Sexual health and men who have sex with men in Vietnam: an integrated approach to preventive health care.
Sexual health and men who have sex with men in Vietnam: an integrated approach to preventive health care.
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DOI：
10.1155/2012/796192
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发表时间：
2012
影响因子：
--
通讯作者：
Hao BT
中科院分区：
文献类型：
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作者：
Giang le M;Viet VD;Hao BT
背景虽然越南男男性行为者（MSM）中的艾滋病毒感染越来越受到关注，但大多数研究都集中在艾滋病毒知识和注射毒品等既定风险因素上。本文提出，以解决艾滋病毒的风险，男男性接触者从综合的方法，预防保健，考虑到综合性的条件，如物质使用，心理健康和耻辱，后者阻止男男性接触者获得卫生服务。法从2000年起，越南的MSM相关的研究，收集同行评审以及非同行评审的来源，进行了检查。结果男男性行为者中艾滋病毒和性传播感染的流行率因地点而异，但艾滋病毒流行率在过去几年中显著增加。大多数研究都集中在性风险行为上，很少关注广泛的性健康，包括非注射毒品使用，大量饮酒，高比例的心理健康困扰和焦虑，以及耻辱。结论未来针对越南男男性接触者的研究和干预措施应该从关注性健康和综合疾病状况的综合方法来解决他们对艾滋病毒的脆弱性。
Background. While HIV infection among men who have sex with men (MSM) in Vietnam has received increasing attention, most studies focus on HIV knowledge and established risk factors such as injection drug use. This paper proposes to address HIV risk among MSM from an integrated approach to preventive care that takes into account syndemic conditions such as substance use, mental health, and stigma, the latter of which prevents MSM from accessing health services. Method. Current studies related to MSM in Vietnam from 2000 onwards, gathered from peer-reviewed as well as non-peer-reviewed sources, were examined. Results. HIV and STI prevalence among MSM varied significantly by location, and yet HIV prevalence has increased significantly over the past few years. Most studies have focused on sexual risk behaviors, paying little attention to the broad spectrum of sexual health, including noninjecting drug use, heavy alcohol consumption, high rates of mental health distress and anxiety, and stigma. Conclusion. Future research and interventions targeting MSM in Vietnam should address their vulnerability to HIV from an integrated approach that pays attention to both sexual health and syndemic conditions.