Look into the HIV Epidemic of Gay Community with a Socio-Cultural Perspective: A Qualitative Study in China, 2015-2016.
Look into the HIV Epidemic of Gay Community with a Socio-Cultural Perspective: A Qualitative Study in China, 2015-2016.
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从社会文化视角审视同性恋群体艾滋病流行情况：2015-2016年中国定性研究
DOI：
10.1371/journal.pone.0170457
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Yang J
中科院分区：
文献类型：
--
作者：
He H;Lv F;Zhang NN;Wu Z;Liao Q;Chang Z;Li Y;Xu H;OuYang L;Huan X;Yang J
背景目前中国的研究继续通过关注疾病的透镜来看待男性同性恋，对性行为和艾滋病毒传播的社会文化方面的关注有限。本研究旨在探讨社会文化因素如何影响当代中国男同性恋者的性观念和性行为，以及其对艾滋病流行的影响。方法和结果定性方法在这项研究中使用。在2015-2016年期间，对中国江西、河南、黑龙江、广东、江苏和重庆市的61名自认为同性恋的男性进行了深入访谈。我们的研究显示：1）受中国传统文化的影响，男同性恋者在自我认同上存在冲突，导致自我接纳度低、性态度消极，社会心理压力大; 2）男同性恋群体存在代际差异，表现为不同的性态度、性行为和结交新朋友的方式，这对艾滋病防控工作具有启示和挑战;（3）社会文化障碍，包括对随意性行为和非一夫一妻制关系的开放态度，以及对健康需求的低优先级，导致同性恋群体对艾滋病的消极应对。结论对中国男同性恋者艾滋病的流行有一个全面的认识。在这项研究中发现的艾滋病毒控制和预防的社会文化障碍，要求认真和迫切考虑综合措施，包括有针对性的努力，有效的性教育和进一步纳入社会文化的角度艾滋病毒/艾滋病干预男同性恋者。
Background Current Chinese studies continue to view male homosexuality through a disease focused lens which pays limited attention to socio-cultural aspects of sexual behavior and HIV transmission. This qualitative study aimed to investigate how socio-cultural factors influence gay men’s sexual beliefs and behaviors in contemporary China, and their implications for HIV epidemic. Methods and Findings Qualitative methodology was used in this study. During 2015–2016, in-depth interviews were conducted with 61 self identified gay men in Jiangxi, Henan, Heilongjiang, Guangdong, Jiangsu provinces and Chongqing municipality of China. Our study revealed that: 1) influenced by Chinese traditional culture, gay men have conflicts on self-identity, which led to low self-acceptance and negative attitude on sex, and huge socio-psychological stress; 2) a generational differences within gay community was observed, reflected in varied sexual attitudes and practices as well as way for approaching new friends, both of which have implications and challenges on HIV control and prevention; 3) socio-cultural barriers, including open minds towards casual sex and nonmonogamous relationship, and low priority of health demands were widely observed and led to negative coping with AIDS among gay community. Conclusions It is essential to take a holistic view into gay men’s HIV epidemic in China. Socio-cultural barriers for HIV control and prevention found in this study call for serious and imperative consideration on integrated measures, including targeted efforts towards effective sex education and further inclusion of socio-cultural perspectives in HIV/AIDS interventions for gay men.