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Community engagement among men who have sex with men living with HIV/AIDS in Taiwan

机译：台湾与患有艾滋病毒/艾滋病的男性发生性关系的男性之间的社区参与

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摘要

Community engagement was developed as a global principle in the provision of HIV/AIDS services, yet evidence-based research of implementation of the principle is lacking in Taiwan. This short report aims to understand factors associated with engagement in two types of activities with varying levels of visibility: HIV-related community events and HIV-related community action, in Taiwanese men who have sex with men (MSM) living with HIV. A cross-sectional survey was distributed to a purposive sample of participants recruited from AIDS service organizations (ASOs). Among participants (n = 178), 63.6% were involved in HIV-related community events, while less than half (47.7%) were involved in HIV-related community action. In multivariable analysis, age, involvement in ASOs, and AIDS knowledge were positively associated with engagement in community events, and living in the north of Taiwan, years of infection, and self-stigma were negatively associated with this type of engagement. Few factors, with the exception of involvement in ASOs, were positively associated with engagement in HIV-related community action. To this end, ASOs appear to play a strong role in improving and organizing both types of community engagement in Taiwan. Future studies should evaluate tailored programs delivered through ASOs for strengthening community connectedness among younger, stigmatized, and longer diagnosed MSM living with HIV.
机译：社区参与已被发展为提供艾滋病毒/艾滋病服务的一项全球原则，但是在台湾，缺乏关于该原则执行情况的循证研究。这份简短的报告旨在了解与两类具有不同知名度的活动有关的因素：与艾滋病毒感染有关的台湾男性与艾滋病毒相关的社区活动和与艾滋病毒相关的社区行动。向从艾滋病服务组织（ASO）招募的参与者的目标样本进行了横断面调查。在参与者（n = 178）中，有63.6％参与了与HIV相关的社区活动，而不到一半（47.7％）的参与了与HIV相关的社区活动。在多变量分析中，年龄，参与ASO和艾滋病知识与参与社区活动呈正相关，而居住在台湾北部，感染年限和自尊心与此类参与呈负相关。除了参与ASO之外，很少有因素与参与HIV相关的社区行动有正相关。为此，ASO似乎在改善和组织台湾两种类型的社区参与中都发挥着重要作用。未来的研究应评估通过ASO提供的量身定制的计划，以加强在年轻，被污名化和诊断时间更长的HIV男MSM之间的社区联系。

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