安徽省MSM社群内艾滋病相关羞辱和歧视的差序格局研究  

A study on the difference pattern of HIV/AIDS-related stigma and discrimination among the MSM community in Anhui

作　　者：杨慧云[1] 吴贻乐 孙业桓[1] 王君[1] 姚辉 张洪波[1] 赵雪[1] 陈健[1] 

机构地区：[1]安徽医科大学公共卫生学院流行病与卫生统计学系,安徽合肥230032 [2]合肥市疾病预防控制中心艾滋病科,安徽合肥230000

出　　处：《中华疾病控制杂志》2015年第6期586-589,共4页Chinese Journal of Disease Control & Prevention

基　　金：全球基金中国艾滋病项目(C80-2012-研09)

摘　　要：目的了解安徽省男男性行为人群(men who have sex with men,MSM)社群内不同关系层同伴(男友/固定性伴、同性偶然性伴、MSM社群普通朋友、MSM社群一般人员)对人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者和获得性免疫缺陷综合征(acquired immunodeficiency syndrome,AIDS)病人艾滋病相关羞辱和歧视的差序格局特征及其主要表现形式。方法采用面对面的问卷调查方式,匿名调查安徽省184名HIV阳性MSM和202名HIV阴性MSM。结果 HIV阴性MSM对不同关系层的HIV/AIDS患者的羞辱和歧视评分差异存在统计学意义(F=7.76,P<0.001),且这种差异呈现出关系越亲近,羞辱和歧视情况越严重的趋势。同性性伴关系层主要表现在对性要求的拒绝和排斥,而社群普通朋友和一般人员则主要表现为议论、言语羞辱和嘲笑。结论MSM社群中普遍存在对HIV/AIDS患者的羞辱和歧视,且具有一定的差序格局特征,因此应针对这些特点采取行之有效的干预策略和措施。Objective To understand the different pattern of HIV/AIDS-related stigma and discrimination from different relationship peers( boyfriend / regular sexual partners,casual homosexual partners,ordinary friend,general persons) to HIV / AIDS patients among the MSM( men who have sex with men) community in Anhui,as well as to analyze the form of stigma and discrimination.Methods A total of 184 HIV-positive MSM and 202 HIV-negative MSM in Anhui were investigated by anonymous face to face questionnaire.Results Statistical difference was found in the scores of HIV / AIDSrelated stigma and discrimination among different groups of HIV-negative MSM( F = 7.76,P < 0.001),and the differences had a particular pattern that the HIV / AIDS-related stigma and discrimination got more serious when their relations were closer.The discrimination among homosexual partnership layer mainly displayed in the sex requirement refusal,and the discrimination among community ordinary friends and general persons mainly displayed gossip,verbal humiliation and ridicule.Conclusions HIV / AIDS-related stigma and discrimination to HIV / AIDS-positive MSM is common in MSM community and has the certain character and pattern,therefore the effective strategies and measures should be taken to eliminate the HIV / AIDS-related stigma and discrimination.

关 键 词：获得性免疫缺陷综合征 性行为 问卷调查 

分 类 号：R512.91[医药卫生—内科学] R181.1[医药卫生—临床医学]