男同性恋特别行动组：同伴教育对格拉斯哥男同性恋者性健康行为的影响。
The Gay Men's Task Force: the impact of peer education on the sexual health behaviour of homosexual men in Glasgow.
作者信息
Williamson L M, Hart G J, Flowers P, Frankis J S, Der G J
机构信息
MRC Social and Public Health Sciences Unit, University of Glasgow, 4 Lilybank Gardens, Glasgow G12 8RZ, UK.
出版信息
Sex Transm Infect. 2001 Dec;77(6):427-32. doi: 10.1136/sti.77.6.427.
OBJECTIVE
To assess the impact of a peer education intervention, based in the "gay" bars of Glasgow, which sought to reduce sexual risk behaviours for HIV infection and increase use of a dedicated homosexual men's sexual health service, and in particular increase the uptake of hepatitis B vaccination.
DESIGN
Self completed questionnaires administered to men who have sex with men (MSM) in Glasgow's gay bars.
SUBJECTS
1442 men completed questionnaires in January 1999, 7 months after the end of the 9 month sexual health intervention.
MAIN OUTCOME MEASURES
Self reported contact with the peer education intervention, reported behaviour change, and reported sexual health service use.
RESULTS
The Gay Men's Task Force (GMTF) symbol was recognised by 42% of the men surveyed. Among men who reported speaking with peer educators 49% reported thinking about their sexual behaviour and 26% reported changing their sexual behaviour. Logistic regressions demonstrated higher levels of HIV testing, hepatitis B vaccination, and use of sexual health services among men who reported contact with the intervention. These men were more likely to have used the homosexual specific sexual health service. Peer education dose effects were suggested, with the likelihood of HIV testing, hepatitis B vaccination, and use of sexual health services being greater among men who reported talking to peer educators more than once.
CONCLUSION
The intervention had a direct impact on Glasgow's homosexual men and reached men of all ages and social classes. Higher levels of sexual health service use and uptake of specific services among men who had contact with the intervention are suggestive of an intervention effect. Peer education, as a form of health outreach, appears to be an effective intervention tool in terms of the uptake of sexual health services, but is less effective in achieving actual sexual behaviour change among homosexual men.
目的
评估一项基于格拉斯哥“同性恋”酒吧的同伴教育干预措施的影响，该干预旨在降低感染艾滋病毒的性风险行为，增加对专门的男同性恋性健康服务的使用，特别是提高乙肝疫苗接种率。
设计
对在格拉斯哥同性恋酒吧与男性发生性行为者（MSM）进行自我填写问卷调查。
对象
1999年1月，在为期9个月的性健康干预结束7个月后，1442名男性完成了问卷调查。
主要观察指标
自我报告与同伴教育干预的接触情况、报告的行为改变以及报告的性健康服务使用情况。
结果
42%的被调查男性认识同性恋特别工作组（GMTF）标志。在报告与同伴教育者交谈过的男性中，49%报告思考过自己的性行为，26%报告改变了性行为。逻辑回归显示，报告与干预有接触的男性中，艾滋病毒检测、乙肝疫苗接种和性健康服务使用水平更高。这些男性更有可能使用了同性恋专用性健康服务。提示存在同伴教育剂量效应，报告与同伴教育者交谈不止一次的男性中，艾滋病毒检测、乙肝疫苗接种和性健康服务使用的可能性更大。
结论
该干预对格拉斯哥的男同性恋者有直接影响，涵盖了所有年龄和社会阶层的男性。与干预有接触的男性中，性健康服务使用水平和特定服务的接受率较高，提示存在干预效果。同伴教育作为一种健康推广形式，在性健康服务的接受方面似乎是一种有效的干预工具，但在促使男同性恋者实际改变性行为方面效果较差。
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