Seal D W, Kelly J A, Bloom F R, Stevenson L Y, Coley B I, Broyles L A
Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee 53202, USA.
AIDS Care. 2000 Feb;12(1):5-26. doi: 10.1080/09540120047431.
Young men who have sex with men (YMSM), and particularly ethnic minority YMSM, experience high incidence HIV infection due to continued patterns of high-risk sexual behaviour. The intent of this research was to systematically solicit input and recommendations from YMSM themselves concerning the kinds of HIV prevention programmes that would best meet their needs and would address risk issues they believed are critical. In-depth qualitative interviews were conducted with a sample of 72 purposively selected YMSM to identify necessary components of HIV prevention targeting YMSM. Respondents noted a need for comprehensive HIV prevention programmes that addressed issues related to dating and intimacy, sexuality and arousal, drugs and alcohol, self-esteem and self-worth, abuse and coercion, and sexual identity. Respondents emphasized the importance of keeping programmes confidential, fun, comfortable, accepting and open to all YMSM regardless of sexual identity. Identified community resource needs included safe havens for youth, more peer educators and older MSM mentors, increased school-based sexuality education, and greater support from the society at large as well as from churches, the gay community and communities of Color. Implications of these findings for HIV prevention are discussed.
与男性发生性行为的年轻男性（YMSM），尤其是少数族裔的YMSM，由于持续的高危性行为模式，感染艾滋病毒的发生率很高。本研究的目的是系统地征求YMSM自身对于最能满足其需求并解决他们认为至关重要的风险问题的艾滋病毒预防方案的意见和建议。对72名经过有目的挑选的YMSM样本进行了深入的定性访谈，以确定针对YMSM的艾滋病毒预防的必要组成部分。受访者指出需要全面的艾滋病毒预防方案，该方案要解决与约会和亲密关系、性取向和性唤起、毒品和酒精、自尊和自我价值、虐待和胁迫以及性身份认同等相关的问题。受访者强调了使方案保持保密、有趣、舒适、包容且对所有YMSM开放（无论其性身份如何）的重要性。确定的社区资源需求包括为青少年提供安全庇护所、增加同伴教育者和年长男男性行为者导师、加强学校性教育，以及来自整个社会以及教会、同性恋社区和有色人种社区的更多支持。讨论了这些研究结果对艾滋病毒预防的影响。
