Mortensen Gitte Lee, Larsen Helle Kiellberg
AnthroConsult, Fynsgade 24, 2. th., DK-8000 Arhus C.
Ugeskr Laeger. 2009 Aug 31;171(36):2561-5.
A recent qualitative study shows that genital warts can reduce the quality of life of heterosexual patients considerably. This follow-up study seeks to elucidate the illness perception among men who have sex with men (MSM). The aim is to examine the extent to which minority cultural conditions and factors affect the experiences of these patients.
This study was based on qualitative interviews with six Danish MSM. Along with the study among heterosexual patients, a literature review identified the important questions to be presented to the participants.
Many MSM worry about being stigmatized in the homosexual "scene" and thereby losing their affiliation to a significant social group as well as their chances of finding sex and love. Most participants had suffered from genital warts for several years - which added to the negative psycho-sexual and social effects of the disease. These participants' fears of developing anal cancer corresponded to the concerns of female genital warts patients about cervical cancer.
Ano-genital HPV infection is common among MSM. However, these men will not benefit to the same extent as heterosexual men from the herd immunity effect of HPV vaccination of girls. MSM may have particular pathological pictures as well as concerns that should be addressed when communicating with these patients and taken into account when considering HPV vaccination of boys.
最近一项定性研究表明，尖锐湿疣会显著降低异性恋患者的生活质量。这项随访研究旨在阐明男男性行为者（MSM）对该疾病的认知。目的是研究少数群体文化条件和因素在多大程度上影响这些患者的经历。
本研究基于对六名丹麦男男性行为者的定性访谈。与对异性恋患者的研究一起，通过文献综述确定了要向参与者提出的重要问题。
许多男男性行为者担心在同性恋“圈子”中受到污名化，从而失去与一个重要社会群体的联系以及寻找性和爱的机会。大多数参与者患有尖锐湿疣数年之久，这加剧了该疾病在心理性和社会性方面的负面影响。这些参与者对患肛门癌的恐惧与女性尖锐湿疣患者对患宫颈癌的担忧相当。
肛门生殖器人乳头瘤病毒感染在男男性行为者中很常见。然而，这些男性无法像异性恋男性那样从女孩接种人乳头瘤病毒疫苗产生的群体免疫效应中同等程度地受益。男男性行为者可能有特定的病理表现以及担忧，在与这些患者沟通时应予以关注，并在考虑男孩接种人乳头瘤病毒疫苗时加以考虑。
