...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of the International Aids Society >The impact of HIV and high-risk behaviours on the wives of married men who have sex with men and injection drug users: implications for HIV prevention
【24h】

The impact of HIV and high-risk behaviours on the wives of married men who have sex with men and injection drug users: implications for HIV prevention

机译：艾滋病毒和高危行为对已婚男人与男人发生性行为和注射吸毒者的妻子的影响：对预防艾滋病的影响

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BackgroundHIV/AIDS in India disproportionately affects women, not by their own risks, but by those of their partners, generally their spouses. We address two marginalized populations at elevated risk of acquiring HIV: women who are married to men who also have sex with men (MSM) and wives of injection drug users (IDUs).MethodsWe used a combination of focus groups (qualitative) and structured surveys (quantitative) to identify the risks that high-risk men pose to their low-risk wives and/or sexual partners. Married MSM were identified using respondent-driven recruitment in Tamil Nadu, India, and were interviewed by trainer assessors. A sample of wives of injection drug users in Chennai were recruited from men enrolled in a cohort study of the epidemiology of drug use among IDUs in Chennai, and completed a face-to-face survey. Focus groups were held with all groups of study participants, and the outcomes transcribed and analyzed for major themes on family, HIV and issues related to stigma, discrimination and disclosure.ResultsUsing mixed-methods research, married MSM are shown to not disclose their sexual practices to their wives, whether due to internalized homophobia, fear of stigma and discrimination, personal embarrassment or changing sexual mores. Married MSM in India largely follow the prevailing norm of marriage to the opposite sex and having a child to satisfy social pressures. Male IDUs cannot hide their drug use as easily as married MSM, but they also avoid disclosure. The majority of their wives learn of their drug-using behaviour only after they are married, making them generally helpless to protect themselves. Fear of poverty and negative influences on children were the major impacts associated with continuing drug use.ConclusionsWe propose a research and prevention agenda to address the HIV risks encountered by families of high-risk men in the Indian and other low- and middle-income country contexts.
机译：背景技术印度的艾滋病毒/艾滋病不但没有给她们自己带来危险，而且还影响了她们伴侣（通常是配偶）的危险。我们研究了两个边缘人群，这些人群感染艾滋病毒的风险较高：与已婚男性同性伴侣（MSM）和注射吸毒者妻子（IDUs）结婚的妇女。方法我们结合了焦点小组（定性）和结构化调查（定量）以识别高风险男性对其低风险妻子和/或性伴侣构成的风险。在印度泰米尔纳德邦，通过响应者驱动的招聘来识别已婚MSM，并接受培训评估师的采访。从金奈注射吸毒者的妻子的样本中招募了一名男子，该男子参加了对金奈注射吸毒者中毒品使用流行病学的队列研究，并完成了面对面的调查。与所有研究参与者组举行焦点小组会议，对结果进行转录和分析，以探讨有关家庭，艾滋病毒以及与污名，歧视和披露有关的问题的主要主题。结果使用混合方法研究表明，已婚MSM并未透露其性行为他们的妻子，无论是由于内部的恐同症，恐惧的污名和歧视，个人的尴尬还是性欲的改变。在印度，已婚MSM在很大程度上遵循了通行的异性婚姻规范，并生育了一个孩子来满足社会压力。男性注射毒品使用者无法像已婚男男性接触者那样轻易地掩盖其毒品使用情况，但他们也避免透露信息。他们的大多数妻子只有在结婚后才知道自己的吸毒行为，这使他们普遍无助于保护自己。对贫穷的恐惧和对儿童的负面影响是持续吸毒的主要影响。结论我们提出了一项研究和预防议程，以解决印度及其他低收入和中等收入国家的高风险男性家庭所遇到的艾滋病毒风险上下文。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号