Gao Xudong, Ding Feng, Wang Mei, Kong Chan
Department of Nursing, College of Medicine and Health Science, Wuhan Polytechnic University, Wuhan, People's Republic of China.
Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
AIDS Care. 2024 Apr 22:1-9. doi: 10.1080/09540121.2024.2343767.
A worrying phenomenon has emerged recently: more people are deliberately avoiding rather than seeking information regarding acquired immunodeficiency syndrome (AIDS). This is the first study to explore behaviors related to AIDS information avoidance and the potential influential factors among older men who have sex with men (MSM). We enrolled 11 older MSM from Wuhan, the largest city in central China, from January to March 2023 using a phenomenological method. This qualitative research was conducted using face-to-face semi-structured interviews. AIDS information avoidance was commonly observed among the respondents. Behaviors related to AIDS information avoidance included avoiding AIDS-related information, ignoring known AIDS information, and avoiding medical care. The main factors associated with AIDS information avoidance included information overload, high-risk sexual behaviors, over-optimism, fear of disclosure, and age. China should provide AIDS information in a manner suitable for older MSM, pay more attention to MSM over the age of 70 years, those who are not open about their sexual orientation and those who are too optimistic, and strengthen the censorship of AIDS information.
越来越多的人故意回避而不是寻求有关获得性免疫缺陷综合征（艾滋病）的信息。这是第一项探讨与艾滋病信息回避相关行为以及老年男男性行为者（MSM）中潜在影响因素的研究。我们于2023年1月至3月采用现象学方法，从中国中部最大的城市武汉招募了11名老年男男性行为者。这项定性研究通过面对面的半结构化访谈进行。在受访者中普遍观察到艾滋病信息回避现象。与艾滋病信息回避相关的行为包括回避艾滋病相关信息、忽视已知的艾滋病信息以及回避医疗护理。与艾滋病信息回避相关的主要因素包括信息过载、高危性行为、过度乐观、害怕暴露以及年龄。中国应以适合老年男男性行为者的方式提供艾滋病信息，更多关注70岁以上的男男性行为者、性取向不公开的人群以及过于乐观的人群，并加强对艾滋病信息的审查。
