Awareness of and attitudes to sexually transmissible infections among gay men and other men who have sex with men in England: a qualitative study
Awareness of and attitudes to sexually transmissible infections among gay men and other men who have sex with men in England: a qualitative study
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DOI：
10.1071/sh18025
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发表时间：
2019-02-01
期刊：
影响因子：
1.6
通讯作者：
Weatherburn, Peter
中科院分区：
文献类型：
--
作者：
Datta, Jessica;Reid, David;Weatherburn, Peter
背景近年来，英格兰和威尔士男同性恋者和其他男男性行为者(MSM)的性传播感染(STI)率有所上升。艾滋病毒诊断率在这一群体中仍然很高，确诊为艾滋病毒的男性不成比例地受到性传播感染的影响。因此，男男性接触者是健康促进工作的优先事项，以减少性传播感染。了解对性传播感染的认识和态度对于制定健康促进干预措施以降低流行率至关重要。方法：对英国四个城市的61名男男性接触者进行8次焦点小组讨论(FGD)，包括一项排名练习，以衡量参与者对11种性传播疾病的恐惧程度。该练习旨在深入了解参与者对性传播感染和血液传播病毒(BBV)的认识、知识和态度。对FGD进行录音、转录和数据主题分析。结果：所有人群都将艾滋病毒和丙型肝炎病毒(丙型肝炎病毒)列为最可怕的感染，大多数人认为梅毒和疱疹非常可怕。在大多数群体中，疮痂被列为最不可怕的。排名取决于参与者对感染、其传播机制、健康影响以及疫苗和治疗的可获得性的了解程度。个人经历或朋友的经历影响了对特定感染的看法，他们的流行率、治疗选择、症状的可见性以及性传播感染是否可以从体内清除。结论：研究结果表明，尽管一些男男性接触者知情，但普遍缺乏对特定性传播感染的流行率、传播方式、对健康的影响和治疗方案的了解。
Background Rates of sexually transmissible infections (STIs) have increased over recent years among gay men and other men who have sex with men (MSM) in England and Wales. HIV diagnoses remain high in this group and men with diagnosed HIV are disproportionally affected by STIs. MSM are therefore a priority for health promotion efforts to reduce STIs. Understanding awareness of and attitudes towards STIs is essential in developing health promotion interventions to reduce prevalence. Methods: Eight focus group discussions (FGDs) with a total of 61 MSM in four English cities included a ranking exercise to gauge how scary' participants thought 11 STIs are. The exercise sought insights into participants' awareness of, knowledge about and attitudes towards STIs and blood-borne viruses (BBVs). FGDs were audio-recorded, transcribed and data analysed thematically. Results: All groups ranked HIV and Hepatitis C virus (HCV) as the scariest infections, and the majority ranked syphilis and herpes as highly scary. Scabies was ranked as the least scary by most groups. Rankings were dependent on how well informed participants felt about an infection, its transmission mechanisms, health affect and the availability of vaccines and treatment. Personal experience or that of friends influenced perceptions of particular infections, as did their prevalence, treatment options, visibility of symptoms and whether an STI could be cleared from the body. Conclusions: The study findings suggest that, although some MSM are well informed, there is widespread lack of knowledge about the prevalence, modes of transmission, health implications and treatment regimens of particular STIs.