Hibbert M, Crenna-Jennings W, Kirwan P, Benton L, Lut I, Okala S, Asboe D, Jeffries J, Kunda C, Mbewe R, Morris S, Morton J, Nelson M, Thorley L, Paterson H, Ross M, Reeves I, Sharp L, Sseruma W, Valiotis G, Wolton A, Jamal Z, Hudson A, Delpech V
a HIV & STI Department, Public Health England , London , UK.
b StigmaIndexUK , London , UK.
AIDS Care. 2018 Sep;30(9):1189-1196. doi: 10.1080/09540121.2018.1479027. Epub 2018 May 27.
We aim to understand the difference in stigma and discrimination, in particular sexual rejection, experienced between gay and heterosexual men living with HIV in the UK. The People Living with HIV StigmaSurvey UK 2015 recruited a convenience sample of persons with HIV through over 120 cross sector community organisations and 46 HIV clinics to complete an online survey. 1162 men completed the survey, 969 (83%) gay men and 193 (17%) heterosexual men, 92% were on antiretroviral therapy. Compared to heterosexual men, gay men were significantly more likely to report worrying about workplace treatment in relation to their HIV (21% vs. 11%), worrying about HIV-related sexual rejection (42% vs 21%), avoiding sex because of their HIV status (37% vs. 23%), and experiencing HIV-related sexual rejection (27% vs. 9%) in the past 12 months. In a multivariate logistic regression controlling for other sociodemographic factors, being gay was a predictor of reporting HIV-related sexual rejection in the past 12 months (aOR 2.17, CI 1.16, 4.02). Both gay and heterosexual men living with HIV experienced stigma and discrimination in the past 12 months, and this was higher for gay men in terms of HIV-related sexual rejection. Due to the high proportion of men reporting sexual rejection, greater awareness and education of the low risk of transmission of HIV among people on effective treatment is needed to reduce stigma and sexual prejudice towards people living with HIV.
我们旨在了解英国感染艾滋病毒的男同性恋者和异性恋者在耻辱感和歧视（尤其是性排斥）方面的差异。《2015年英国艾滋病毒感染者耻辱感调查》通过120多个跨部门社区组织和46家艾滋病毒诊所招募了一个艾滋病毒感染者便利样本，以完成一项在线调查。1162名男性完成了调查，其中969名（83%）为男同性恋者，193名（17%）为异性恋者，92%的人正在接受抗逆转录病毒治疗。与异性恋男性相比，男同性恋者更有可能报告担心因感染艾滋病毒而在工作场所受到区别对待（21%对11%）、担心与艾滋病毒相关的性排斥（42%对21%）、因感染艾滋病毒而避免性行为（37%对23%）以及在过去12个月中经历过与艾滋病毒相关的性排斥（27%对9%）。在控制了其他社会人口因素的多变量逻辑回归分析中，男同性恋身份是过去12个月报告与艾滋病毒相关的性排斥的一个预测因素（调整后比值比2.17，置信区间1.16，4.02）。在过去12个月中，感染艾滋病毒的男同性恋者和异性恋者都经历了耻辱感和歧视，而就与艾滋病毒相关的性排斥而言，男同性恋者的情况更为严重。由于报告性排斥的男性比例较高，因此需要提高人们对接受有效治疗的艾滋病毒感染者传播风险较低的认识并加强相关教育，以减少对艾滋病毒感染者的耻辱感和性偏见。
