Center for Health & Behavior, Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY 13244, USA.
AIDS Behav. 2012 Apr;16(3):554-63. doi: 10.1007/s10461-011-0047-3.
To facilitate the development of a tailored intervention that meets the needs of HIV-positive men who have sex with men (HIV-positive MSM), we conducted formative research with 52 HIV-positive MSM. We sought to (a) identify major barriers to consistent condom use, (b) characterize their interest in sexual risk reduction interventions, and (c) elicit feedback regarding optimal intervention format. Men identified several key barriers to consistent condom use, including treatment optimism, lessened support for safer sex in the broader gay community, challenges communicating with partners, and concerns about stigmatization following serostatus disclosure. Many men expressed an interest in health promotion programming, but did not want to participate in an intervention focusing exclusively on safer sex. Instead, they preferred a supportive group intervention that addresses other coping challenges as well as sexual risk reduction. Study results reveal important considerations for the development of appealing and efficacious risk reduction interventions for HIV-positive MSM.
为了制定满足 HIV 阳性男男性行为者（HIV 阳性 MSM）需求的针对性干预措施，我们对 52 名 HIV 阳性 MSM 进行了形成性研究。我们旨在：（a）确定一致性使用安全套的主要障碍，（b）描述他们对性风险降低干预措施的兴趣，以及（c）征求有关最佳干预形式的反馈意见。男性确定了一致性使用安全套的几个主要障碍，包括治疗乐观主义、同性恋社区中对安全性行为的支持减少、与伴侣沟通的挑战，以及对血清阳性身份披露后的污名化的担忧。许多男性对健康促进计划表示感兴趣，但不想参加专门关注安全性行为的干预措施。相反，他们更喜欢一种支持性的小组干预措施，同时解决其他应对挑战以及降低性风险。研究结果揭示了为 HIV 阳性 MSM 制定有吸引力和有效的风险降低干预措施的重要考虑因素。
