Culture, social networks and HIV vulnerability among men who have sex with men in Indonesia.
Culture, social networks and HIV vulnerability among men who have sex with men in Indonesia.
复制标题
DOI：
10.1371/journal.pone.0178736
复制
发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Mwanri L
中科院分区：
文献类型：
--
作者：
Fauk NK;Merry MS;Sigilipoe MA;Putra S;Mwanri L
目前的研究旨在探讨文化和社会网络对印度尼西亚日惹男男性行为（MSM）人群艾滋病易感性的影响。2015年7月，对24名MSM参与者进行了一对一的深入访谈。数据进行了分析，使用框架分析和指导的社交网络理论（SNT）作为一个概念框架。调查结果表明，禁止同性婚姻的文化观点和规范使他们隐瞒自己的性取向，从而秘密地进行无保护的性行为，增加了他们感染艾滋病毒的倾向。禁止性文化也有助于MSM性网络的形成，为网络伙伴之间的艾滋病毒风险性行为提供了支持性环境。这些调查结果提供了可用于改进艾滋病毒/艾滋病服务做法和政策的信息。然而，需要对大量MSM进行进一步的研究，以提高对其他艾滋病毒脆弱性决定因素的理解，MSM的独特需求，以及可以进行哪些以及如何进行计划以减少MSM人群中的艾滋病毒脆弱性。
The current study aimed to explore cultural and social network influence on HIV vulnerability among Men who have Sex with Men (MSM) population in Yogyakarta, Indonesia. A qualitative inquiry employing in-depth one-on-one interviews was carried out with 24 MSM participants in July 2015. Data were analysed using a framework analysis and guided by the Social Networks Theory (SNT) as a conceptual framework. Findings indicated that prohibitive cultural perspectives and norms against same-sex marriage made them to conceal their sexual orientation and thus secretively engaging in unprotected sex that increased their predisposition to HIV transmission. The prohibitive cultures were also instrumental in the formation of MSM sexual networks that provided supportive environment for HIV-risky sexual practices among network partners. These findings provide information that can be used to improve HIV/AIDS service practices and policies. However, further studies with large numbers of MSM would be needed to improve the understanding of other HIV vulnerability determinants, the unique needs of MSM, and what and how programs could be conducted to reduce HIV vulnerability among MSM population.