Heijman Titia, Zuure Freke, Stolte Ineke, Davidovich Udi
STI outpatient Clinic, Amsterdam Public Health Service, Amsterdam, The Netherlands.
Department Infectious Diseases, Research and Prevention, Amsterdam Public Health Service, Amsterdam, The Netherlands.
BMC Infect Dis. 2017 Mar 7;17(1):194. doi: 10.1186/s12879-017-2277-0.
Understanding why some recently with HIV diagnosed men who have sex with men (MSM) choose for safer sex and regular STI testing, whereas others do not, is important for the development of interventions that aim to improve the sexual health of those newly infected.
To gain insight into motives and barriers to condom use and regular STI testing among MSM soon after HIV diagnosis, 30 HIV-positive MSM participated in semi-structured qualitative interviews on sexual health behaviours in the first year after HIV diagnosis.
Typical barriers to condom use soon after diagnosis were emotions such as anger, relief, and feelings of vulnerability. Additional barriers were related to pre-diagnosis patterns of sexual-social behaviour that were difficult to change, communication difficulties, and substance use. Barriers to STI testing revolved around perceptions of low STI risk, faulty beliefs, and burdensome testing procedures.
The great diversity of motives and barriers to condom use and STI testing creates a challenge to accommodate newly infected men with information, motivation, and communication skills to match their personal needs. An adaptive, tailored intervention can be a promising tool of support.
了解为什么一些最近被诊断出感染艾滋病毒的男男性行为者（MSM）选择进行安全性行为和定期性传播感染检测，而另一些人却不这样做，对于制定旨在改善新感染人群性健康的干预措施至关重要。
为了深入了解艾滋病毒诊断后不久男男性行为者使用避孕套和定期进行性传播感染检测的动机和障碍，30名艾滋病毒阳性男男性行为者参与了关于艾滋病毒诊断后第一年性健康行为的半结构化定性访谈。
诊断后不久使用避孕套的典型障碍包括愤怒、解脱和脆弱感等情绪。其他障碍与诊断前难以改变的性社交行为模式、沟通困难和药物使用有关。性传播感染检测的障碍围绕着对性传播感染低风险的认知、错误观念和繁琐的检测程序。
使用避孕套和性传播感染检测的动机和障碍的巨大多样性给为新感染男性提供符合其个人需求的信息、动机和沟通技巧带来了挑战。适应性的、量身定制的干预措施可能是一种很有前景的支持工具。
