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台湾男男性行为者的HIV疫苗接种准备情况:社会文化和行为因素

HIV Vaccine Preparedness among Men Who Have Sex with Men in Taiwan: Sociocultural and Behavioral Factors.

作者信息

Chuang Deng-Min, Newman Peter Adam, Weaver James

机构信息

1 Factor-Inwentash Faculty of Social Work, University of Toronto, Ontario, Canada.

出版信息

J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958219832285. doi: 10.1177/2325958219832285.

Abstract

In Taiwan, men who have sex with men (MSM) are at disproportionate risk of HIV infection. We examined awareness and acceptability of future HIV vaccines. From July to August 2014, we conducted a cross-sectional survey with MSM recruited through community-based organizations (CBOs) in 2 cities. Among 200 participants (mean age, 27.6 years), half reported multiple partners and one-third condomless anal sex (past 3 months); 12% were HIV-positive. Traditional Chinese medicine (TCM) use was reported by 42.7%. Over two-thirds (69.0%) were aware of HIV vaccine research, but less than half (43.8%) would accept an HIV vaccine if available. In multivariable analysis, higher educational attainment, >5 sex partners, and TCM use were positively associated with HIV vaccine awareness. Culturally informed HIV vaccine preparedness in Taiwan may be supported by a complementary approach to TCM and HIV prevention technologies, tailoring information for MSM with lower education and targeting those at high risk through gay-identified CBOs.

摘要

在台湾,男男性行为者(MSM)感染艾滋病毒的风险极高。我们调查了未来艾滋病毒疫苗的知晓率和可接受性。2014年7月至8月,我们对通过两个城市的社区组织(CBO)招募的男男性行为者进行了一项横断面调查。在200名参与者(平均年龄27.6岁)中,一半报告有多个性伴侣,三分之一在过去3个月有过无保护肛交;12%为艾滋病毒阳性。42.7%的人报告使用过传统中医(TCM)。超过三分之二(69.0%)的人知晓艾滋病毒疫苗研究,但不到一半(43.8%)的人表示如果有艾滋病毒疫苗愿意接受。在多变量分析中,受教育程度较高、有5个以上性伴侣以及使用传统中医与艾滋病毒疫苗知晓率呈正相关。台湾针对文化背景的艾滋病毒疫苗准备工作,可能需要通过将传统中医与艾滋病毒预防技术相结合的方法来支持,为受教育程度较低的男男性行为者量身定制信息,并通过同性恋身份认同的社区组织针对高危人群。

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Hope for HIV control in southern Africa: The continued quest for a vaccine.南部非洲控制艾滋病的希望:对疫苗的持续探索。
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