Participatory communication and HIV/AIDS prevention in a Chinese marginalized (MSM) population
Participatory communication and HIV/AIDS prevention in a Chinese marginalized (MSM) population
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DOI：
10.1080/09540120601114832
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发表时间：
2007-07-01
影响因子：
1.7
通讯作者：
Wang, S.
中科院分区：
文献类型：
--
作者：
Gao, M. Yun;Wang, S.
中国地区艾滋病病毒/艾滋病已进入快速普遍上升的关键阶段。据估计，中国已有100多万人感染了艾滋病毒，其增长速度位居世界前列。如果不立即采取更严厉和有效的预防措施，到2010年，这一数字可能会增加到1000万。在中国身上，男性之间的性行为一直是艾滋病病毒传播的一个很“隐蔽”的来源。在中国看来，同性恋不再是一种犯罪行为，然而，在男男性接触者(MSM)中，传统的由官方主导的所谓同伴教育项目在采纳和向他们的网络传播关键信息方面收效甚微。这是因为在MSM中通过社区宣传来预防艾滋病的氛围并没有得到实质性的改变，这是因为这些男性仍然面临着来自社会的强烈反对和抵制，他们在中国是一个相当边缘化的人群。在成都开展的这项研究是第一次探索如何使用社会和文化上合适的参与性沟通来促进与成都男同性恋者和男男性接触者的安全性行为，中国说。这项研究通过方案中这些男子之间的参与性沟通方法，审查了同伴带头的健康信息传播在促进避孕套使用方面的有效性。主要研究结果表明，在干预组中，以同伴为基础的参与式沟通策略对于鼓励随意性伴侣使用避孕套是有效的。对照组无明显变化。它表明，参与性参与是改变与艾滋病毒有关的安全性行为的主要动力，可以建议在男同性恋者和男男性接触者的广泛背景下促进更安全的性行为。
HIV/AIDS in China has entered a critical stage of rapid and widespread increase. It has been estimated that more than one million people in China have been infected with HIV and the rate of increase tops the world. The number could swell to 10 million by 2010 if more intense and effective preventive measures are not adopted immediately. Sex between men has been a mostly 'hidden' source of the spread of HIV in China. Homosexuality is no longer a criminal act in China, however, traditional 'official-led' so-called peer education programmes among men who have sex with men (MSM) have little effect in adopting and diffusing a key message to their networks. This is because the climate in HIV prevention through community-based advocacy among MSM has not been substantially changed which is due to these men still facing strong opposition and resistance from society, as a quite marginalized population in China. This study carried out in Chengdu is the first to explore how to use a socially and culturally appropriate participatory communication to promote safer sex behaviour with gay men and MSM in Chengdu, China. The study examined effectiveness of peer-led health message diffusion in promoting condom use through a participatory communication approach among these men in the programme. Key findings showed that the peer-based participatory communication strategy was effective for encouraging condom use with casual sexual partners in the intervention group. There was no significant change in the comparison group. It indicates that participatory involvement is the major driving force for HIV-related safer sex behaviour change and can be recommended to promote safer sex practice among gay men and MSM in their broad contexts.