What HIV-positive MSM want from sexual risk reduction interventions: findings from a qualitative study.

What HIV-positive MSM want from sexual risk reduction interventions: findings from a qualitative study.
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DOI:
10.1007/s10461-011-0047-3
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发表时间:
2012-04
期刊:
影响因子:
4.4
通讯作者:
Blair, Donald
Blair, Donald
中科院分区:
医学2区
文献类型:
--
作者:
Vanable, Peter A.;Carey, Michael P.;Brown, Jennifer L.;Littlewood, Rae A.;Bostwick, Rebecca;Blair, Donald

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为了促进定制的干预,以满足艾滋病毒阳性的男性与男性发生性关系(艾滋病毒阳性的男男性接触者)的需求的发展,我们进行了形成性研究与52艾滋病毒阳性的男男性接触者。我们试图(a)确定坚持使用避孕套的主要障碍,(B)描述他们对降低性风险干预措施的兴趣,(c)征求关于最佳干预形式的反馈。男性确定了坚持使用避孕套的几个关键障碍,包括治疗乐观主义,减少了更广泛的同性恋社区对安全性行为的支持,与伴侣沟通的挑战,以及对血清状态披露后的耻辱化的担忧。许多男子表示对促进健康的方案规划感兴趣,但不想参加专门以安全性行为为重点的干预活动。相反,他们更喜欢一个支持性的团体干预,解决其他应对挑战以及降低性风险。研究结果揭示了为艾滋病毒阳性男男性行为者制定有吸引力和有效的降低风险干预措施的重要考虑因素。
To facilitate the development of a tailored intervention that meets the needs of HIV-positive men who have sex with men (HIV-positive MSM), we conducted formative research with 52 HIV-positive MSM. We sought to (a) identify major barriers to consistent condom use, (b) characterize their interest in sexual risk reduction interventions, and (c) elicit feedback regarding optimal intervention format. Men identified several key barriers to consistent condom use, including treatment optimism, lessened support for safer sex in the broader gay community, challenges communicating with partners, and concerns about stigmatization following serostatus disclosure. Many men expressed an interest in health promotion programming, but did not want to participate in an intervention focusing exclusively on safer sex. Instead, they preferred a supportive group intervention that addresses other coping challenges as well as sexual risk reduction. Study results reveal important considerations for the development of appealing and efficacious risk reduction interventions for HIV-positive MSM.
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