Chuang Deng-Min, Newman Peter Adam, Weaver James
1 Factor-Inwentash Faculty of Social Work, University of Toronto, Ontario, Canada.
J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958219832285. doi: 10.1177/2325958219832285.
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.
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。
