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HIV risk perception among men who have sex with men in two municipalities of China-implications for education and intervention

机译：中国两个城市与男男性接触者中的艾滋病毒风险感知-对教育和干预的意义

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Men who have sex with men (MSM) are recognized as being at high risk for HIV infection. While studies have found that the prevalence of risky behaviors routinely remained high among MSM, few have focused on reasons why MSM may perceive they were or were not at risk for HIV infection. The objective of this study was to examine HIV risk perception among MSM in Beijing and Chongqing, China. A qualitative study consisting of eight focus group discussions and 65 in-depth interviews were conducted with MSM in the two cities. Participants felt that most MSM were aware of the high prevalence of HIV infection among MSM. Yet despite this awareness, most participants thought it was unlikely they would become infected with HIV. The reasons raised by participants included: AIDS was a foreign disease, cleaning after sex prevented transmission, being the insertive partner during sex was not risky, their partner(s) could be trusted, and feeling lucky made HIV/AIDS acquisition unlikely. The findings of this study suggest that a multi-pronged and tailored approach is needed to increase risk perception and safe sex behaviors among MSM in China. This may be achieved through HIV/AIDS interventions that use MSM-friendly media targeting misconceptions of HIV risk, stigma, and discrimination rather than simply distributing condoms. ? 2013
机译：与男性发生性关系（MSM）的男性被认为感染HIV的风险很高。尽管研究发现，MSM中危险行为的患病率仍然很高，但很少有人关注MSM可能认为自己有或没有感染HIV风险的原因。这项研究的目的是检验中国北京和重庆的男男性接触者中的艾滋病毒风险感知。在两个城市与MSM进行了定性研究，包括八次焦点小组讨论和65次深度访谈。与会者感到，大多数MSM都意识到MSM中HIV感染的高流行。尽管有这种意识，但大多数参与者认为他们不太可能感染艾滋病毒。参加者提出的原因包括：艾滋病是一种外来疾病，性交后进行清洁可以阻止传染，性生活中作为插入性伴侣没有风险，可以信任他们的伴侣，并且感到幸运使得无法获得HIV / AIDS。这项研究的结果表明，需要采取多管齐下和量身定制的方法来提高中国男男性接触者的风险感知和安全性行为。这可以通过使用对MSM友好的媒体针对HIV风险，污名和歧视的误解，而不是仅仅分发避孕套的HIV / AIDS干预措施来实现。 ？ 2013年

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