乌干达男男性行为高危人群中使用避孕套的障碍：一项定性研究
Barriers to Condom Use among High Risk Men Who Have Sex with Men in Uganda: A Qualitative Study.
作者信息
Musinguzi Geofrey, Bastiaens Hilde, Matovu Joseph K B, Nuwaha Fred, Mujisha Geoffrey, Kiguli Juliet, Arinaitwe Jim, Van Geertruyden Jean-Pierre, Wanyenze Rhoda K
机构信息
Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda; International Health, University of Antwerp, Antwerp, Belgium.
Primary and Interdisciplinary Care University of Antwerp, Antwerp, Belgium.
出版信息
PLoS One. 2015 Jul 14;10(7):e0132297. doi: 10.1371/journal.pone.0132297. eCollection 2015.
BACKGROUND
Unprotected sexual intercourse is a major risk factor for HIV transmission. Men who have sex with men (MSM) face challenges in accessing HIV prevention services, including condoms. However, there is limited in-depth assessment and documentation of the barriers to condom use among MSM in sub-Saharan Africa. In this paper, we examine the barriers to condom use among MSM in Uganda.
METHODS
The data for this study were extracted from a larger qualitative study conducted among 85 self-identified adult (>18 years) MSM in 11 districts in Uganda between July and December 2013. Data on sexual behaviours and access and barriers to condom use were collected using semi-structured interviews. All interviews were audio-recorded and transcribed verbatim. This paper presents an analysis of data for 33 MSM who did not use condoms at last sex, with a focus on barriers to condom use. Analysis was conducted using the content analysis approach.
RESULTS
Six major barriers to condom use were identified: Difficulties with using condoms, access challenges, lack of knowledge and misinformation about condom use, partner and relationship related issues, financial incentives and socio-economic vulnerability, and alcohol consumption.
CONCLUSION
The findings suggest that several reasons account for lack of condom use among high-risk MSM. The findings are valuable to inform interventions needed to increase condom use among MSM.
背景
无保护性行为是艾滋病毒传播的主要风险因素。男男性行为者（MSM）在获取包括避孕套在内的艾滋病毒预防服务方面面临挑战。然而，撒哈拉以南非洲男男性行为者使用避孕套的障碍方面的深入评估和记录有限。在本文中，我们研究了乌干达男男性行为者使用避孕套的障碍。
方法
本研究的数据取自2013年7月至12月期间在乌干达11个地区对85名自我认定的成年（>18岁）男男性行为者进行的一项更大规模的定性研究。使用半结构化访谈收集性行为以及获取和使用避孕套的障碍方面的数据。所有访谈都进行了录音并逐字转录。本文对33名上次性行为未使用避孕套的男男性行为者的数据进行了分析，重点关注使用避孕套的障碍。分析采用内容分析法。
结果
确定了使用避孕套的六个主要障碍：使用避孕套困难、获取方面的挑战、对避孕套使用缺乏了解和错误信息、伴侣及关系相关问题、经济激励和社会经济脆弱性以及饮酒。
结论
研究结果表明，高危男男性行为者不使用避孕套有多种原因。这些结果对于为增加男男性行为者使用避孕套所需的干预措施提供信息很有价值。
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