Colby Donn, Cao Nghia Huu, Doussantousse Serge
Center for AIDS Prevention Studies, University of California, San Francisco, USA.
AIDS Educ Prev. 2004 Feb;16(1):45-54. doi: 10.1521/aeap.16.1.45.27722.
Men who have sex with men (MSM) in Vietnam's urban centers are increasing in numbers and visibility. Although limited to a few surveys, the available data on MSM in Vietnam show that they are at increased risk for HIV infection due to high numbers of sexual partners, high rates of unsafe sex, and inconsistent condom use. There are significant numbers of male sex workers in Vietnam and these men are also at high risk for HIV infection. The lack of data on HIV prevalence among MSM and the fact that the media and public health prevention programs ignore MSM as a population at risk leads many MSM to mistakenly believe that their risk for HIV is low. The low perception of risk, combined with inadequate knowledge, may make MSM less likely to actively protect themselves from HIV infection. More research is needed on current behavior and HIV prevalence among MSM and male sex workers in Vietnam. MSM in Vietnam's larger cities could easily be targeted for prevention using peer educators to decrease their risk for HIV infection.
越南城市中心与男性发生性行为的男性（MSM）数量在增加，且越来越受到关注。尽管相关调查有限，但越南现有关于MSM的数据表明，由于性伴侣数量众多、不安全性行为发生率高以及避孕套使用不规范，他们感染艾滋病毒的风险在增加。越南有大量男性性工作者，这些男性感染艾滋病毒的风险也很高。缺乏关于MSM中艾滋病毒流行率的数据，以及媒体和公共卫生预防项目将MSM视为低风险人群而对其忽视，导致许多MSM错误地认为自己感染艾滋病毒的风险很低。对风险的低认知，再加上知识不足，可能使MSM不太可能积极保护自己免受艾滋病毒感染。需要对越南MSM和男性性工作者的当前行为及艾滋病毒流行率进行更多研究。越南大城市的MSM很容易成为预防目标，可通过同伴教育者来降低他们感染艾滋病毒的风险。
