Tomori Cecilia, Srikrishnan Aylur K, Ridgeway Kathleen, Solomon Sunil S, Mehta Shruti H, Solomon Suniti, Celentano David D
Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, Maryland.
YR Gaitonde Centre for AIDS Research and Education, Chennai, India.
AIDS Educ Prev. 2016 Apr;28(2):153-64. doi: 10.1521/aeap.2016.28.2.153.
Globally, men who have sex with men (MSM) are at high risk for HIV. Many HIV-prevention efforts rely on community outreach and mobilization to engage MSM. This study examines peer relationships and their potential role in HIV prevention through 31 focus group discussions (FGDS) and 121 in-depth interviews (IDIs) with 363 MSM across 15 sites in India. Results indicate that MSM receive social support in friendships, sex-worker collaborations, constructed kin relationships, and romantic partnerships. Access to these relationships, however, is uneven across MSM, and can carry risks of disclosure of same-sex behavior and exclusion based on HIV- positive status. Positive peer relationships can serve as the basis of community empowerment, education, and couple-based interventions for MSM, and peer counselors can also provide a buffer against the social risks of peer relationships and facilitate linkage to care and continued engagement in treatment. These insights can improve HIV interventions for MSM in India and elsewhere.
在全球范围内，男男性行为者（MSM）面临着感染艾滋病毒的高风险。许多预防艾滋病毒的工作依赖社区宣传和动员来促使男男性行为者参与进来。本研究通过对印度15个地点的363名男男性行为者进行31次焦点小组讨论（FGDS）和121次深入访谈（IDI），考察了同伴关系及其在艾滋病毒预防中的潜在作用。结果表明，男男性行为者在友谊、与性工作者的合作、虚构的亲属关系和浪漫伴侣关系中获得社会支持。然而，不同男男性行为者获得这些关系的机会并不均等，并且可能存在同性行为暴露以及因艾滋病毒阳性状态而被排斥的风险。积极的同伴关系可以作为男男性行为者社区赋权、教育和基于伴侣的干预措施的基础，同伴辅导员还可以缓冲同伴关系带来的社会风险，并促进与护理的联系以及持续接受治疗。这些见解可以改善印度及其他地区针对男男性行为者的艾滋病毒干预措施。
