Evolution of men who have sex with men community and experienced stigma among men who have sex with men in Chengdu, China.
Evolution of men who have sex with men community and experienced stigma among men who have sex with men in Chengdu, China.
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DOI：
10.1097/qai.0b013e3181c7df71
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发表时间：
2010-02
期刊：
影响因子：
--
通讯作者：
Detels R
中科院分区：
文献类型：
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作者：
Feng Y;Wu Z;Detels R
了解成都市男男性行为者所遭受的耻辱和歧视，并评估其对有效预防艾滋病的影响。在2006年6月至9月期间进行了焦点小组讨论和个人深度访谈。据报道，男同性恋者的耻辱和社会压力主要来自于他们的家庭为了保护家庭声誉和血统而结婚生子。很少有参与者报告受到朋友、同事或整个社会的羞辱和歧视。然而，由于性取向而被排斥的恐惧经常被表达出来，这是参与艾滋病毒/艾滋病预防项目的主要障碍。在男男性行为者社区内，害怕与艾滋病毒感染有关的耻辱和歧视也被确定为男男性行为者不愿寻求艾滋病毒检测和治疗的主要原因。与同性恋活动和艾滋病毒/性病感染有关的耻辱和歧视一直是男同性恋者寻求保健服务的主要障碍。艾滋病毒/艾滋病项目必须对来自男男性接触者社区内外的污名问题敏感。
To understand the stigma and discrimination experienced by MSM in Chengdu, and to evaluate their impact on effective HIV prevention. Focus group discussions and individual in-depth interviews were conducted from June to September, 2006. Stigma and social pressure for MSM were reported to mainly arise from their families to get married and have children to protect family reputation and lineage. Few participants reported experiencing stigma and discrimination from friends, colleagues, or general society. Nevertheless, fear of being ostracized because of their sexual orientation was frequently expressed, and was a major barrier for participating in HIV/AIDS prevention programs. Fear of stigma and discrimination related to HIV infection from inside the MSM community was also identified as a major reason for MSM reluctance to seek HIV testing and treatment. Stigma and discrimination related to homosexual activities and HIV/STD infection have been major barriers against MSM seeking health services. HIV/AIDS programs must be sensitive to issues of stigma both from outside and inside the MSM community.