Sexual behaviors of individuals with HIV living in south India: A qualitative study
Sexual behaviors of individuals with HIV living in south India: A qualitative study
复制标题
DOI：
10.1521/aeap.2007.19.4.334
复制
发表时间：
2007-08-01
影响因子：
1.8
通讯作者：
Safren, Steven A.
中科院分区：
文献类型：
--
作者：
Krishnan, A. K. Sri;Hendriksen, Ellen;Safren, Steven A.
有关受该流行病影响尤为严重的地区的艾滋病毒感染者性行为的形成性数据，可以帮助生成有关艾滋病毒感染者性行为风险的假设，并制定干预措施以防止进一步传播。印度是世界上艾滋病毒感染者人数最多的国家，但有关印度艾滋病毒感染者性行为的信息却很少。本定性研究提出了对印度南部 30 名艾滋病毒感染者进行个人深入访谈的主题。样本包括来自可能经历不同风险因素的人口群体的个体（每组五人：男男性行为者、性工作者、已婚男性、已婚女性、注射吸毒者、卡车司机或出差的男性）。在各个群体中，三个最常讨论的主题涉及（a）性行为改变（艾滋病毒诊断后性风险降低，开始抗逆转录病毒治疗后性行为保持安全），（b）降低风险的动机（保护自己免受进一步感染的动机，保护他人免受感染的动机），以及（c）降低风险的障碍（与安全套谈判相关的复杂性和耻辱感，艾滋病毒感染者同伴不太关心保护他人的看法，与性别和性角色相关的安全套使用，使用安全套不方便或没有吸引力）。这些定性数据可用于生成有关印度南部艾滋病毒感染者性行为风险的假设，为定量研究艾滋病毒感染者的危险行为模型提供信息，并为二级预防干预工作奠定基础，以增强促进因素并减少受访者提出的安全性行为障碍。
Formative data on the sexual behaviors of HIV-infected individuals in regions disproportionately affected by the epidemic can help generate hypotheses about sexual risk taking in HIV-infected individuals and shape interventions to prevent further transmission. India is home to the highest number of HIV-infected individuals in the world, and very little information is available about the sexual behaviors of HIV-infected Indians. The present qualitative study presents themes from individual in-depth interviews with 30 HIV-infected individuals in South India. The sample included individuals from demographic groups that may experience different risk factors (five individuals each: from men who have sex with men, sex workers, married men, married women, injection drug users, and truck drivers or men who travel for work). Across the groups, the three most frequently discussed themes involved (a) sexual behavior change (sexual risk reduction after HIV diagnosis, sexual behavior remaining safe after initiation of ART treatment), (b) motivations to reduce risk (motivation to protect one's self against further infection, to protect others from infection), and (c) barriers to reduce risk (complexity and stigma associated with condom negotiation, perception of HIV-infected peers being less concerned about protecting others, condom use as linked to gender and sexual roles, condom use as inconvenient or unappealing). This qualitative data can be used to generate hypotheses about sexual risk taking in HIV-infected individuals in South India, to inform models of risky behaviors of HIV-infected individuals for quantitative studies, and to lay the groundwork for secondary prevention intervention efforts that enhance facilitators and reduce barriers of safer sex articulated by the interviewees.