A qualitative exploration of sexual risk and HIV testing behaviors among men who have sex with men in Beirut, Lebanon.
A qualitative exploration of sexual risk and HIV testing behaviors among men who have sex with men in Beirut, Lebanon.
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DOI：
10.1371/journal.pone.0045566
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Mokhbat J
中科院分区：
文献类型：
--
作者：
Wagner GJ;Aunon FM;Kaplan RL;Rana Y;Khouri D;Tohme J;Mokhbat J
男男性行为者（MSM）可能是黎巴嫩大多数新的艾滋病毒感染者，但对影响这一人群性风险行为和艾滋病毒检测的因素知之甚少。定性访谈进行了31男男性接触者生活在贝鲁特，内容分析，以确定紧急主题。参与者的平均年龄为28.4岁，所有人都是同性恋（77%）或双性恋（23%）。一半的人报告说没有坚持使用避孕套，四分之一的人没有接受艾滋病毒检测。许多人描述了在有意义的关系、相互艾滋病毒检测和不使用避孕套的愿望的背景下与固定伴侣不使用避孕套的情况，这表明信任、承诺和亲密关系在避孕套使用决定中发挥作用。接触更有可能用于临时伴侣，被认为是艾滋病毒阳性的伴侣，以及在网上认识的伴侣，男性发现更容易坦率地讨论艾滋病毒风险。对感染的恐惧促使许多人接受艾滋病毒检测和使用避孕套，但这种影响也导致一些人避免艾滋病毒检测，因为他们担心一旦被发现感染就会生病和社会耻辱。对自己的性取向感到非常满意并向家人和父母透露自己性行为的受访者往往更有可能坚持使用避孕套并接受艾滋病毒检测。这些研究结果表明，类似的因素影响安全套的使用和艾滋病毒检测的男男性行为者在贝鲁特的男男性行为者在其他地方的研究中观察到的，因此，预防工作在黎巴嫩可能会受益于经验教训和干预措施，在其他地区，特别是年轻的，同性恋身份的男子。需要进一步的研究来确定如何调整预防工作，以满足那些不太融入或不认同同性恋群体的男性的需求。
Men who have sex with men (MSM) may account for most new HIV infections in Lebanon, yet little is known about the factors that influence sexual risk behavior and HIV testing in this population. Qualitative interviews were conducted with 31 MSM living in Beirut, and content analysis was used to identify emergent themes. Mean age of the participants was 28.4 years, and all identified as either gay (77%) or bisexual (23%). Half reported not using condoms consistently and one quarter had not been HIV-tested. Many described not using condoms with a regular partner in the context of a meaningful relationship, mutual HIV testing, and a desire to not use condoms, suggesting that trust, commitment and intimacy play a role in condom use decisions. Condoms were more likely to be used with casual partners, partners believed to be HIV-positive, and with partners met online where men found it easier to candidly discuss HIV risk. Fear of infection motivated many to get HIV tested and use condoms, but such affect also led some to avoid HIV testing in fear of disease and social stigma if found to be infected. Respondents who were very comfortable with their sexual orientation and who had disclosed their sexuality to family and parents tended to be more likely to use condoms consistently and be tested for HIV. These findings indicate that similar factors influence the condom use and HIV testing of MSM in Beirut as those observed in studies elsewhere of MSM; hence, prevention efforts in Lebanon can likely benefit from lessons learned and interventions developed in other regions, particularly for younger, gay-identified men. Further research is needed to determine how prevention efforts may need to be tailored to address the needs of men who are less integrated into or do not identify with the gay community.
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影响因子：
3.6
作者：
Kalichman, SC;Simbayi, LC
通讯作者：
Simbayi, LC
DOI：
10.1097/qai.0b013e3181aafd66
发表时间：
2009-07-01
影响因子：
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作者：
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DOI：
10.1097/01.qai.0000151079.33935.79
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2005-08-01
影响因子：
3.6
作者：
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通讯作者：
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影响因子：
4.4
作者：
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影响因子：
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