2010-2015年随州市男男性行为者艾滋病综合干预失败定性研究  

Qualitative research on the failure of AIDS comprehensive intervention among MSM in Suizhou City,2010-2015

作　　者：石修业[1] 周沛林[1] 姚秋菊[1] 张涛[1] 冯东红[1] 沈强[1] 

机构地区：[1]湖北省随州市疾病预防控制中心.湖北随州441300

出　　处：《实用预防医学》2017年第6期669-671,679,共4页Practical Preventive Medicine

基　　金：湖北省计生委科研基金项目(02-16-519021)

摘　　要：目的分析男男性行为者艾滋病综合干预失败原因,为艾滋病防治提供科学依据。方法采用深度访谈的方法,通过对随州市2010-2015年MSM综合干预失败者进行深入访谈,分析其性行为特征、危险因素。结果共访谈25名,其中42岁以上占72%,未婚、离异或丧偶占92%,初中以下学历占48%,无固定职业者56%,拥有4个以上性伴者占72%,接受干预前后均发生过无保护肛交,艾滋病知识知晓率达100%,92%对象认为在同伴交往中经济实力较强一方有话语权。结论知行分离、隐性商业性行为、更加放纵孤独的大年龄MSM,是综合干预失败的主要因素。Objective To analyze the causes of failure of AIDS comprehensive intervention among men who have sex with men （MSM） , and to provide a scientific basis for AIDS prevention and treatment. Methods In-depth interviews with MSM who failed to react positively to comprehensive intervention in Suizhou City from 2010 to 2015 were carried out to explore the character- istics and risk factors of their sexual behavior. Results A total of 25 participants were interviewed. 72% were above 42 years old. 92% were unmarried, divorced or widowed. 48% had educational background of junior middle school or lower and 56% did not have a regular occupation. 72% had four or more sexual partners. They all acknowledged that they had unprotected anal sex before and after the intervention. 100% were aware of the knowledge about AIDS. 92% agreed that the one with higher economic status would play a dominant role in peer communication. Conclusion The main risk factors of failure of AIDS comprehensive inter- vention among MSM are as follows： separation between AIDS prevention knowledge and behavior, recessive commercial sexual be- havior and self-indulgence, loneliness and advanced age.

关 键 词：男男性行为者 艾滋病 综合干预 危险因素 

分 类 号：R512.91[医药卫生—内科学]