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首页> 外文期刊>AIDS care. >Accessing HIV testing and treatment among men who have sex with men in China: A qualitative study
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Accessing HIV testing and treatment among men who have sex with men in China: A qualitative study

机译：定性研究：中国男男性接触者接受艾滋病毒检测和治疗

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Barriers to HIV testing and HIV care and treatment pose significant challenges to HIV prevention among men who have sex with men (MSM) in China. We carried out a qualitative study to identify barriers and facilitators to HIV testing and treatment among Chinese MSM. In 2012, seven focus group (FG) discussions were conducted with 49 MSM participants in Nanjing, China. Purposive sampling was used to recruit a diverse group of MSM participants. Semi-structured interviews were conducted to collect FG data. Major barriers to testing included gay- and HIV-related stigma and discrimination, relationship type and partner characteristics, low perception of risk or threat, HIV is incurable or equals death, concerns of confidentiality, unaware that testing is offered for free, and name-based testing. Key facilitators of testing included engaging in high-risk sex, sense of responsibility for partner, collectivism, testing as a part of standard/routine medical care, MSM-friendly medical personnel, increased acceptance of gay/bisexual men by the general public, legal recognition and protection of homosexuals, and home self-testing. Barriers to treatment included negative coping, nondisclosure to families, misconceptions of domestically produced antiretroviral drugs (ARVs) and the benefits of treatment, and costs associated with long-term treatment. Facilitators of treatment included sense of hopefulness that a cure would be found, the cultural value of longevity, peer social support and professional psychological counseling, affordable and specialized treatment and care, and reduced HIV-related stigma and discrimination. Finally, for both testing and treatment, more educational and promotional activities within MSM communities and among the general public are needed.
机译：在中国，男同性恋者对艾滋病毒的检测，艾滋病毒的护理和治疗的障碍给艾滋病毒的预防提出了严峻挑战。我们进行了定性研究，以确定中国MSM中艾滋病毒检测和治疗的障碍和促进者。 2012年，在中国南京与49位MSM参与者进行了7次焦点小组（FG）讨论。目的抽样被用来招募各种各样的MSM参与者。进行了半结构化访谈以收集FG数据。测试的主要障碍包括与同性恋相关的污名和歧视，关系类型和伴侣特征，对风险或威胁的低感知，艾滋病毒无法治愈或等同于死亡，对保密的担忧，不知道免费提供测试以及名称基础测试。测试的主要促进者包括从事高危性行为，对伴侣的责任感，集体主义，作为标准/常规医疗保健一部分的测试，友好的MSM医务人员，越来越多的公众接受同性恋/双性恋者，合法承认和保护同性恋者，并进行家庭自测。治疗的障碍包括消极的应对，对家庭的不公开，对国产抗逆转录病毒药物（ARVs）的误解，治疗的益处以及与长期治疗相关的费用。治疗的促进者包括希望找到治愈方法的希望，长寿的文化价值，同龄人的社会支持和专业的心理咨询，负担得起的专业治疗和护理，以及减少与艾滋病相关的污名和歧视。最后，对于测试和治疗，都需要在MSM社区内以及在广大公众中开展更多的教育和宣传活动。

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