Department of Health and Caring Sciences, Linnaeus University, Sweden.
Department of Health and Caring Sciences, Linnaeus University, Sweden
Scand J Public Health. 2015 Jul;43(5):490-6. doi: 10.1177/1403494815578320. Epub 2015 Apr 1.
Foreign travellers and men who have sex with men (MSM) are prioritised groups for human immunodeficiency virus/sexually transmitted infection (HIV/STI) prevention efforts in Sweden because of high prevalence of sexual risk-taking. This study aims to describe experiences of and attitudes towards HIV/STI prevention efforts, prior to travelling abroad, among MSM, and to investigate the kinds of prevention efforts that are desirable.
The study is based on survey responses from 656 MSM who had travelled abroad. Recruitment took place through a Nordic website, and had a cross-sectional design. The analysis has mainly been descriptive, but bivariate analyses were performed using the chi-square test. The level of significance was p <.05.
Only a few of the participants had encountered HIV/STI prevention efforts in Sweden (5%) and abroad (23%), and a majority (58%) felt that it should be more prevalent. Having free access to condoms and lubricants was preferred among 68% of the men. Furthermore, having written information, as opposed to oral, was also preferred (68% vs. 26%). MSM felt that it was easy to find out information (79%) and claimed they would use the Internet to do so (87%).
Service providers who offer their services to travellers are encouraged to provide helpful links to information about sexual health. Information that is geared towards risk groups such as young adults should be presented with awareness that MSM are also part of that group. It is important for information to be conveyed respectfully to everyone, but perhaps MSM in particular, since they may have experienced feelings of being stigmatised or discriminated against previously.
由于性冒险行为的高发率，瑞典将外国旅行者和男男性行为者（MSM）列为艾滋病毒/性传播感染（HIV/STI）预防工作的重点人群。本研究旨在描述 MSM 在出国前对 HIV/STI 预防工作的经验和态度，并调查他们所期望的预防工作种类。
该研究基于 656 名曾出国旅行的 MSM 的调查回复。招募工作通过一个北欧网站进行，采用了横断面设计。分析主要是描述性的，但使用卡方检验进行了双变量分析。显著性水平为 p<.05。
只有少数参与者在瑞典（5%）和国外（23%）遇到过 HIV/STI 预防工作，大多数（58%）人认为应该更普遍地提供这些工作。68%的男性更喜欢免费获得避孕套和润滑剂。此外，他们也更喜欢书面信息（68%比 26%）而不是口头信息。MSM 认为很容易找到相关信息（79%），并表示他们会使用互联网来获取这些信息（87%）。
鼓励为旅行者提供服务的服务提供者提供有用的性健康信息链接。针对年轻人等风险群体的信息，应该意识到 MSM 也是该群体的一部分。信息的传达对每个人都很重要，但对 MSM 来说可能尤为重要，因为他们以前可能经历过被污名化或歧视的感觉。
