首页|男男性行为人群对HIV感染者在互联网社交平台公开自己感染状态的态度与关注研究

男男性行为人群对HIV感染者在互联网社交平台公开自己感染状态的态度与关注研究

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目的 了解男男性行为人群对HIV感染者在社交平台公开HIV感染状态的态度及关切度。方法 2020年7-8月,在男同社交APP发布是否支持感染者公开感染状态的观点动态,邀请平台用户表达态度并评论。运用扎根理论对态度及评论信息进行定性分析。结果 共568人表达态度,其中"支持"公开感染状态者占53。0%。120人(120/568,21。1%)的评论分析显示,30。0%的用户认为无论在什么情况下都不应该公开感染者身份,15。8%认为应该无条件公开,超过半数用户(54。2%)的态度介于两者之间。用户评论集中指向五个概念:隐私、自愿、告知、歧视和责任,表达的含义为"尊重个人隐私,提供选项用户自行决定,反歧视的原则下鼓励感染者践行自己的责任和义务"。结论 用户态度多数介于有条件"公开"或"不公开"之间,绝对支持或反对相对较少。用户的关切表明,如果将互联网社交媒体端公开HIV感染状态作为一项HIV预防措施,需采取措施强调各利益相关方的核心关切。
Qualitative Study on the Attitude and Concerns of MSM towards HIV Infection Status Disclosure on Internet Social Platforms
Objective To understand the attitudes of men who have sex with men(MSM)towards HIV positives disclosing their infection status on the Internet social platforms,and determine key concerns on HIV infection status disclosure.Methods A topic of"whether HIV positives should disclose their infection status on the Internet social platforms"was posted on a gay geo-social networking app,and users were invited to express their attitudes and con-cerns on this topic.The data was analyzed based on a grounded theory approach.Results A total of 568 APP users participated in this survey and 120 comments were collected.Of the 568 participants,53%expressed support on in-fection status disclosure.Further analysis on the 120 comments shows that 30%believed that infection status should be disclosed under no condition,and 15.8%believed disclosure was necessary,while over half(54.2%)expressed po-sitions between"conditioned nondisclosure"and"conditioned disclosure".Key concerns on status disclosure were about privacy,voluntary,informed consent,anti-discrimination,and responsibility.Conclusion Most participants ex-pressed attitudes towards conditioned disclosure or conditioned nondisclosure.Attitudes absolutely for and against status disclosure account for relatively low proportion.Key concerns expressed by the participants indicate that,if in-fection status disclosure on Internet social platforms is to be used as a HIV prevention measure,potential risks and concerns of each relevant stakeholder should be effectively addressed.

MSMInternet social platformsAIDSInfection status

张大鹏、于飞、任龙、姬广宇、陈子煌、薛珲、潘玲、单多、韩孟杰

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中国疾病预防控制中心性病艾滋病预防控制中心,北京,102206

淡蓝(北京)传媒有限公司,北京,100020

男男性行为人群 社交平台 艾滋病 感染状况

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(6)