观点。采用Nvivo8．0软件整理、分析采集的信息，并依照扎根理论对信息资料进行3级编码后进一步归纳和提取数据。结果36名被调查人群的HIV危险度评分为8．08＋2．46分，其中72％人群位于中分段（5～10分）、19％人群位于高分段（≥10分）；其SSQ评分为32．38±5．99分，低于大学生和流动人群的评分。定性分析显示，该MSM群体HIV危险度的促进因素归属于11条关键信息和4个范畴，包括①对艾滋病的恐惧程度降低；②男性角色和不确定型性倾向；③社会支持度低；④在性行为发生环境，安全套可及性不够。结论MSM人群的AIDS／HIV干预措施有待深入研究．基于AIDS恐惧体验、社会支持、安全套发放方法的社区干预模式需要加强。Objective To explore the key influencing factors of HIV risk behavior among male who have sex with male （MSM）. Methods 36 MSM subjects in a community were recruited for HIV risk behavior characteristics, social environment and the attitude of exposure of high risk sexual intercourse, using behavior scales and qualitative research methods. The collected data were orderly input and analyzed using Nvivo 8.0 software. Then, after three-level transcrip- tion, the data were further summarized and extracted based on the method of the grouding theory. Results The HIV Risk Assessment Questionnaire score of 36 subjects was 8.08_＋2.46, of whom, 72% scored at a medium level （5 to 10 scores） and 19% scored at a high level （more than 10 scores）. The social support rating scale （SSRS） score was 32.38~5.99 in MSM population, lower than in undergraduates and floating population. The results of qualitative analysis showed that, after open coding, 11 key message and 4 categories contributed to HIV risk in MSM populaiton, including： a） low levels of fear for AIDS; b） male role and uncertain sexual orientation; c） low degree social support; and d） poor availability of condom in the setting of sexual intercourse. Conclusion The interventions against AIDS/HIV for MSM need to be fur- ther studied. Besides, we should strengthen the community intervention mode based on fear for AIDS, social support, and condom distribution methods.

关 键 词：男男性行为 HIV危险度 定性研究 

分 类 号：R512.91[医药卫生—内科学]