Chapman Jenifer, Koleros Andrew, Delmont Yves, Pegurri Elisabetta, Gahire Rose, Binagwaho Agnes
Futures Group International, Washington, DC, USA.
AIDS Care. 2011 Apr;23(4):449-55. doi: 10.1080/09540121.2010.507758.
Rwanda has responded strongly to HIV/AIDS, but prevention among men who have sex with men (MSM) has not yet been addressed due to a strong cultural resistance to homosexuality, and a lack of data showing the public health value of attending to the sexual health needs of this group. We conducted an exploratory study on HIV risk among MSM in Kigali using snowball sampling involving peer leaders. The 99 respondents were demographically, socially, and sexually diverse. Respondents reported relatively high numbers of male and female partners, and considerable HIV risk behaviors including commercial sex with men and women, low condom use during anal and vaginal sex, and high mobility. Many respondents reported verbal and/or physical abuse due to their sexuality. This first study of MSM in Rwanda has brought attention to a previously neglected HIV risk group and their potential driving role in the Rwandan epidemic, demonstrating the need for sensitive and targeted interventions.
卢旺达对艾滋病毒/艾滋病做出了有力回应，但由于文化上对同性恋的强烈抵制，以及缺乏数据表明关注男男性行为者（MSM）的性健康需求对公共卫生的价值，针对男男性行为者的预防工作尚未得到开展。我们在基加利对男男性行为者中的艾滋病毒风险进行了一项探索性研究，采用了涉及同伴领袖的雪球抽样法。99名受访者在人口统计学、社会和性行为方面具有多样性。受访者报告称，他们有相对较多的男性和女性伴侣，存在大量艾滋病毒风险行为，包括与男性和女性进行商业性行为、肛交和阴道性交时避孕套使用率低以及流动性高。许多受访者报告称因其性取向遭受了言语和/或身体虐待。卢旺达对男男性行为者的这项首次研究让人们关注到了一个此前被忽视的艾滋病毒风险群体及其在卢旺达疫情中可能起到的推动作用，表明需要采取敏感且有针对性的干预措施。
