Self-perceived HIV risk and the use of risk reduction strategies among men who engage in transactional sex with other men in Ho Chi Minh City, Vietnam.
Self-perceived HIV risk and the use of risk reduction strategies among men who engage in transactional sex with other men in Ho Chi Minh City, Vietnam.
复制标题
DOI：
10.1080/09540121.2012.748873
复制
发表时间：
2013-08
期刊：
影响因子：
1.7
通讯作者：
Colby D
中科院分区：
文献类型：
--
作者：
Mimiaga MJ;Reisner SL;Closson EF;Perry N;Perkovich B;Nguyen T;Trang NN;Lan HX;Thien DD;Mayer KH;Colby D
在越南男男性行为者(MSM)中可以看到一种新的艾滋病毒流行，流行率高达18%。交易性行为是全球男男性接触者中艾滋病毒传播/感染的风险因素，特别是在城市环境中，但在越南胡志明市，仍在很大程度上未得到充分调查。2010年，23名男男性接触者在上个月完成了一项简短的调查和半结构定性访谈，以评估社会人口学、个人和结构层面的艾滋病毒风险因素，并探索可接受的未来预防干预措施。参与者的平均年龄为24岁。自认为是异性恋/异性恋者、同性恋者/同性恋者和双性恋者的受访者比例相等。参与者在过去一年中平均有158名男性客户，过去一年中男性客户的中位数为60名(四分位数范围[IQR]=70)，并报告了不一致的避孕套使用和对艾滋病毒风险的不准确感知。近一半的受访者报告称，在过去的12个月里，他们曾与男性伴侣发生过无保护措施的肛交，三分之一的受访者与男性客户发生过性关系。针对男性性工作者的艾滋病毒预防干预措施出现的主要主题是：(1)侧重于个人因素(毒品和酒精的使用、避孕套的使用障碍、无症状性传播感染的知识、行为风险降低技能的增强，以及解决伴随而来的心理健康问题)；(2)纳入人际和关系背景(由同伴教育者领导、培养人际关系技能、关注伴侣类型和亲密关系动态)；以及(3)考虑个人选择/关系运作的外生环境(在越南成为MSM的耻辱、可替代的经济机会和多种多样的性场所)。需要作出预防艾滋病毒的努力，以满足在母婴传播中心从事交易性行为的男男性行为者的具体需求。男男性接触者普遍赞同艾滋病毒预防干预措施，这表明需要并渴望在这方面做出努力。
An emerging HIV epidemic can be seen among men who have sex with men (MSM) in Vietnam, with prevalence as high as 18%. Transactional sex represents a risk factor for HIV transmission/acquisition among MSM globally, particularly in urban contexts, but remains largely underinvestigated in Ho Chi Minh City (HCMC), Vietnam. In 2010, 23 MSM who reported exchanging sex for money in the last month completed a brief survey and semistructured qualitative interview at The Life Centre, a non-governmental organization in HCMC, to assess sociodemographics, individual- and structural-level HIV risk factors and explore acceptable future prevention interventions. Participants’ mean age was 24 years. Equal proportions of respondents self-identified as heterosexual/straight, homosexual/gay, and bisexual. Participants had a mean of 158 male clients in the past year, with a median of 60 male clients in the past year (interquartile range [IQR]=70) and reported inconsistent condom use and inaccurate perceptions of HIV risk. Nearly half of the sample reported engaging in unprotected anal sex with a male partner in the past 12 months and one-third with a male client. Major themes that emerged for HIV prevention interventions with male sex workers were those that: (1) focused on individual factors (drug and alcohol use, barriers to condom use, knowledge of asymptomatic STIs, enhancement of behavioral risk-reduction skills, and addressing concomitant mental health issues); (2) incorporated interpersonal and relational contexts (led by peer educators, built interpersonal skills, attended to partner type and intimacy dynamics); and (3) considered the exogenous environments in which individual choices/relationships operate (stigma of being MSM in Vietnam, availability of alternative economic opportunities, and varied sexual venues). HIV prevention efforts are needed that address the specific needs of MSM who engage in transactional sex in HCMC. Universally, MSM endorsed HIV prevention interventions, suggesting a need and desire for efforts in this context.
登录
查看更多内容
影响因子：
1.6
作者：
Clatts, Michael C.;Giang, Le M.;Yi, Huso
通讯作者：
Yi, Huso
DOI：
10.1097/00126334-200301010-00012
发表时间：
2003-01-01
影响因子：
3.6
作者：
Colby, DJ
通讯作者：
Colby, DJ
DOI：
10.1007/978-0-387-73285-5_11
发表时间：
2008-01-01
期刊：
ETHNOCULTURAL PERSPECTIVES ON DISASTER AND TRAUMA: FOUNDATIONS, ISSUES, AND APPLICATIONS
影响因子：
--
作者：
Kaplan, Aaron S.;Huynh, Uyen Kim
通讯作者：
Huynh, Uyen Kim
影响因子：
1.8
作者：
Colby, D;Cao, NH;Doussantousse, S
通讯作者：
Doussantousse, S
影响因子：
3.6
作者：
Colby, D.;Minh, T. Tan;Toan, T. T.
通讯作者：
Toan, T. T.