A qualitative study on factors leading to unprotected sex in newly reported HIV/AIDS cases among men who have sex with men
Objective This study aimed to investigate the factors contributing to unprotected sex in newly reported HIV/AIDS cases among men who have sex with men(MSM).Methods From May to August 2023,new HIV/AIDS cases were selected among MSM who were receiving antiviral treatment from clinics or non-governmental organizations in six cities.One-to-one in-depth interviews were conducted using qualitative research methods.Results A total of 65 patients with HIV/AIDS were interviewed,including 18 young students,33 societal males below 50 years old,and 14 societal males older than 50 years old.Among these patients,40 reported being infected due to non-regular sexual partners,22 due to regular sexual partners,and 3 due to unknown infection sources.Factors leading to unprotected sex with non-regular sexual partners included insufficient awareness of HIV/AIDS prevention measures and a strong sense of luck among young students.Additionally,substance abuse contributed to unprotected sex among societal males younger than 50 years old.Among societal males aged 50 years old and above,the main factor was insufficient awareness of HIV/AIDS prevention measures.Blind trust was identified as the primary factor leading to unprotected sex with regular sexual partners.Conclusions Unprotected sex was associated with a lack of awareness of HIV/AIDS prevention measures,a strong sense of luck,substance abuse,group sex,and blind trust in regular sexual partners.These factors varied among different age groups,highlighting the need for customized HIV/AIDS intervention measures tailored to the characteristics of the targeted population.
men who have sex with men(MSM)HIVunprotected sexqualitative study