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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

期数:

2013年09期

页码:

649-653

栏目:

论著

出版日期:

2013-09-30

文章信息/Info

Title:

Qualitative study of acceptability of biomedical measures for HIV/AIDS prevention among men who have sex with men in Beijing,China

作者:

杨雪盈¹; 周枫²; 肖冬³; 于明润⁴; 李东亮¹; 张政¹; 高磊²; 阮玉华⁵; 乌正赉⁶

1.北京市朝阳区疾病预防控制中心,北京 100021; 2.中国医学科学院病原生物学研究所,北京 100730; 3.华人艾滋病干预工作组,北京 100021; 4.苏州大学放射医学与公共卫生学院,江苏 苏州 215123; 5.中国疾病预防控制中心性病艾滋病中心,北京 100051; 6.中国医学科学院基础医学研究所流行病学教研室 北京协和医学院基础学院,北京 100005

Author(s):

YANG Xue-ying^*; ZHOU Feng; XIAO Dong; YU Ming-run; LI Dong-liang; ZHANG Zheng;  GAO Lei; RUAN Yu-hua; WU Zheng-lai ^*

Chaoyang District Center for Disease Control and Prevention,Beijing 100021,China Corresponding author:ZHOU Feng,E-mail:maple23@ipbcams.ac.cn

关键词:

艾滋病;  生物干预;  可接受性;  定性研究

Keywords:

HIV/AIDS;  Biomedical prophylaxis;  Acceptability;  Qualitative study

分类号:

R183

DOI:

-

摘要:

目的 了解北京市男男性接触者(men who have sex with men,MSM)对艾滋病新型干预策略,包括包皮环切、外用杀微生物剂、暴露前预防用药、艾滋病疫苗的可接受性及其影响因素。方法 采用滚雪球抽样法在某医院门诊招募31名MSM,并分别对其进行个人访谈,深入了解其对艾滋病新型干预策略的可接受性及影响因素。结果 绝大部分MSM只是将包皮环切作为处理包皮过长或包茎而不是预防艾滋病的一项手术,是否影响日常生活、性生活质量及阴茎美观是其可接受性的主要决定因素。外用杀微生物剂因具有外用且使用方便的优点而接受度很高,且大部分MSM倾向于使用凝胶状的剂型。艾滋病疫苗接受度也较高,但很多MSM对疫苗是否能研制成功及所需时间存在质疑。因担心长期口服抗病毒药物会产生不良反应,MSM对暴露前预防(PrEP)接受度稍低,但其使用的隐蔽性受到部分MSM的青睐。结论 MSM对艾滋病新型干预策略的知晓率较低,可接受性各异。应该加强其对艾滋病新型干预策略的宣传教育,为新型干预策略的研发、推广和应用提供前期基础。

Abstract:

Objective To explore acceptability of biomedical prophylaxis strategies such as male circumcision,topical use of microbicides,HIV vaccine and pre-exposure prophylaxis(PrEP)and their related factors among men who has sex with men(MSM)in Beijing,China. Methods 31 MSM were recruited with snowballing sampling method in an out patient clinic of a hospital in Beijing.In-depth personal interview was conducted and qualitative data were analyzed to learn their acceptability and the related factors of these preventive measures.Results The majority of MSM studied do not view MC as a preventive measure but a clinical procedure for redundant prepuce or phimosis.Whether having an influence to the daily life,sexual pleasure and penis appearance is its major determinants.Microbicide has a higher acceptance due to advantage that can be conveniently used topically.And most of the MSM tend to use the gel formulations.HIV vaccine also has a high acceptance.However,a lot of MSM doubt about success and time needed for its development.Acceptance of PrEP in MSM is slightly lower due to worrying about side-effects in long-term use of ARV drugs,but it is still loved by some MSM due to its hidden use. Conclusions Awareness of biomedical prophylaxis is relativelylower among MSM surveyed and their acceptability varies.Educational propaganda should be done to strengthen the awareness of the HIV biomedical prophylaxis so as to provide theoretical evidence and practical guidance to their application and promotion in the future.

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备注/Memo

备注/Memo:

基金项目:国家“十一五”科技重大专项项目:艾滋病和病毒性肝炎等重大传染病防治(2009ZX10004-903) 作者简介:杨雪盈,硕士,医师,主要从事艾滋病防治工作 通讯作者:周枫,E-mail:maple23@ipbcams.ac.cn

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更新日期/Last Update: 2013-09-30