经男男性行为感染HIV者无保护性行为发生因素的定性研究  

A qualitative study on factors leading to unprotected sex in newly reported HIV/AIDS cases among men who have

作　　者：熊勇超 徐杰[1] 罗巍[1] 董薇[1] 江震[1] 王韶嵘 周楚[1] 吴尊友[1] sex with men XIONG Yongchao;XU Jie;LUO Wei;DONG Wei;JIANG Zhen;WANG Shaorong;ZHOU Chu;WU Zunyou(National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Training Center of Red Cross Society of China,Beijing 100010,China)

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206 [2]中国红十字会总会训练中心,北京100010

出　　处：《中国艾滋病性病》2024年第5期471-474,共4页Chinese Journal of Aids & STD

摘　　要：目的探究经男男性行为感染HIV者发生无保护性行为的相关因素。方法2023年5-8月在6个城市的疾病预防控制中心、HIV抗病毒治疗门诊和社会组织,招募2020年1月以后新报告的经男男性行为感染HIV者,采用定性研究的方法进行一对一深入访谈。结果共访谈了65名HIV感染者,其中青年学生18人,<50岁社会男性33人,≥50岁社会男性14人。自报因临时性伴感染40人,因固定性伴感染22人,无法确认感染来源3人。关于与临时性伴发生无保护性行为的相关因素,青年学生以HIV预防措施认知不足和存在较强侥幸心理为主,<50岁社会男性除以上因素,还包括物质滥用,≥50岁社会男性以HIV预防措施认知不足为主。与固定性伴发生无保护性行为的相关因素主要是存在盲目的信任心理。结论预防措施认知不足、侥幸心理、物质滥用、群交行为及对固定性伴的信任是MSM无保护性行为发生的相关因素,不同亚组MSM无保护性行为发生因素有所不同,应根据亚组人群的特点采取针对性的HIV干预措施。Objective This study aimed to investigate the factors contributing to unprotected sex in newly reported HIV/AIDS cases among men who have sex with men(MSM).Methods From May to August 2023,new HIV/AIDS cases were selected among MSM who were receiving antiviral treatment from clinics or non-governmental organizations in six cities.One-to-one in-depth interviews were conducted using qualitative research methods.Results A total of 65 patients with HIV/AIDS were interviewed,including 18 young students,33 societal males below 50 years old,and 14 societal males older than 50 years old.Among these patients,40 reported being infected due to non-regular sexual partners,22 due to regular sexual partners,and 3 due to unknown infection sources.Factors leading to unprotected sex with non-regular sexual partners included insufficient awareness of HIV/AIDS prevention measures and a strong sense of luck among young students.Additionally,substance abuse contributed to unprotected sex among societal males younger than 50 years old.Among societal males aged 50 years old and above,the main factor was insufficient awareness of HIV/AIDS prevention measures.Blind trust was identified as the primary factor leading to unprotected sex with regular sexual partners.Conclusions Unprotected sex was associated with a lack of awareness of HIV/AIDS prevention measures,a strong sense of luck,substance abuse,group sex,and blind trust in regular sexual partners.These factors varied among different age groups,highlighting the need for customized HIV/AIDS intervention measures tailored to the characteristics of the targeted population.

关 键 词：男男性行为者 艾滋病病毒 无保护性行为 定性研究 

分 类 号：R373.9[医药卫生—病原生物学] R512.91[医药卫生—基础医学]