Fauk Nelsensius Klau, Sukmawati Anastasia Suci, Wardojo Sri Sunaringsih Ika, Teli Margareta, Bere Yoh Kenedy, Mwanri Lillian
1 Institute of Resource Governance and Social Change, Kupang, Nusa Tenggara Timur, Indonesia.
2 Stikes Jenderal Achmad Yani Yogyakarta, Yogyakarta, Indonesia.
Am J Mens Health. 2018 Sep;12(5):1175-1184. doi: 10.1177/1557988318779737. Epub 2018 Jun 1.
This study aimed to identify factors that influenced the intention of men who have sex with men (MSM) to participate in voluntary counseling and HIV testing (VCT) and in accessing free condoms. A qualitative inquiry using one-on-one in-depth interviews was conducted with MSM participants who were recruited using a purposive sampling technique. Data analysis was guided by a framework analysis for qualitative data by Ritchie and Spencer, and the Theory of Planned Behavior (TPB) framework was used to analyze the data. The findings were grouped into three themes-namely, (a) attitude encompassing knowledge about HIV/AIDS and HIV/AIDS services and the belief about the positive outcomes of the services; (b) subjective norms including support from MSM peers and family members and motivation to comply with the support; and (c) perceived behavioral control, which is associated with resource availability and having confidence and positive intention to participate in VCT and willingness to access free condoms. Findings indicated that personal, community, and structural factors were predictors to intention to accessing services. Interventions targeting large numbers of MSM population and further studies to understand what needs to be done by nongovernmental organizations and governmental institutions to halt the spread of HIV infections among MSM populations and increase their intention to use HIV/AIDS services are also recommended.
本研究旨在确定影响男男性行为者(MSM)参与自愿咨询与HIV检测(VCT)以及获取免费避孕套意愿的因素。采用目的抽样技术招募了MSM参与者,并对其进行了一对一深入访谈的定性调查。数据分析以Ritchie和Spencer的定性数据框架分析为指导,并使用计划行为理论(TPB)框架对数据进行分析。研究结果分为三个主题,即:(a)态度,包括对HIV/AIDS及HIV/AIDS服务的了解以及对服务积极结果的信念;(b)主观规范,包括来自MSM同伴和家庭成员的支持以及遵守支持的动机;(c)感知行为控制,这与资源可用性、对参与VCT的信心和积极意愿以及获取免费避孕套的意愿相关。研究结果表明,个人、社区和结构因素是获取服务意愿的预测因素。还建议针对大量MSM人群开展干预措施,并进行进一步研究,以了解非政府组织和政府机构需要采取哪些措施来阻止HIV感染在MSM人群中的传播,并提高他们使用HIV/AIDS服务的意愿。
AIDS Patient Care STDS. 2010-8